Comparative analysis of the effectiveness of treatment of inflammatory post-prosthetic complications in dental implantation by the method of wedge-shaped dehydration

2021 ◽  
Vol 1 (12) ◽  
pp. 62-71
Author(s):  
Yu. A. Makedonova ◽  
D. V. Mikhalchenko ◽  
O. N. Kurkina ◽  
O. Yu. Afanaseva ◽  
S. A. Vargina ◽  
...  

Mucositis is one of the most common diseases during dental implantation. The genesis of the development of diseases, first of all, refers to microbiological factors. However, when conducting antimicrobial therapy, the success of the treatment is not always achieved. In this paper, a comparative analysis of the effectiveness of treatment of inflammatory post-prosthetic complications by modern methods is carried out by the method of wedge-shaped dehydration. The assessment of local crystal structures is an informative criterion in the assessment of the systemic organization of biological fluids, in particular, oral fluid. The most relevant method of visualizing the structural and spatial organization of the oral fluid is crystallographic research, the essence of which is a morphological study using light and polarization microscopy of a dried drop of oral fluid –facies. Patients in the first group received conventional treatment, the second group received ozone therapy, the third group received transcranial electrical stimulation, and the fourth group received a combination of ozone therapy and transcranial electrical stimulation. The crystallographic method was used to evaluate the qualitative and quantitative indicators of oral fluid, on the basis of which it can be concluded that the combined method is one of the objective, reliable methods for evaluating the effectiveness of treatment.

2020 ◽  
Vol 75 (3) ◽  
pp. 97-102
Author(s):  
D.V. Mikhalchenko ◽  
◽  
Yu.A. Makedonova ◽  
L.M. Gavrikova ◽  
◽  
...  

The wedge-shaped dehydration method was used to assess the state of the oral fluid of patients with post-prosthetic complications during dental implantation against the background of various treatment methods. Oral fluid (saliva) was used as a material for the study. All patients were randomized into 4 equal groups in a 1: 1: 1: 1 ratio according to the methods of pharmacotherapy. Group I – 30 patients who underwent traditional treatment of post-prosthetic complications; Group II – 30 patients, ozone therapy was performed in addition to traditional therapy; Group III – 30 people who underwent transcranial electrical stimulation against the background of traditional therapy; Group IV – treatment of 30 people with the inclusion of a combination of ozone therapy and transcranial electrical stimulation in the treatment regimen. The control group consisted of healthy individuals of the same age group. Determined the nature of the organization of the structure of the salt and the distribution of the protein substance, depending on the concentration of protein in the biological fluid (saliva). Qualitative analysis of images of saliva crystallograms was carried out in the next (before treatment, 3 days, 7 days, and 14 days) observation and therapy. As the duration of treatment increased, the structuring of the crystal lattice took place, increasing in the series: patients with traditional therapy – patients with ozone therapy – patients with transcranial electrical stimulation – patients with combined use of ozone and transcranial electrical stimulation (group IV). Special attention should be paid to the fact that the complete normalization of the structure of the oral fluid facies occurred only during the complex therapy with ozone and TPP throughout the study.


2021 ◽  
Vol 11 (2) ◽  
pp. 93-97
Author(s):  
Yuliya Makedonova ◽  
Dmitry Mikhalchenko ◽  
Oksana Kurkina ◽  
Olga Afanasyeva ◽  
Sergej Veremeenko ◽  
...  

Post-prosthetic complications during dental implantation are accompanied by pain symptoms leading to disorders of the psychoemotional state. All this influences the behavior of patients. In addition, psychoemotional stress is often a factor of provocation and persistence of the complications. The presence of a stress state in the identified pathology, as well as the influence of various therapies on the treatment of post-prosthetic complications, is reflected in the dynamics of changes in the concentrations of both catecholamines (epinephrine, norepinephrine) and glucocorticoids (cortisol) — hormones of the medulla and the adrenal cortex. The aim: to conduct an immunological analysis of the stress response in patients with postprosthetic complications during dental implantation. Materials and methods: The study was performed in 120 patients with post-prosthetic complications during dental implantation before and during treatment: Group I (control) — 30 patients treated with the conventional therapy; group II — 30 patients treated with ozone therapy in addition to the conventional therapy; group III — 30 patients treated with transcranial electrical stimulation in addition to the conventional therapy; Group IV — 30 patients treated with a combination of conventional therapy, ozone therapy and transcranial electrical stimulation. The concentration of epinephrine, norepinephrine, cortisol, alkaline phosphatase, and the Garkavi index were evaluated. Results: The change in these indicators after the treatment indicates the normalization of the level of the studied enzymes — markers of bone homeostasis, which is confirmed by an improvement in the clinical picture in the oral cavity. Conclusion: changes in immunological parameters objectively reflect the psychoemotional state of patients. The nature of changes in the hormonal stress response to the treatment of post-prosthetic complications indicates the effectiveness of the therapeutic regimens used, and, as a result, a decrease in both pain symptoms and psychoemotional stress.


2021 ◽  
pp. 80-84
Author(s):  
Iu. A. Makedonova ◽  
D. V. Mikhalchenko ◽  
O. Yu. Afanaseva ◽  
S. V. Stavskaya ◽  
D. Yu. Dyachenko ◽  
...  

At the dental reception, complications after dental implantation in the form of mucositis and peri-implantitis are becoming more and more common. There are quite a lot of risk factors for the development of inflammation of the parotid tissue, there is no single idea about the etiopathogenesis of the above pathology. Mucositis refers to the initial stage of peri-implantitis development and is reversible. The specialist should promptly diagnose the development of the inflammatory potential and start treatment, in order to prevent the development of bone destruction around the implants. One of the methods of local exposure to the lesion is ozone therapy.Goal. This paper describes the method of treatment of peri-implantation mucositis by ozone therapy.Materials and methods. In patients with peri-implantation mucositis, the inflammatory peri-implantation tissue was ozonated directly in the oral cavity with the Ozotron device in order to relieve inflammation and improve microcirculation in the oral cavity. Before performing oral ozonation, all patients underwent a general clinical examination to identify contraindications to this method. It also describes in detail the scheme that prevents the penetration of ozone into the body and prevents its ingestion.Results. During ozonation, a positive trend was obtained in the treatment of post-prosthetic complications during dental implantation. The developed scheme of ozonation in the oral cavity stops the inflammation of the peri-implantation tissue. Side effects and complications during ozone therapy directly in the oral cavity were not detected.Conclusions. The inclusion of ozone therapy in the treatment regimen of patients with peri-implantation mucositis is an appropriate and justified physiotherapy method. 


2016 ◽  
Vol 21 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Silvia Convento ◽  
Cristina Russo ◽  
Luca Zigiotto ◽  
Nadia Bolognini

Abstract. Cognitive rehabilitation is an important area of neurological rehabilitation, which aims at the treatment of cognitive disorders due to acquired brain damage of different etiology, including stroke. Although the importance of cognitive rehabilitation for stroke survivors is well recognized, available cognitive treatments for neuropsychological disorders, such as spatial neglect, hemianopia, apraxia, and working memory, are overall still unsatisfactory. The growing body of evidence supporting the potential of the transcranial Electrical Stimulation (tES) as tool for interacting with neuroplasticity in the human brain, in turn for enhancing perceptual and cognitive functions, has obvious implications for the translation of this noninvasive brain stimulation technique into clinical settings, in particular for the development of tES as adjuvant tool for cognitive rehabilitation. The present review aims at presenting the current state of art concerning the use of tES for the improvement of post-stroke visual and cognitive deficits (except for aphasia and memory disorders), showing the therapeutic promises of this technique and offering some suggestions for the design of future clinical trials. Although this line of research is still in infancy, as compared to the progresses made in the last years in other neurorehabilitation domains, current findings appear very encouraging, supporting the development of tES for the treatment of post-stroke cognitive impairments.


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