PATIENT SELECTION FOR THE LASER TREATMENT BY ESTIMATION OF THE THERAPEUTIC FAILURE PROBABILITY OF SURGICAL TREATMENT

2021 ◽  
pp. 122-128
Author(s):  
Vyrmaskin S.I. ◽  
Trunin D.A. ◽  
Afanasev V.V.
Keyword(s):  
Surgical Treatment ◽  
Periodontal Diseases ◽  
Exponential Model ◽  
Multidimensional Analysis ◽  
Traditional Use ◽  
Dental Instruments ◽  
Probability Estimates ◽  
End Of Treatment ◽  
Dental Lasers ◽  
High Degree

The study is dedicated to the study of inflammatory and destructive periodontal diseases. Predicting the probability of a favorable outcome or treatment failure is one of the most important doctor’s tasks when choosing a particular method. This problem could not be solved without using a large amount of data characterizing the patient's condition at a particular point in time. The empirical approach to this problem depends largely on individual experience and does not imply obtaining any formalized (numerical) probability estimates of successful or, on the contrary, unsuccessful end of treatment. Correct and effective using of dental lasers in clinical practice requires knowledge of their effects on tissues of the oral cavity. Each type of laser has its properties that are used to solve clinical cases. Laser radiation requires an approach that is significantly different from the traditional use of dental instruments. To determine lasers therapeutic indications for the treatment of inflammatory and destructive periodontal diseases, we applied biometric approaches to the development of mathematical models using multidimensional analysis, allowing to obtain qualitative assessments for optimization of method and treatment strategy selection. The development of predictive models was carried out in several stages. Each of the generally accepted dental signs characterizing periodontal disease could not be a reliable criterion for the effectiveness or ineffectiveness of surgical treatment. Comprehensive assessment using a logistic (exponential) model of the probability of a particular treatment outcome with a high degree statistical reliability makes it possible to select patients for whom treatment with laser technologies is recommended.

scholarly journals Assessment of costs and insurance policies for referral treatment of equine colic

2019 ◽  
Vol 185 (16) ◽  
pp. 508-508 ◽  
Author(s):  
Isobel Barker ◽  
Sarah L Freeman
Keyword(s):  
Surgical Treatment ◽  
Insurance Companies ◽  
Insurance Policies ◽  
Insurance Cover ◽  
Survey Costs ◽  
The Mean ◽  
High Degree ◽  
Mean Cost ◽  
Monthly Premium ◽  
Equine Colic

Colic is the most common emergency problem in horses. The aims of this study were to survey costs of different referral treatments and to review insurance policies relevant to horses with colic. Data were collected retrospectively from nine equine hospitals for case costs, categorised into four different outcomes: admitted and euthanased; euthanased during or immediately after surgery; medical treatment and survived more than 24 hours; and surgical treatment and survived more than 24 hours. Data from five UK equine insurance companies were extracted and analysed using a standardised case example. Costs were obtained for 108 cases. The mean cost for horses admitted and euthanased was £873.89 (range £459.72–£1471.51), and for surgical treatment and survival more than 24 hours was £6437.80 (range £3178.87–£9100.00). Insurance cover for veterinary fees ranged from £5000 to £7500, and monthly premium rates for a standardised case ranged from £27.06 to £47.06. The terms and conditions for the insurance policies ranged in length from 2098 to 17,701 words; Flesch Kincaid Reading Ease scores ranged from 21.6 to 57.7, indicating a high degree of complexity and low readability. This study highlights the complexity and challenges for decision-making in critical cases of colic.

Prospects for use of the preparation «cyteal» in patients with periodontal pathology

2021 ◽  
Vol 42 (2) ◽  
pp. 39-42
Author(s):  
O. P. Kostirenko ◽  
◽  
I. Yu. Popovych ◽  
A. V. Marchenko ◽  
I. Yu. Lytovchenko ◽  
...  
Keyword(s):  
Periodontal Diseases ◽  
Local Therapy ◽  
Complex Action ◽  
Antiseptic Solution ◽  
End Of Treatment ◽  
Comprehensive Examination ◽  
Antiseptic Agent ◽  
The Impact ◽  
Active Substances

he modern interpretation of the principles of therapy of periodontal pathology brings individualized treatment of patients to the first place. The basic principle of local therapy of periodontal diseases, in our opinion, is drug therapeutic treatment. The success of the treatment of periodontal diseases, the duration of remission and the prevention of complications largely depends on the quality of the impact on the oral cavity microflora. Recently, antiseptics of complex action have been successfully used. One of the representatives of the group of antiseptics is the drug «Citeal», which contains active substances: hexamidine, chorhexidine, chlorcresol. The purpose of the work is to increase the effectiveness of treatment of patients with periodontal pathology due to the use of three-component antiseptic agent of complex action — «Citeal». The results of a comprehensive examination of patients after the end of treatment show an improvement in oral hygiene, a decrease in the PMA index in comparison with the data before treatment. The Schiller-Pisarev test also became negative after the treatment. It is recommended to carry out professional hygiene with the use of antiseptic solution «Citeal» in a 1:10 dilution in the form of application to the marginal and alveolar part of the gums and irrigation of periodontal pockets, followed by mandatory rinsing of the mouth with water to remove residues. It was found that an individualized and differentiated approach to the treatment of patients with various forms of gingivitis and generalized periodontitis, who have orthopedic structures, prevents exacerbation of the disease during the year.

scholarly journals THE EFFECTIVENESS OF APHARM A COLOGICAL COMPOUND BASED ON SILATIVIT AND PERCUTANEO US ELECTRONE UROSTIMUL ATION AFTER LASER CURET TAGE IN PATIENTS WITH CHRONIC PERIODONTITIS

2013 ◽  
Vol 9 (1) ◽  
pp. 25-28
Author(s):  
Е. Светлакова ◽  
E. Svetlakova ◽  
Ю. Мандра ◽  
J. Mandra ◽  
Н. Жегалина ◽  
...  
Keyword(s):  
Chronic Periodontitis ◽  
High Frequency ◽  
Periodontal Diseases ◽  
Frequency Of Occurrence ◽  
Actual Problem ◽  
Dental Lasers ◽  
Percutaneous Electroneurostimulation

<p>Nowadays the treatment of periodontal diseases is an actual problem, that is caused by high frequency of occurrence of periodontopathies. diode dental lasers are nowadays often used for treatment periodontal pockets. Using hydrogel based on silativit and percutaneous electroneurostimulation healing of the wound surfaces.</p><p> </p><p> </p>

Vaginal microbiomes in women with infertility that was surgical treatment on the uterine appendages

2018 ◽  
pp. 98-102
Author(s):  
A.E. Dubchak ◽  
◽  
A.V. Milevsky ◽  
N.N. Obeid ◽  
◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Antimicrobial Agents ◽  
Inflammatory Diseases ◽  
Reproductive Age ◽  
Anaerobic Microorganisms ◽  
Normal Microflora ◽  
Vaginal Tract ◽  
High Degree ◽  
Aerobic And Anaerobic ◽  
Group 1

The objective: of the study was to study the microbial vaginal tract in women with infertility, who had undergone surgical treatment on the uterine appendages. Materials and methods. An examination of vaginal discharge on flora and STIs was conducted in 120 women of reproductive age with infertility and benign ovarian formations, ectopic pregnancy, which was organ-retained surgical intervention on the appendages of the uterus. Of these, 76 (1 group) patients were surgically treated in a planned manner, 44 (in 2 groups) – in urgent cases. Results. Inflammatory diseases of the genital area were more common in women with infertility, who had surgical treatment in an urgent manner than in women of group 1 (p<0.05), especially inflammatory diseases of the cervix – almost twice as likely as in group 1. The vaginal microbial examination of women with infertility who were hospitalized for surgical treatment in an urgent manner indicates a significant imbalance between the parameters of contamination of the genital tract by conditionally pathogenic and normal microflora. This, above all, was manifested by the high frequency of determination in women of the 2nd group of representatives of optional aerobes and anaerobes (p<0.05). The concentration of facultative-aerobic and anaerobic microorganisms was in patients of the 2nd group, mostly of high degree of microbial dissemination, and in women of the 1 group, medium and low. STIs were found mainly in association with anaerobic and aerobic microorganisms in patients who were operated in an urgent manner. Conclusion. It is necessary to correct the vaginal biotope in women with infertility before surgical treatment – to promptly influence pathogenic microorganisms with antimicrobial agents and restore physiological vaginal microbial vagina. Key words: women, infertility, vaginal microbial, appendages of the uterus, surgical treatment.

Characteristics of Dental Microsurgery Instruments for a Database System

2015 ◽  
Vol 760 ◽  
pp. 51-56
Author(s):  
Diana Irinel Băilă ◽  
Oana Catalina Mocioiu ◽  
Marian Gheorghe
Keyword(s):  
Stainless Steel ◽  
Corrosion Resistance ◽  
Titanium Alloy ◽  
Database System ◽  
Good Corrosion Resistance ◽  
Dental Instruments ◽  
Aging Resistance ◽  
Diamond Powders ◽  
High Degree ◽  
Cobalt Chrome

In dental microsurgery, different dental instruments are used for teeth microsurgery and related diseases. The dental instruments materials are very different, e.g., plastics, stainless steel, titanium alloy, cobalt chrome alloys, diamond powders. The dental instruments materials must be nontoxic for the human body, with good corrosion resistance, mechanical strength and aging resistance, as well a high degree of cleanliness to allow sterilization in good conditions. Few representative dental microsurgery instruments, as well as relevant characteristics of some specific materials are presented.

Peculiarities of Course and Surgical Treatment for Dysplastic Lumbar and Thoracolumbar Scoliosis in Children and Adults

2011 ◽  
Vol 18 (2) ◽  
pp. 71-80
Author(s):  
S T Vetrile ◽  
A A Kuleshov ◽  
V V Shvets ◽  
Marchel Stepanovich Vetrile ◽  
S T Vetrile ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Pain Syndrome ◽  
Sagittal Profile ◽  
Dorsal Instrumentation ◽  
Scoliosis Correction ◽  
Spine Pathology ◽  
Lateral Curvature ◽  
High Degree ◽  
Rotation Component ◽  
Scoliosis Progression

Analysis of CITO outpatient department archives has shown that practically from 20 to 30% of patients with spine pathology are suffering from scoliosis. The most common types are lumbar and thoracolumbar scoliosis. Progression of lumbar scoliosis goes on after growth completion and is accompanied by formation of pronounced degenerative changes in the spine. Clinically the course of the disease is aggravated by marked persistent pain syndrome. Results of surgical treatment performed at CITO spine pathology department with application of ventral and dorsal instrumentation have been analyzed for 118 patients with lumbar and thoracolumbar scoliosis. Eighty of those patients were operated on in childhood and juvenile age, 38 patients at the age of 25 - 70 years. Use of ventral instrumentation enabled to achieve high degree of lumbar and thoracolumbar scoliosis correction - up to 72% of initial deformity, average derotation made up 12.9° or 44.3% of initial rotation. Use of dorsal instrumentation is also effective for surgical treatment of lumbar and thoracolumbar scoliosis (66.8% of lateral curvature). Screw fixation ensures higher degree of the lateral curvature (68.2%) and sagittal profile as well as rotation component (33.1% of initial value). Presence of focal neurologic symptomatology is the indication to decompressive operations followed by instrumental fixation and posterior fusion. Defor-mity correction is performed only within the limits of deformity mobility

scholarly journals Various surgical techniques for the treatment of inflammatory diseases of the periodontium

2014 ◽  
Vol 21 (1) ◽  
pp. 71-74 ◽  
Author(s):  
S. B. Ulitovskiy ◽  
O. V. Galibin ◽  
V. V. Tomson ◽  
A. V. Antipova ◽  
A. D. Vilesov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Present Article ◽  
Inflammatory Diseases ◽  
Periodontal Diseases ◽  
Surgical Techniques ◽  
Treatment And Prevention ◽  
Surgical Methods

The inflammatory periodontal diseases (IPD) take the second place after caries of teeth therefore the questions of treatment and prevention of IPD are especially actual. In the IPD treatment are the most effective, it is possible to allocate the surgical methods. In the present article questions of improvement of traditional techniques of surgical treatment, and also development and deployment of the new are considered.

scholarly journals APPLICATION OF M-CHIP IN THE SURGICAL TREATMENT OF PERIODONTAL POCKETS

2020 ◽  
Vol 76 (4) ◽  
pp. 73-76
Author(s):  
E.N. Yarygina ◽  
◽  
A.E. Kriventsev ◽  
L.V. Vardanyan ◽  
R.R. Vezirov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Laser Doppler Flowmetry ◽  
Periodontal Diseases ◽  
Diagnostic Methods ◽  
Laser Doppler ◽  
Dental Practice ◽  
Basic Principles ◽  
Doppler Flowmetry ◽  
Periodontal Tissues

In dental practice, patients with periodontal diseases are quite common. Therefore, to improve the effectiveness of treatment tactics, this article discusses the basic principles of surgical treatment of periodontal pockets using the M-Chip nanomatrix. Laser Doppler flowmetry and index assessment of periodontal tissues were used as diagnostic methods for checking the results.

Clinical case of intraocular correction of high-degree anisometropia

2021 ◽  
Vol 27 (1) ◽  
pp. 87-92
Author(s):  
Rakhim Z. Shamratov ◽  
Liya Sh. Ramazanova ◽  
Olga A. Napylova ◽  
Diana A. Maremshaova
Keyword(s):  
Surgical Treatment ◽  
Binocular Vision ◽  
Clinical Case ◽  
High Grade ◽  
Visual Rehabilitation ◽  
Visual Functions ◽  
Additional Correction ◽  
High Degree

The paper describes a clinical example of the intraocular correction of high-grade hyperopic anisometropia. Surgical treatment made it possible to restore binocular vision, obtain high visual functions without additional correction, preserve the accommodative ability of the eye, and achieve rapid visual rehabilitation.

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