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Высококвалифицированная редакционная коллегия рецензирует и публикует основные научные результаты диссертаций на соискание ученых степеней доктора и кандидата наук.
Страницы издания открыты для врачей-стоматологов, научных исследователей, деканов, профессорско-преподавательского состава структурных подразделений медицинских вузов всех регионов РФ, стран СНГ и дальнего зарубежья.
В журнале рассматриваются аспекты врачебной этики и деонтологии, требования законов и нормативных актов, особенные клинические случаи, инновационные способы стоматологического лечения, современные методы анестезии, профилактики возможных ошибок и осложнений, вопросы оказания неотложной медицинской помощи в клинической практике, фармакологического сопровождения в комплексной терапии
- Актуальностьстатей по совершенствованию комплексной профилактики, диагностики, лечения и реабилитации пациентов на стоматологическом приеме
- результаты научных исследований и достиженийв области кариесологии, эндодонтии, протетики, гнатологии, хирургии полости рта и челюстно-лицевой хирургии, стоматологии детского возраста, ортодонтии
- вопросы стоматологического образованияопыт основных международных и российских подходов в области подготовки медицинских кадров по специальности «Стоматология»
- Аккредитован ВАКЖурнал прошел аккредитацию ВАК
«Клиническая стоматология» в Скопусе, идет индексация
Клиническая стоматологияClinical Dentistry (Russia)
Научно-практический рецензируемый журнал «Клиническая стоматология» включен в Перечень ведущих российских рецензируемых научных журналов и изданий (ВАК), в ядро РИНЦ, в базу данных Russian Science Index на платформе Web of Science.
ГЛАВНЫЕ РЕДАКТОРЫ
Сергей Юрьевич Иванов, д.м.н., профессор, член-корреспондент РАН, зав. кафедрой челюстно-лицевой хирургии Первого МГМУ им. И.М. Сеченова; зав. кафедрой челюстно-лицевой хирургии и хирургической стоматологии Медицинского института РУДН.Ответственный за разделы: хирургическая стоматология, имплантология, ортопедическая стоматология, ортодонтия, обезболивание в стоматологии, организация здравоохранения и общественное здоровье.
Илья Михайлович Рабинович, д.м.н., профессор, заведующий отделом терапевтической стоматологии ЦНИИСиЧЛХ; зав. кафедрой терапевтической стоматологии РМАНПО, заслуженный врач РФ.Ответственный за разделы: терапевтическая стоматология, заболевания слизистой оболочки рта, пародонтология, эстетическая стоматология, эндодонтия, детская стоматология.
Цели научного журнала «Клиническая стоматология»:
- распространение новейших знаний и клинического опыта по совершенствованию методов диагностики, лечения и профилактики стоматологических заболеваний для повышения научной и практической квалификации специалистов в области стоматологии;
- привлечение международной авторской и читательской аудитории по тематике журнала.
Журнал публикует научные и клинические материалы по основным проблемам современной стоматологии, практическую информацию по новым технологиям, оборудованию, материалам и аксессуарам, обеспечивающим успех стоматологического лечения, диагностики и профилактики.
Издатель ООО «Клиническая стоматология»Журнал учрежден в 1997 годуПериодичность — 4 номера в год
Текущий выпуск
Том 26, № 1/2023 январь-март
Детская стоматология
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Clinical Investigation
BACKGROUND: Complications characterized by necrosis of the nasal mucosa and the hard palate, as well as the middle and lower nasal concha with exposure of the alveolar process, destruction of the posterior wall of the maxillary sinus and the bottom of the orbit caused by a fungal infection were noted during the COVID-19 pandemic. By January 2022, such cases had been documented in 18 countries worldwide. The main predisposing factors for this condition are diabetes mellitus and inadequate use of corticosteroids. Rhinocerebral mucormycosis or zygomycosis is a rare disease caused by filamentous fungi affecting the nose, paranasal sinuses, and brain.
AIM: To present the treatment strategy for patients with deep mycoses of the maxillofacial region against a background of transferred COVID-19 in the State Clinical Hospital named after F.I. Inozemtsev DZM.
RESULTS: The study shows the importance of timely initiation of radical surgical treatment for the rhinocerebral form of mucormycosis in the maxillofacial region, which arose against the background of SARS-CoV-2, to prevent the spread of osteomyelitic foci in bone tissue.
CONCLUSION: Early diagnosis of mucormycosis, timely treatment with antipsychotic medications and surgical intervention, control of the level of glycemia, and reasonable use of corticosteroids prevented the development of complications.
Russian Journal of Dentistry. 2022;26(6):453-460
Clinical and economic efficiency of 2D smile design programs
Zolotarev N.N., Apresyan S.V., Stepanov A.G., Zabaeva M.N.
Abstract
INTRODUCTION: Modern digital technologies allow achieving high accuracy in patient treatment. Many different 2D programs are available for virtual smile design modeling. This article describes a methodology to assess the clinical and economic efficiency of a 2D smile design planning program. We reveal a step-by-step algorithm for determining the effects, costs, and clinical and economic efficiency indices.
AIM: To study the clinical and cost-effectiveness of 2D smile design planning programs.
MATERIAL AND METHODS: chronometry, cost-effectiveness, cost minimization, cost-utility (utility), cost-benefit, and questioning.
RESULTS: Technology without the use of 2D planning involved providing 11 medical services to a patient with a medical cycle duration of 325 min. The 2D planning technology involved providing 9 medical services to a patient with a medical cycle duration of 177 min. The indicators of clinical and economic efficiency of the medical technologies (with and without 2D smile design planning) were calculated, which demonstrated a large clinical effect (an additional increase in the standard of living by 6 points) with less monetary (76 rubles per patient) and temporary (168 min per patient) costs when using the 2D smile design programs. Technology.
CONCLUSIONS: The results obtained using this methodology to assess the clinical and economic efficiency of the technology confirm the expediency of using the 2D smile design technology in dental practice.
Russian Journal of Dentistry. 2022;26(6):461-468
Comparative evaluation of the effectiveness of prosthodontic treatment using the original immediate denture design and traditional methods
Guskov A.V., Mashutin S.A., Saidov A.A., Izmaylov D.R., Otnelchenko P.O., Stalmakova A.A.
BACKGROUND: Patients with chronic non-correctable periodontal disease, leading to loss of teeth, can be rehabilitated using immediate dentures. However, removable dentures often produce excessive mechanical pressure on the underlying prosthetic bed tissues.
AIM: To evaluate the effectiveness of various options for immediate dentures and their effects on the rate of wound healing in patients with a complete absence of teeth due to surgical removal for chronic periodontitis.
MATERIALS AND METHODS: Early prosthodontics treatment was conducted on 30 patients after extracting multiple teeth at the Department of Orthopedic Dentistry and Orthodontics of the Ryazan State Medical University. The patients were divided into 3 groups depending on the options for immediate dentures: 1) combined construction of acrylic, non-monomer and elastic polymer, 2) hot curing acrylic polymer, and 3) thermoplastic plastic. Treatment effectiveness was measured by the objective state of the wound area with a planimetric assessment of wound healing. Pain sensitivity when using the prosthesis was rated according to a numeric rating scale for pain. The stability of prostheses was assessed according to the Mirgazizov method, an assessment of the safety of the drug based on the prosthesis. Diagnostic observations were carried out for 21 days.
RESULTS: Postoperative rehabilitation was faster in groups 1 and 3, than in group 2. By day 21, inflammation persisted only in group 2, which was confirmed by the largest wound size (8.3±1.1 mm) compared with that of groups 1 (5.1±1.9 mm) and 3 (6.3±2.4 mm). Complaints of pain during the use of prostheses were noted in half of the patients in groups 2 and 3, whereas only slight discomfort persisted in 3 patients in group 1. The stability of the prostheses deteriorated in group 3 by day 21 (5.9±1.4 points), indicating lower adaptability of thermoplastic prostheses to changes in the relief of the prosthetic bed than with the combined construction (6.7±1.4 points). The acrylic prostheses demonstrated the lowest adaptability (3.2±1 points). The indicator of daily preservation of drugs under the bases of dentures in group 1 patients was 36.8±2 mm2, that in patients of group 3 was 30.3±1.8 mm2, and that in patients of group 2 was the lowest at 24.4±1.4 mm2.
CONCLUSION: The principle of combining polymeric materials to create immediate dentures was the method of choice for prosthodontics treatment of patients with a complete absence of teeth due to surgical removal, as this category of patients is most sensitive to inflammatory complications during the postoperative period.
Russian Journal of Dentistry. 2022;26(6):469-480
Experimental and Theoretical Investigation
Lopatina N.V., Khaybullina R.R., Danilko K.V., Shangina O.R., Gerasimova L.P., Tukhvatullina D.N.
RELEVANCE: An artificial gum recession defect was created in 50 Wistar rats. SANS MOTS oil containing marque blanche phytoconcentrate with phytosterols was applied to the defect area for 20 min. 5 times, with a 2-day interval.
AIM: To evaluate the effectiveness of the treatment method.
MATERIAL AND METHODS: An experimental gum recession model was created by mechanically excising periodontal tissues in a V-shape. Fifty white female rats were used as the model. Surgical intervention was performed on the lower jaw in the incisor area. The animals were divided into 2 groups depending on the planned treatment method. The control group consisted of 10 rats with healthy gums. The SANS MOTS oil was applied to the defect area for 20 min, 5 times, with an interval of 2 days in the other group. The effectiveness of the treatment was evaluated by the proposed method.
RESULTS: Complete restoration of the dentoalveolar papillae and regeneration of periodontal tissues occurred in the experimental gum recession area during the first 28 days. At the same time, the main group developed no signs of inflammation (hyperemia, edema, bleeding gums), which confirms the therapeutic effect of the SANS MOTS oil.
CONCLUSION: The SANS MOTS oil had a beneficial effect on gum recession. The decrease in the intensity and prevalence of gingival inflammation began on day 14. There were no signs of inflammation by day 28 after applying the oil. In addition, there was a noticeable increase in regeneration of the gingival margin by day 24 in the gum recession model, and complete restoration of the gingival papillae and no gum recession were noted by day 38.
Russian Journal of Dentistry. 2022;26(6):481-485
Laboratory study and clinical application of adhesive marginal fit of dental hard tissue restorations
Latif A.R., Vorobyeva Y.B., Malysheva D.D., Kovalevsky A.M.
BACKGROUND: Dental caries is the most common disease of the oral cavity, which can usually be treated by direct composite restoration.
AIM: To assess the quality of the marginal fit of adhesive systems and photocomposites to the hard tissues of the tooth.
MATERIALS AND METHODS: A scanning electron microscopic study was conducted with 30 restorations on teeth previously removed for medical reasons using a 7th-generation adhesive system from the universal group of various manufacturers and composite materials. The experiment included Tetric N-Bond Universal (Ivoclar Vivadent), Prime&Bond Universal (Dentsply Sirona), OptiBond Universal (Kerr), and composite materials (OptiShade, сeram.х® SphereTec, and Tetric N-Ceram). All of these adhesives can be used with any enamel and dentin conditioning technique or with dual-curing composites; thus, their use is relevant in orthopedic dentistry. Teeth sections were made with restorations and scanning electron microscopy was performed.
CONCLUSION: A violation of the marginal fit of the material in the zone of contact with the hard tissues of the tooth was noted in 60% of the cases when using the composite material Ceram.x® SphereTec (Dentsply Sirona) and the adhesive Prime&Bond Universal; 20% — Tetric N-Ceram (Ivoclar Vivadent) and Prime&Bond Universal adhesive; in 10% — composite OptiShade (Kerr) and adhesive OptiBond Universal (Kerr). The adhesive should be applied with a brush.
Russian Journal of Dentistry. 2022;26(6):487-495
Experimental and clinical study of the concentrations of chemical elements in oral fluid from prostheses and implants
Ragulin A.V., Olesov E.E., Zhukova Y.S., Olesova V.N.
BACKGROUND: Electrochemical reactions can occur in the mouth of patients with prostheses made of metal alloys. The phenomena of galvanism reflect the hidden process of corrosion of structural alloys in oral fluid, which makes it necessary to analyze the chemical contents of prostheses under clinical conditions in patients with implants and experimental conditions.
AIM: Comparative analysis of the trace element content in the oral fluid from prostheses in implants in the clinic and an experiment.
MATERIALS AND METHODS: National Research Technological University “MISIS” analyzed artificial saliva after prostheses were in contact with grade 4 and grade 5 implants for 3 months. Titanium, cobalt, chromium, aluminum, vanadium, molybdenum, tungsten, manganese, nickel, and iron were determined by spectrometry. The same chemical elements were analyzed using an identical spectrometric method in 32 patients with fixed dentures on implants.
RESULTS: Under the experimental conditions, nine trace elements were found in the container around one grade 4 implant with a crown, including titanium (0.4 µg/l), cobalt (3.8 µg/l), chromium (0.5 µg/l), aluminum (2.6 µg/l), vanadium (<0.6 µg/l), molybdenum (1.5 µg/l), tungsten (3.0 µg/l), manganese (0.9 µg/l), nickel (0.5 µg/l), and iron (<0.6 µg/l). The grade 5 implant was characterized by a greater degree of diffusion of aluminum, nickel, and manganese into artificial saliva. Mass spectrometry of the oral fluid in patients with dental implants revealed more trace elements than experimental data. The difference in the concentration of microelements from the prostheses under clinical conditions and in the experiment ranged from 0 to 128 times the minimum.
CONCLUSION: Fixing experimental prostheses on implants for 3 months in artificial saliva was accompanied by the diffusion of microelements from the prostheses and implants into the environment, particularly cobalt, aluminum, and vanadium. Prostheses on implants with a lower titanium content are characterized by a greater degree of diffusion of aluminum, cobalt, nickel, and manganese. More significant diffusion of microelements occurred from the prostheses into the saliva under clinical conditions, according to the spectrometric data.
Russian Journal of Dentistry. 2022;26(6):497-501
Reviews
Bordina G.E., Lopina N.P., Andreev A.A.
Russian Journal of Dentistry. 2022;26(6):503-512
Memory pages
Among the outstanding domestic maxillofacial, reconstructive, and plastic surgeons, one of the outstanding figures in the world of medicine and practical healthcare is Doctor of Medical Sciences, Professor Natalya Ivanovna Butikova.
The purpose of this study is to highlight the scientific, clinical, pedagogical, and social activities of the maxillofacial and plastic surgeon, Professor N.I. Butikova.
Based on an analysis of the domestic literature, we present the role of Professor N.I. Butikova in the creation and development of domestic maxillofacial and plastic surgery. Information on the life of a well-known surgeon in our country, one of the patriarchs of Russian pediatric traumatology and maxillofacial surgery, Professor Natalia Ivanovna Butikova, who turned 110 years old in 2020, is presented. The development of N.I. Butikova as a doctor, researcher, and teacher, and her activities during the Great Patriotic War are noted. The main direction of her scientific activities is in the development and improvement of methods for treating gunshot injuries of tissues in the maxillofacial region and neck and the rehabilitation of wounds with defects in the jaws and tissues of the oral region using bone autoplasty and Filatov’s stalk. Natalya Ivanovna has improved the treatment of facial and neck burns and their consequences, as well as the surgical methods for eliminating mimic muscle paralysis. Her role in the development of oncostomatology, combustiology, pediatric traumatology, and orthopedics is revealed. N.I. Butikova has developed surgical methods to treat syndactyly in children < 1 year using zigzag incisions, improved the free tissue grafting and plasty methods with split skin grafts, and proposed an apparatus for preventing secondary contraction of skin grafts during transplantation. She is one of the pioneers of domestic maxillofacial surgery. N.I. Butikova, as a founder of domestic surgery, a creator of the school of pediatric traumatologists and orthopedists, as well as maxillofacial surgeons, is recognized as one of the patriarchs of national healthcare.
Russian Journal of Dentistry. 2022;26(6):513-517
Архивация
- Российская государственная библиотека (печатное издание);
- Научная электронная библиотека eLibrary.ru (цифровая версия журнала).
О журнале
Полноцветный ежеквартальный журнал «Клиническая стоматология» выходит с 1997 года. Издается на глянцевой бумаге формата А4, объемом не менее 100 полос. Тираж — 4000 экз.
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Высшая аттестационная комиссия Министерства образования и науки включила «Клиническую стоматологию» в «Перечень рецензируемых научных изданий, в которых должны быть опубликованы основные научные результаты диссертаций на соискание ученой степени кандидата наук, на соискание ученой степени доктора наук».
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Публикации в журнале «Клиническая стоматология» входят в системы расчётов индексов цитирования авторов и журналов. Индекс цитирования — числовой показатель, характеризующий значимость данной статьи и вычисляющийся на основе последующих публикаций, ссылающихся на данную работу.