scholarly journals Justification of the diagnostic algorithm in determining the indications for pathogenetic therapy of dental caries

2012 ◽  
Vol 93 (2) ◽  
pp. 225-227
Author(s):  
V V Gilyazeva ◽  
I I Giniyatullin ◽  
L D Muratova
Keyword(s):  
Dental Caries ◽  
Oral Cavity ◽  
Oral Mucosa ◽  
Diagnostic Algorithm ◽  
Dental Status ◽  
Physical Status ◽  
Local Immunity ◽  
Diagnostic Measures ◽  
Pathogenetic Therapy

Aim. To justify the importance of the diagnostic algorithm in the management of patients with dental caries. Methods. Summarized were authors’ personal and literature data on the factors and conditions of realization of a cariogenic situation, on the predictors of dental caries, as well as on the role of the diagnostic measures. Stressed was the significance of the physical status of the parents and of the normal course of pregnancy for optimal formation of organs and tissues of a child’s oral cavity, which predetermines the healthy dental status of the adult. Results. Presented was the diagnostic algorithm for dental caries, with an emphasis on the importance of assessing the state of local immunity of the oral mucosa, the need for obtaining primary anamnestic information. Outlined were the signs of salivary disorders that contribute to the formation of a cariogenic situation. The items presented in this article may serve as a basis for construction of a diagnostic algorithm for the management of patients with dental caries with the aim of for subsequent planning and implementation of effective pathogenetic therapy of the disease. Conclusion. The correctly selected diagnostic algorithm in the management of patients with dental caries allows the dentist to obtain objective information about the features of the emergence and development of the disease and to define the indications for pathogenetic therapy.

scholarly journals PREVENTION OF CANDIDIASIS IN PATIENTS USING REMOVABLE DENTURES

2022 ◽  
Author(s):  
Andrey SEVBITOV ◽  
◽  
Aleksey DOROFEEV ◽  
Sergey MIRONOV ◽  
Samer AL-KHOURY ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Oral Mucosa ◽  
Oral Candidiasis ◽  
Age Groups ◽  
Local Immunity ◽  
Thermal Insulating ◽  
Removable Plate ◽  
Orthopedic Care ◽  
Oral Tissue ◽  
Receptor Apparatus

Despite innovations in orthopedic dentistry, removable dentures belong to the most popular orthopedic care category. Removable dentures are combined stimuli that affect the mucous membrane and neuro-receptor apparatus. Acrylic plastic prostheses, widely used in prosthetic dentistry, have a negative side mechanical, chemical-toxic, sensitizing, and thermal insulating effect on oral tissue and prosthetic impression area. This is often complicated by a violation of the biocenosis of the oral cavity, the growth of pathogenic microflora that releases toxins, especially an increase in the number of yeast colonies that irritate the oral mucosa and prosthetic stomatitis. It was observed 100 patients with oral candidiasis of various age groups from 45 to 65 years. Of these, 60 patients with removable plate prostheses; 40 patients with partially removable prostheses. Chronic forms of candidiasis were diagnosed in 40 patients and with exacerbation of chronic forms of candidiasis in 60 people. The number of untreated carious cavities and poor hygienic condition of the oral cavity directly affects the severity of candidiasis. Acute forms of candidiasis were observed mainly in patients with high DMF and PMA indices. The severity of candidiasis depends on the degree and duration of wearing dentures and hygienic conditions - the most severe forms of invasive candidiasis were observed in the presence of removable plate prostheses, the complete absence of teeth, and the use of a prosthesis for more than 10-15 years. A combined lesion of the oral mucosa and the red border of the lips was observed mainly in patients older than 60 years. The presence of candidiasis in the oral cavity in patients with removable plate prostheses leads to a statistically significant change in the indicators of local immunity of the oral cavity: an increase in the concentration of serum IgG and IgA and the values of the coefficient of the balance of local immunity factors.

Age-Associated Role of Lingual and Pharyngeal Glands in Local Immunity in Oral Cavity

2020 ◽  
Vol 169 (3) ◽  
pp. 373-377
Author(s):  
A. V. Olsufieva ◽  
I. V. Bodrova ◽  
K. A. Vasyanina ◽  
A. D. Vovkogon ◽  
S. S. Olsufiev ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Local Immunity

scholarly journals DENTAL STATUS FEATURES OF PATIENTS WITH CHRONIC MYELOID LEUKEMIA

2021 ◽  
Vol 16 (4) ◽  
pp. 71-76
Author(s):  
Kamilla Yanbuhtina ◽  
Milyausha Kabirova ◽  
Bulat Kabirov
Keyword(s):  
Chronic Myeloid Leukemia ◽  
Oral Cavity ◽  
Myeloid Leukemia ◽  
Dental Treatment ◽  
Clinical Symptoms ◽  
The State ◽  
Dental Status ◽  
Malignant Neoplasms ◽  
Local Immunity ◽  
Oral Symptoms

Subject. At the present stage of society development cancer incidence remains among the most pressing medical and social problems. In the structure of oncopathology a special place is occupied by malignant neoplasms of lymphoid and hematopoietic tissues which include chronic myeloid leukemia (CML). In some patients, the disease can appear with dental symptoms associated with a decrease in local immunity of the oral cavity — the appearance of aphthae, plaque on the oral mucosa, angular cheilosis, bleeding gums, dry mouth. It is diagnostically significant that such oral symptoms may precede general clinical symptoms, that is, they can be considered as early symptoms of CML. In addition, their severity often prompts a patient with CML to see a dentist. Thus, the importance of the professional knowledge of the dentist in general clinical and dental symptomatology of CML, the correct routing of the patient for further clinical and laboratory examination, treatment and observation by a hematologist is undeniably high. The goal is to study and identify the features of the dental status of patients with chronic myeloid leukemia. Methodology. The work carried out a comprehensive assessment of the state of the oral cavity and the need for dental treatment of patients with chronic myeloid leukemia in which patients with preserved systemic status and patients with chronic myeloid leukemia took part. Results. According to the results of a complex dental examination and the calculation of the main dental indices, patients with CML were found to have serious disorders in the state of their oral health. Conclusions. Patients with CML showed a high need for various types of dental care, primarily in conservative oral cavity sanitation, periodontal treatment and rationalization of oral hygiene protocols (professional and individual).

scholarly journals The role of hygiene in prevention of major dental diseases among workers of metallurgical production

2015 ◽  
Vol 22 (4) ◽  
pp. 6-8
Author(s):  
S. B. Ulitovsky ◽  
O. V. Kalinina ◽  
I. A. Butyugin ◽  
M. B. Kadyrov
Keyword(s):  
Oral Cavity ◽  
Dental Care ◽  
Dental Status ◽  
Metallurgical Production ◽  
Dental Diseases ◽  
Prevention Of Dental Diseases

This review introduces readers to the problems of improving dental care in workers of metallurgical production and the main methods of prevention of dental diseases. The presented data show the features of the dental status of the surveyed population. The article describes the basic ways of prevention of dental diseases and observance of rules of hygiene of the oral cavity in workers of metallurgical production.

scholarly journals Analysis of the effectiveness of rehabilitation measures for dental caries

2012 ◽  
Vol 93 (2) ◽  
pp. 235-237 ◽  
Author(s):  
A I Shaikhutdinova ◽  
V V Gilyazeva
Keyword(s):  
Dental Caries ◽  
Oral Cavity ◽  
Oral Hygiene ◽  
Medical Records ◽  
Dental Treatment ◽  
Dental Patients ◽  
The Status ◽  
Pathogenetic Therapy ◽  
Rehabilitation Measures

Aim. To evaluate the effectiveness of rehabilitation measures for dental caries. Methods. Studied were 246 patients aged 18-50 years (146 women and 100 men) who received dental treatment for dental caries and its complications, the duration of follow-up was 18 months. Conducted was an expert evaluation of 246 medical records of dental patients and patients’ management. The hygienic status of the oral cavity was assessed by the criteria of OHI-S (Oral Hygiene Index Simplified) and PHP (Patient Hygiene Performance), for values of OHI-S (PHP) 0.6±0.1 (0.4±0.03) the status was considered good, for values 1.3±0.1 (0.7±0.02) - satisfactory, for values 2.6±0.1 (1.8±0.04) - unsatisfactory. Results. Good oral hygiene status was noted in 64 patients (first group), satisfactory - in 88 (second group), unsatisfactory - in 94 patients (third group). In the third group, the share of fully intact restorations and fillings during middle and deep caries after 6 months was 89 and 81%, at 12 months - 80 and 78.2%, after 18 months - 79.7 and 71.8%, respectively; in the second group after 6 months - 94 and 92.8%, after 12 months - 89 and 85.3%, after 18 months - 87.5 and 81.2%, respectively; in the first group at 6 months - 96 and 96%, after 12 months - 96 and 91.3%, after 18 months - 94.5 and 90.5%, respectively. Only 152 of the 246 patients fulfilled all the recommendations and prescriptions, 34 (13.8%) did not complete the rehabilitation of the oral cavity. Prevention and rehabilitation activities were performed in 30% of cases: in 15% - in full, in the remaining 15% primarily professional oral cleaning and remineralization therapy was conducted. Conclusion. The program of rehabilitation of dental patients should include regular inspections, monitoring of the oral hygiene, professional cleaning of the oral cavity, grinding and polishing of the restorations and fillings, pathogenetic therapy.

scholarly journals LEVELS OF SENSITIZATION TO ALLERGENS OF FUNGAL ETIOLOGY AND THE ROLE OF LOCAL IMMUNITY IN DISEASES OF THE MUCOUS MEMBRANE OF THE ORAL CAVITY

2017 ◽  
Vol 13 (1) ◽  
pp. 56-60
Author(s):  
Анна Герасимова ◽  
Anna Gerasimova ◽  
Миляуша Кабирова ◽  
Milyausha Kabirova ◽  
Лариса Герасимова ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Mucous Membrane ◽  
Local Immunity

scholarly journals PSYCHOSOMATIC ASPECTS OF THE COMBINED PATHOLOGY OF PERIODONTAL TISSUE AND ORAL MUCOSA

2018 ◽  
pp. 32-34 ◽  
Author(s):  
T.A. Petrushanko ◽  
N.N. Ilenko
Keyword(s):  
Oral Cavity ◽  
Oral Mucosa ◽  
The Body ◽  
Psychological Characteristics ◽  
Control Group ◽  
Periodontal Tissue ◽  
Dental Patients ◽  
Periodontal Tissues ◽  
Experimental Group

In the structure of modern diseases, there are 50-75% of psychosomatic diseases. To understand the role of the emotional factor in the onset and progression of somatic disorders, as well as the opposite process – the emergence of psychological and emotional disorders as a response to an acute or chronic disease of internal organs – acquires a particular importance and relevance at the present stage of the causality of the disease. Individual features of the response of the human body to social, biological factors have common mechanisms of combined damage to the mucous membrane of the oral cavity and periodontal tissue. The severity of the damage to these organs and tissues is also determined by the psychological characteristics of individuals. These points are important not only for understanding the causality of the combined pathology of the periodontal and oral mucosa, but also for choosing the optimal tactics for treating such dental patients. The aim of the work was to analyze the role of psychosomatic correlations in the occurrence and development of the combined pathology of the periodontal and oral mucosa, determining the tactics of their treatment. 32 patients were involved in the examination with pathological changes of periodontal and oral mucosa. The essential role of the emotional component in the genesis of diseases was confirmed. Taking into account the psychosomatic nature of the pathology in the experimental group of patients, recommendations were given on diet therapy, psychotherapy, autogenic training. General medical treatment for internists and dentists was maximally individualized, taking into account the psychological characteristics of the response to the disease, differentiated according to the nature of the existing diseases, severity, pathology. After 6 months of follow-up, a stable, reliable positive clinical result was obtained in all patients in the experimental group and in 64% in the control group. Accounting for the state of psychosomatic relationships in the mechanisms of origin, development, treatment of diseases is extremely important. This approach in the supervision of dental patients who have combined changes in periodontal tissues, the oral mucosa allows achieving positive results of treatment, both in relation to the condition of the oral cavity, and for the body as a whole.

scholarly journals Primary oral mucosa-associated lymphoid tissue (MALT) lymphoma in patient with monoclonale gammopathy: a rare case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hilal Hafian ◽  
Hubert Schvartz ◽  
Martine Patey ◽  
Anne Quinquenel
Keyword(s):  
Oral Cavity ◽  
Oral Mucosa ◽  
Malt Lymphoma ◽  
Monoclonal Gammopathy ◽  
Imaging Techniques ◽  
Clinical Signs ◽  
Biological Reality ◽  
Rare Case Report ◽  
History Of

Abstract Background Monoclonal gammopathy is a biological reality encountered in approximately 1% of the general population. In the absence of clinical and biological signs, it is considered of undetermined significance; however, it can be a biological signature of a monoclonal lymphocytic or plasma-cell proliferation. Their localisation to the oral mucosa remains rare and difficult to diagnose, particularly in indolent forms that escape imaging techniques. Case presentation Here, we report the case of a 73-year-old woman with a history of IgM kappa gammopathy followed for 13 years. The patient did not have a chronic infection or an autoimmune disease, and all the biological investigations and radiological explorations were unremarkable during this period. The discovery of a submucosal nodule in the cheek led to the diagnosis of MALT lymphoma and regression of half of the IgM kappa level after resection. The review of the literature shows the dominance of clinical signs (i.e., a mass or swelling) in the diagnosis of primary MALT lymphomas of the oral cavity after surgical resection. Conclusions Our case illustrates the role of examination of the oral cavity in the context of a monoclonal gammopathy. The absence of clinical and radiological evidence in favor of lymphoplasmacytic proliferation, does not exclude a primary indolent MALT lymphoma of the oral mucosa.

Role of antimicrobial peptides system in inflammatory periodontal diseases non-specific oral cavity protection

2021 ◽  
Vol 66 (7) ◽  
pp. 422-427
Author(s):  
N. V. Davidovich ◽  
N. V. Solovieva ◽  
A. S. Galieva ◽  
S. Yu. Lepeshkin ◽  
E. N. Bashilova ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Antimicrobial Peptides ◽  
Chronic Periodontitis ◽  
Pathogenic Bacteria ◽  
Periodontal Diseases ◽  
Control Group ◽  
Periodontal Pathogens ◽  
Local Immunity ◽  
Microbial Invasion

The system of antimicrobial peptides (AMP) is one of the most ancient mechanisms of the macroorganism resistance to infectious pathogens invasion. The aim of the study was to determine the role of the antimicrobial peptides system and periodontal pathogenic markers in the development and progression of inflammatory periodontal diseases. Gingival pocket washes (91 samples in total) for the research were received from patients with inflammatory periodontal diseases (chronic periodontitis and gingivitis) and intact periodontium. Using ELISA, the content of antimicrobial peptides was determined: human alpha-defensin (HNP 1-3), beta-defensin (HBD 1-3) and cathelicidin (LL-37). Periodontal pathogenic markers were isolated during RT-PCR. The study revealed differences in AMP concentrations by groups: level of HBD 2 in patients with chronic periodontitis was 1,36 times higher than those in the group of patients with chronic gingivitis (p=0,023) and 2,39 times higher than those in the control group (p<0,001), the content of HNP 1-3 in the group of patients with chronic periodontitis was reduced by 1,23 times compared with the indicators of the group of patients with gingivitis (p=0,045) and by 1,97 times compared with the indicators of the control group (p<0,001). The frequency of detection of periodontal pathogenic bacteria genes was 88,0% in patients with periodontitis, 76,92% in patients with gingivitis and 33,3% in the group with intact periodontium. HBD 2 content moderately correlated with the definition of P. gingivalis (r=0,612; p=0,022), T. forsythensis (r= 0,434; p=0,015), A. actinomycetemcomitans (r=0,483; p=0,006), a moderate negative correlation was detected between the content of HNP 1-3 and the release of periodontal pathogens in associations (P. gingivalis with T. forsythensis and T. denticola) (r=-0,388; p=0,031) in the group of patients with chronic periodontitis. Thus, the revealed relationships and correlations indicate shifts in the processes of reparative regeneration of the oral cavity and the regulation of local immunity in response to microbial invasion.

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