scholarly journals METHODS OF PREPARATION OF PROSTHETIC BED TOOTHLESS LOWER JAW BEFORE THE PROSTHESIS (LITERATURE REVIEW)

2017 ◽  
Vol 13 (3) ◽  
pp. 3-9
Author(s):  
Дмитрий Трунин ◽  
Dmitriy Trunin ◽  
Мукатдес Садыков ◽  
Mukatdes Sadykov ◽  
Александр Нестеров ◽  
...  
Keyword(s):  
Mucous Membrane ◽  
Soft Tissues ◽  
Restorative Dentistry ◽  
Significant Progress ◽  
Orthopedic Treatment ◽  
Actual Problem ◽  
Advantages And Disadvantages ◽  
Lower Jaw ◽  
The Many ◽  
Elastic Lining

The article presents a scientific overview of the literature on the actual problem restorative dentistry: preparation low-supple atrophied tissue prosthetic bed before the prosthesis patients with complete absence of teeth in the lower jaw. Despite significant progress in prosthetic dentistry, the problem of prosthesis patients with complete absence of teeth on the lower jaw does not lose its relevance. From 15 to 46% of patients aged 45-70 years, need to manufacture complete dentures. One of the factors that directly affect the fixation of complete removable lamellar denture for the lower jaw is a condition of the mucous membrane of prosthetic bed. The most unfavorable for prosthetics full removable laminar dentures is considered as grade 2 mucosa classification Supple. This class is characterized by thinned, stretched and dry mucous membrane of the prosthetic bed. To achieve success in the orthopedic treatment of such patients need to restore the volume and pliability of the mucous membrane of toothless prosthetic bed. A study of the basic methods of surgical, orthopedic, physiotherapy preparation of tissue prosthetic bed toothless lower jaw, and combinations thereof. Of the known methods of noteworthy ways of plastics of the alveolar part of the mandible and increase in volume of soft tissues of the prosthetic bed toothless method Plasmolifting, and the combination of the introduction of autoplasma rich in platelet with the production time immediat dentures with elastic lining. Describes the advantages and disadvantages of the proposed methods. Despite the many different ways of preparation of prosthetic bed before prosthetic treatment, this problem remains unsolved and requires further study.

scholarly journals CONDITIONAL TISSUE CONDITION IN PATIENTS WITH PROSTHETIC DENTISTS IN THE PROCESS OF ORTHOPEDIC TREATMENT WITH PROSTHESES MODIFIED BY NANOMATER

2021 ◽  
pp. 20-25
Author(s):  
B.Y. Silenko ◽  
V.M. Dvornik ◽  
Y.I. Silenko
Keyword(s):  
Mucous Membrane ◽  
Soft Tissues ◽  
Dental Treatment ◽  
Fullerene C60 ◽  
Control Group ◽  
Orthopedic Treatment ◽  
Residual Monomer ◽  
Minimum Concentration ◽  
Treatment And Prevention ◽  
Orthopedic Care

The main cause of prosthetic stomatitis belongs to the chemical and toxic action of the residual monomer of the prosthesis base, which is a protoplasmic poison. Occurrence of prosthetic stomatitis depends not only on quality of production of prosthesis in laboratory though at non-observance of technology indicators of residual monomer can reach 2-5%, but also at individual intolerance at its minimum concentration in a prosthesis after polymerization - 0,2-0 .5%. The aim of our study was to increase the effectiveness of orthopedic treatment of patients with prosthetic stomatitis by coating the plastic of removable prostheses with nanoscale materials. Materials and methods. To solve this goal, we studied the condition of the tissues of the prosthetic place of patients with prosthetic stomatitis with prosthetic removable prostheses with modified plastic. Orthopedic dental treatment of 50 people was examined and performed, including 25 people (the second group, prostheses were not covered with nanoparticles) and 25 people (the third group, prostheses were covered with nanoparticles). The first control group consisted of 10 people without signs of pathology. Prior to treatment, all patients had removable acrylic plastic dentures. The reason for seeking orthopedic care was a violation of masticatory function and the inability to use previously made prostheses due to the development of pain in the soft tissues of the prosthetic place. Complaints of pain were observed in all patients of varying intensity, impaired fixation and stabilization of the prosthesis due to swelling of the mucous membrane of the soft tissues of the prosthetic place, heartburn and dryness were observed in 90% of patients. Complaints were also about speech and aesthetic defects. Patients of III group after two weeks of using prostheses were coated with the inner surface of the prosthesis, which is in direct contact with the mucous membrane of the prosthetic place with molecules of fullerene C60, by magnetron sputtering. For this purpose, the prostheses were removed from the patients for several days and returned after the coating with the nanomaterial, after which the observation was continued. The results. After coating the prostheses in patients of group III with Fullerene C60, we observed the disappearance of inflammation of the mucous membrane under the prosthesis and patients noted the absence of discomfort. Рatients in II group had a negative dynamics in 80% and had diffuse inflammation of the mucous membrane under the prosthesis. Within 3 months of use, 18 patients (72%) in II group reported that they stopped using removable dentures during the day, due to unpleasant pain under the prosthesis, and used only during meals and during conversations. In contrast to II group, patients in III group did not notice discomfort when using plate prostheses. Conclusions. Obtained in the course of the work convincingly prove the effectiveness of the use of removable plate prostheses with nanocoating for the treatment and prevention of prosthetic stomatitis in patients. This is evidenced by the data of objective examination and the disappearance of complaints from patients.

scholarly journals Efficiency orthopedic treatment of patients with acquired defects maxillofacial of mini-implants

2016 ◽  
Vol 12 (1) ◽  
pp. 90-96
Author(s):  
Н. Нуриева ◽  
N. Nureyeva ◽  
Ю. Кипарисов ◽  
Y. Kiparisov
Keyword(s):  
Mucous Membrane ◽  
Artificial Limbs ◽  
Orthopedic Treatment ◽  
Postoperative Rehabilitation ◽  
Important Stage ◽  
Mini Implants ◽  
Lower Jaw

Treatment of postoperative defects of the upper and lower jaw is one of complex challenges of orthopedic stomatology. The objective often is complicated by restriction of opening of a mouth and cicatricial changes of a mucous membrane. Reliable fixing the rezektsionnykh and the forming artificial limbs is the key to success of the subsequent continuous prosthetics. Besides it is an important stage of early, postoperative rehabilitation of patients.

scholarly journals PROSTHETIC TREATMENT OF PATIENTS WITH DISTAL OCCLUSION USING A DEPROGRAMMER (CLINICAL CASE)

2021 ◽  
Vol 17 (2) ◽  
pp. 143-147
Author(s):  
Mihail Postnikov ◽  
Aleksandr Nesterov ◽  
Marsel' Sagirov ◽  
Ekaterina Badyagina
Keyword(s):  
Clinical Case ◽  
Masticatory Muscles ◽  
Original Design ◽  
Orthopedic Treatment ◽  
Actual Problem ◽  
Lower Jaw ◽  
Before And After ◽  
Ct Data ◽  
Distal Occlusion ◽  
The City

Introduction. An actual problem of modern dentistry is the anomalies of the position of the lower jaw. The share of these diseases in the structure of requests for dental care can reach up to 27%. The most common pathology is distal occlusion, which accounts for 25 to 37% of all occlusion abnormalities. The aim of this work was to describe and demonstrate on a clinical example the method of orthopedic treatment of patients with distal occlusion proposed by the authors. Material and methods of research. The paper presents a new method of orthopedic treatment of patients with distal occlusion using a deprogrammer of the original design. Orthopedic treatment of patients was carried out on the basis of a multidisciplinary clinic of Postnikov in the city of Samara. Using the method proposed by the authors, orthopaedic treatment was performed in 36 patients with distal occlusion. For clarity, the article considers an original clinical case of treatment of a patient with distal occlusion, who was made a deprogrammer of the author's design, with a detailed analysis of each stage of diagnosis and orthopedic treatment. To confirm the effectiveness of the proposed technique, a CT scan of the patient's temporomandibular joint was performed before and after orthopedic treatment. As a result of the treatment, the patient has a decrease in the hypertonicity of the masticatory muscles, which made it possible to position the lower jaw in the position of the central ratio, which is confirmed by CT data. Conclusion. The use of a deprogrammer-mouthguard, the proposed design allows for deprogramming of the masticatory muscles and correctly determining the central ratio of the jaws, and can be used in the treatment of patients with distal occlusion.

scholarly journals Orthopedic treatment in cancer patients with maxillofacial pathology

2021 ◽  
Vol 2 (2) ◽  
pp. 22-33
Author(s):  
I. V. Pustovaya ◽  
M. A. Engibaryan ◽  
P. V. Svetitskiy ◽  
I. V. Aedinova ◽  
V. L. Volkova ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Soft Tissues ◽  
Malignant Tumors ◽  
Social Adaptation ◽  
Research Centre ◽  
Orthopedic Treatment ◽  
National Medical ◽  
Upper Jaw ◽  
The Aesthetic

Relevance. Staged orthopedic treatment was used to improve the quality of life of patients who underwent radical maxillofacial surgeries for cancer.Patients and methods. 197 patients receiving treatment for maxillofacial cancer were observed at the Department of head and neck tumors, National Medical Research Centre for Oncology of the Ministry of Health of Russia, in 1998- 2018. All patients underwent radical surgical treatment resulting in postoperative defects of the upper jaw, soft tissues of the zygomatic- buccal-orbital region, nose, or auricle.Results. Removable obturator prostheses with various supporting and retaining elements were made for 159 (80.7 %) patients. Individual facial prostheses were made for 38 (19.3 %) patients: 17 (44.7 %) – external orbital prostheses, 14 (36.8 %) – external nasal prostheses, 6 (15.8 %) – external zygomatic- buccal-orbital prostheses, 1 (2.7 %) – external auricle prosthesis. Combined prostheses were made for 4 patients– removable upper jaw obturator and nose prosthe[1]sis; removable upper jaw obturator and eye prosthesis. Combined prostheses were fixed to each other using magnets. The results of maxillofacial prosthetics were evaluated according to the aesthetic requirements of the patients and their quality of life. Maxillofacial prostheses allowed a complete restoration of chewing, swallowing, and speaking, restored facial deformation, and improved the appearance of patients.Conclusions. Timely and comprehensive orthopedic treatment of patients with postoperative maxillofacial defects after radical surgeries for malignant tumors takes the main place in the complex of rehabilitation measures. Early elimination of extensive defects is aimed at maximum restoration of oral dysfunctions and appearance preservation. The apparent advantages of maxillofacial prostheses involve improvement of social adaptation and the quality of life of patients, which promotes complete rehabilitation and a return to socially useful activities.

scholarly journals TAP-block as a component of multimodal analgesia for postoperative anesthesia in obstetrics and gynecology

Pain medicine ◽  
2018 ◽  
Vol 3 (2) ◽  
pp. 67-74 ◽  
Author(s):  
Ye. V. Grigimalsky ◽  
A. Y. Garga
Keyword(s):  
Postoperative Pain ◽  
Pain Relief ◽  
Multimodal Analgesia ◽  
Postoperative Pain Relief ◽  
Obstetrics And Gynecology ◽  
Tap Block ◽  
Actual Problem ◽  
Advantages And Disadvantages ◽  
Obstetrics And Gynaecology

Postoperative pain relief is still quite actual problem in medicine, particularly in obstetrics and gynaecology. The most appropriate method of adequate post-operative anesthesia is multimodal analgesia. This article describes the features of multimodal analgesia using TAP-block combined with NSAIDs in obstetric and gynaecological patients, advantages and disadvantages of this combination and our own experience of applying this method in our clinic.

scholarly journals How is open access publishing going down with early career researchers? An international, multi-disciplinary study

2020 ◽  
Author(s):  
David Nicholas ◽  
Hamid R. Jamali ◽  
Eti Herman ◽  
Jie Xu ◽  
Chérifa Boukacem-Zeghmouri ◽  
...  
Keyword(s):  
Open Access ◽  
Career Progression ◽  
Early Career ◽  
Open Access Publishing ◽  
Openness To Change ◽  
Advantages And Disadvantages ◽  
Early Career Researchers ◽  
Scholarly Communications ◽  
The Subject ◽  
The Many

This study explores early career researchers’ (ECRs) appreciation and utilisation of open access (OA) publishing. The evidence reported here results from a questionnaire-based international survey with 1600 participants, which forms the second leg and final year of a four year long, mixed methods, longitudinal study that sought to discover whether ECRs will be the harbingers of change when it comes to scholarly communications. Proceeding from the notion that today’s neophyte researchers, believed to hold millennial values of openness to change, transparency and sharing, may be best placed to power the take-up of OA publishing, the study sought to discover: the extent to which ECRs publish OA papers; the main reasons for their doing or not doing so; and what were thought to be the broader advantages and disadvantages of OA publishing. The survey data is presented against a backdrop of the literature-based evidence on the subject, with the interview stage data providing contextualisation and qualitative depth. The findings show that the majority of ECRs published in OA journals and this varied by discipline and country. Most importantly, there were more advantages and fewer disadvantages to OA publishing, which may be indicative of problems to do with cost and availability, rather than reputational factors. Among the many reasons cited for publishing OA the most important one is societal, although OA is seen as especially benefiting ECRs in career progression. Cost is plainly considered the main downside.

Signs of temporomandibular joint dysfunction in individuals with different dentition defects and unequal preservation of antagonist pairs of teeth

2021 ◽  
pp. 52-58
Author(s):  
I.S. Redinov ◽  
Ye.A. Pylaeva ◽  
O.O. Strakh ◽  
B.A. Lysenko
Keyword(s):  
Hearing Loss ◽  
Early Diagnosis ◽  
Temporomandibular Joint ◽  
Pathological Process ◽  
Orthopedic Treatment ◽  
Temporomandibular Joint Dysfunction ◽  
Significant Frequency ◽  
System A ◽  
Lower Jaw ◽  
Opening And Closing

As a result of examination and questionnaire of 143 patients who applied for orthopedic treatment of defects of teeth and dental rows, it was found that signs of dysfunction of temporomandibular joint with preserved dental rows are diagnosed in 36—55% cases, and with defects of dental rows — in 45—90% cases. The absence of eighth teeth in the dental row does not significantly change the functional state of the dental-jaw system. A statistically significant frequency of signs of EHS dysfunction has been identified among individuals having terminal dentition defects.In patients with terminal dentition defects, each 3rd patient is diagnosed with cochleovestibular syndrome, and in each 2nd, sounds are determined in the area of VNHS when the lower jaw moves. It has been found that if 15—13 and 12—11 pairs of antagonist teeth are preserved, the signs of dysfunction are determined in 55—45% cases, if the number of teeth having antagonists is reduced to 10—5 (in 90.0% these are patients with preserved 7—8 pairs of antagonist teeth), then the frequency of dysfunction signs increases to 75.0% (t1-3=1.33; t2-3=2.00), in such patients significantly more often — in 75.0% of cases, mandibular deviation is diagnosed when opening and closing the mouth than in persons with a large number of preserved antagonist teeth, respectively 55.0% (t=2.66) and 45.0% (t=3.93) in 1 and 2 groups. Thus, the identification of such signs as crunching, clicking in the joints, hearing loss or tinnitus, suggests the presence of intra-articular disorders in such patients. The deviation of the jaw from its main trajectory when opening the mouth indicates the possible involvement of the masticators muscles in the pathological process. All this requires the dentist to carry out early diagnosis and timely orthopedic treatment.

On the question of amygdala sepsis

1930 ◽  
Vol 26 (10) ◽  
pp. 1055-1056
Author(s):  
B. Goland
Keyword(s):  
Mucous Membrane ◽  
High Fever ◽  
Recurrent Tonsillitis ◽  
Lower Jaw ◽  
Long Time ◽  
Inflammatory Processes

Abstracts. Laryngology. On the question of amygdala sepsis. Prof. Uffenоrdе. (Deutsche med. Woch., 1929, No. 19, S. 775) gives 4 cases of sepsis after inflammatory processes in the pharynx. 1st case. An 18-year-old girl who had suffered from frequent recurrent tonsillitis for a long time, 2 days after a new exacerbation, a swelling formed on the left side of the neck, with difficulty in the mobility of the lower jaw, chills and high fever. Objective examination revealed a thickening of the left tonsilla without plaque (the peritonsillar area was unchanged), swelling and redness of the left side of the epiglottis, the left scooped-epiglottis fold and the mucous membrane covering the left scoop.

The skull

2013 ◽  
Author(s):  
Martin E. Atkinson
Keyword(s):  
Soft Tissues ◽  
Clinical Importance ◽  
Dental Students ◽  
Structural Basis ◽  
Facial Skeleton ◽  
Lower Jaw ◽  
Temporomandibular Joints ◽  
Maxilla And Mandible ◽  
And Function ◽  
The Brain

Dental students and practitioners require a sound knowledge of the structure, growth, and development of the skull as a whole. The structure of the skull can be examined and studied more efficiently if you have access to a dried skull or one of the very good plastic replica skulls which are now available; you can identify the structures on the diagrams accompanying the following descriptions and examine a skull at the same time to appreciate the size and relationships of individual components. This chapter outlines the basic principles of the development and structure of the skull and includes some reference to individual bones where this makes understanding easier. The more detailed aspects of particular regions of the skull will be covered in the appropriate chapter describing the whole anatomy of that region; it is much easier to learn the parts of the skull in context of overall structure and function rather than learning a long list of bones, foramina, and muscle attachments in isolation from the related soft tissue structures. Only the maxilla and mandible which are bones of significant clinical importance are described as separate bones. As already demonstrated in Chapter 20, the skull is the structural basis f or the anatomy of the head. The skull has many functions. • It encloses and protects the brain. • It provides protective capsules for the eyes and middle and inner ear. • It forms the skeleton of the entrances to the respiratory and gastrointestinal tracts (GIT) through the nose and mouth, respectively. Those skull components that form the entrance to the GIT also house and support the teeth and soft tissues of the oral region as part of this function. As already outlined in Chapter 20, the skull is made up of several bones joined together to form the cranium which articulates with the separate mandible forming the lower jaw at the temporomandibular joints. The cranium specifically refers to the skull without the mandible; the terms ‘skull’ and ‘cranium’ are not strictly synonymous but they are frequently used as though they are. The cranium can be subdivided into the braincase enclosing the brain and the facial skeleton.

scholarly journals Reducing Nasopharyngeal Trauma: The Urethral Catheter–Assisted Nasotracheal Intubation Technique

2011 ◽  
Vol 58 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Allen Wong ◽  
Paul Subar ◽  
Heidi Witherell ◽  
Konstantin J Ovodov
Keyword(s):  
Soft Tissues ◽  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Urethral Catheter ◽  
Alternative Methods ◽  
Nasal Intubation ◽  
Intubation Technique ◽  
Invasive Approach ◽  
Dental Procedures ◽  
The Many

Nasal intubation is an advantageous approach for dental procedures performed in the hospital, ambulatory surgery center, or dental office, when possible. Although many who provide anesthesia services are familiar and comfortable with nasal intubation techniques, some are reluctant and uncomfortable because of lack of experience or fear of nasopharyngeal bleeding and trauma. It has been observed from experiences in various settings that many approaches may be adapted to the technique of achieving nasal intubation. The technique that is described in this paper suggests a minimally invasive approach that introduces the nasoendotracheal tube through the nasopharyngeal pathway to the oropharynx in an expedient manner while preserving the nasopharyngeal structures, thus lessening nasal bleeding and trauma to soft tissues. The technique uses a common urethral catheter and can be incorporated along with current intubation armamentaria. As with all techniques, some limitations to the approach have been identified and are described in this paper. Cases with limited mouth opening, neck injury, and difficult airways may necessitate alternative methods. However, the short learning curve along with the many benefits of this technique offers the anesthesia professional additional options for excellent patient care.

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