detstvo_3-4_06

1

2006, 3-4

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ISSN 1683-3031

www.detstom.ru

: 117587, , / 123.: (495) 781-2830, 956-9370,111-01-21, 969-0725E-mail: [email protected]

197022, .-, / 396.: (812) 234-9877./: (812) 740-1533E-mail: [email protected]

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Pathology of periodontal tissues and vegetativehomeostasis at the teenagers

T.N. MODINA, E.V. MAMAEVA

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AbstractIt is well-known, that maintenance of organism systems in optimal homeostatic limits needs

appreciable intensifying of compensatory mechanisms activity, in which accept appreciable par-ticipation of vegetative nervous system structures. However, its condition till now is unsufficiently investigated at periodontal diseases at the teenagers. In the teenage period, on a background of a vagus regulation becoming the phenomena of sharp ascending sympatic influences are observed, that as follows from the given research, is accompanied by the inflammatory and destructive pro-cesses in periodontal tissues. Thus change in a function condition of an organism conduct to de-velopment of a local tissue dystrophia, that proves to be true by many morphological, biochemical and clinical researches.

Key words: periodontal diseases at the teenagers, vegetative homeostasis, cardiointervalog-raphy, electron biofunction organometric method.

2006, 3-4

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/ . . [.] // . 1986. 1. . 37-41.

2. Clerehugh V. Periodontal disea-ses in children and adolescents: I. Ae-tiology and diagnosis / V. Clerehugh, A. Tugnait // Dent Update. 2001. 28. P. 222-232.

3. Czerniuk M. Periodontal stateand cardiovascular diseases / M. Czer-niuk, K. J. Filipiak, R. Gorska, G. Op-olski // Pol. Arch. Med. Wewn. 1999. 101 (5). P. 433-436.

4. Engebretson S.P. Periodontitisand systemic disease / S. P. Engebret-son, E. Lalla, I. B. Lamster // J. StateDent. 1999. 65 (8). P. 30-32.

5. Fowler E.B. Periodontal di-sease and its association with syste-mic disease / E. B. Fowler, L.G. Brea-ult, M.F. Cuenin // Mil. Med. 2001. 166. P. 85-89.

6. Kinane D.F. Periodontal manife-stations of systemic disease / D.F. Ki-nane, G.J. Marshall // J. Aust Dent. 2001. 46. P. 2-12.

7. Kinane D.F. Periodontitis mo-dified by systemic factors / D.F. Kinane// Ann. Periodontol. 1999. 4 (1). P. 54-64.

8. Otomo-Corgel J. Periodontal dis-ease and systemic health what you andyour patients need to know / J. Otomo-Corgel, R.L. Merin // J. Calif. Dent. As-soc. 2002. 30 (4). . 307-311.

9. Rose L.F. The relationship be-tween periodontal disease and systemicconditions / L.F. Rose, B.J. Steinberg,L. Minsk // Compend. Contin. Educ.Dent. 2000. 21. P. 870-877.

10. Unell L. Explanatory models forclinical and subjective indicators of pe-riodontal disease in an adult populati-on / L. Unell, B. Soderfeldt, A. Halli-ng, D. Birkhed // J. Clin. Periodontol. 2000 27 (1). P. 22-29.

11. Wilson T. G. Jr. Using risk as-sessment to customize periodontal tr-eatment / T. G. Jr. Wilson // J. Calif.Dent. Assoc. 1999. 27. P. 627-632, 634-639.

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2006, 3-4

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AbstractIn modern conditions in Russia, when new private dental clinic in large cities open each day,

question on expansion of the dental services market to become more and more urgent. Here again to the aid there comes marketing. We spent modelling marketing research allowing the ordinary private clinic to manufacture expansion of the dental services market.

Key words: marketing, hereditary diseases and syndromes.

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Marketing research opportunities of the market privatedental services expansion

V.G. LAVRIKOV, G.A. ARKATOV, N.E. ROMANOV

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11

2006, 3-4

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AbstractA complex research of childrens and adults population of the Nanai districs was carried out.

In cooperation with medical ecologys laboratory there was studied, besides the stomatologic status, average morbidity, the condition of organs and systems of human bodies, the presence of ecotoxicants in biological liquids. High prevalence and intensity of caries among children and adults was revealed. The parameters of caries were higher among aborigines. The final elements of oil-products decomposition were discovered in biological liquids: blood, urine, saliva. Ec-ological pollutans, containing in the river water and ground adjournment lead to worsening of populations health, including dental desease.

Key words: caries, ecotoxicants.

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The presence of ecotoxicants is a risking factorfor dental diseases development

A.A. ANTONOVA, V.A. RYABKOVA, V.S. TALOVSKAYA

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2006, 3-4

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About prevalence and intensity of a teeth cariesamong 15-20-ages youth

Z.M. KAPLAN

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, . 1, , - , 92,7 1,21% .

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SummaryyIn given article the results of the spent research of prevalence and intensity of a caries in a

youth population are submitted. These indices are high, that testifies to low level of dental healthof the given group of population.

Key words: aries intensity, dental health.

2006, 3-4

16

1. (p m, %)

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2006, 3-4

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Stomatological aid optimization for rural regionsinhabitants in context of public health systemdevelopment in Kyrgyz Republic

I.M. YULDASHEV

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AbstractThe article presents review of health service system reforming stages, basic regulations of den-

tal service role in world public health conception. Also problems, tasks and perspectives of public dental service development in the Kyrgyz Republic are discussed.

Key words: hildrens dental a case rate, prevalence of caries, dentistry of Kirghizia.

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2006, 3-4

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2006, 3-4

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2006, 3-4

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2006, 3-4

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) : -. . -, 9-12 1999 . , 1999. . 7-14.

2. : - . , - , 1997(. EUR/KGZ CARE 07 01 11).

3. .. / .. // . 2002. 2. . 14-17.

4. Savas S. From the 1990s to the2010s: health care reforms in CentralAsia a discussion paper. ( 1990- - 2010- : - , ). , ,1998.

5. Savas S. - / S. Savas. -, , 2000. 59 .

6. Burt B.A. Dentistry, Dental Pr-actice and the Community / B.A. Burt,S.A. Eklund. Saunders, 5-th ed. 1999. 384 p.

7. Burt BA. The future of the ca-ries decline. J Public Health Dent. /B.A. Burt. 1985. 45:261-9.

8. Institute of Medicine. The fu-ture of public health. Washington DC:National Academy Press, 1988.

9. Winslow CEA. The untilled fi-elds of public health. Modern Med. 1920. 2:183091.

20 2005 .

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23

2006, 3-4

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The new standards in a childrens dentistryV.M. CHAPALA

- - 2003 , - -, ( - 620 30 2003 ).

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AbstractGiven article analyzes original positions of the protocol, predicated in December, 2003, Co-

nducting the children, suffering by dental diseases, accepted by the Ministry of Health, with the purposes of improvement rendering of the dental help to the childrens population of Russian Fe-deration. The author gives the references to the head doctors of childrens dental polyclinics to accept series of measures for improvement of preventive work, which are described in article.

Key words: hildrens dentistry, dental prophylaxis.

2006, 3-4

24

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2006, 3-4

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2006, 3-4

26

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AbstractToday, the researchers have the large list of risk factors, which presence causes of dental system diseases.

Evolve endogenic and exogenous, specific and non-specific risk factors, which result in formation of non-ca-rious lesions of teeth. The opportunely prophylaxis will allow effectively to resist to the given problem.

Key words: risk factors, non-carious lesions of teeth, dental prophylaxis.

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Risk factors in occurrence of non-carious lesions of teethand their prophylaxis

V.G. GAFAROV, N.Kh. MIRZAGULOV, E.N. PAREDES

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2006, 3-4

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2006, 3-4

28

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Dental enlightenment at the pregnant womenG.M. FLEYSHER

- - - -. 639/271 (1988) - - .

- : - - .

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AbstractThe caries and periodontal diseases prophylaxis at the pregnant women pursues the double

purpose: to improve the dental status of woman and to carry out of prophylaxis of future chil-dren caries. The measures on prophylaxis dental diseases during pregnancy should be organized in view of a degree of gravity of dental diseases and current of pregnancy. Health of the mother during pregnancy influences development of child teeth, is especial in the period of 6-7 week,when the process of a teeth genesis is begins.

Key words: aries prophylaxis, pregnant women dental health.

..

29

2006, 3-4

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2006, 3-4

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Dentoalveolar-facial anomalies prophylaxis,as amounting the complex program of dentaldiseases prophylaxis

I.N. MINAEVA

-

, - . , - , . , 90% - , - - - .

: - , - .

AbstractThe interrelation of dentoalveolar-facial anomalies and caries of teeth and his complications,

periodontal diseases, and as a consequence early loss of teeth and pathology of temporal-mandibular joint is well-known. Is unconditional, on the first place stand the programs of cariesprophylaxis, as most wide-spread dental disease. But on known data, 90 % of children in theage of 3 years have deviations in dentoalveolar system formation, that testifies to necessity todo accent on prophylaxis of dentoalveolar system anomalies at drawing up of the complex pre-ventive programs for children in 3-6 years age.

Key words: dentoalveolar-facial anomalies, programme of dental diseases prophylaxis.

2006, 3-4

34

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2006, 3-4

38

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25 2006 .

39

2006, 3-4

- -

-- . . 189 - .

: - , , .

AbstractThe article is devoted to urgent question of cranio-facial surgery closing of small postoper-

ative defects of skull bones at children with inherent cranio-facial deformations. By us it is of-fered to close small postoperative defects of skull bones by an osteal shaving mixed with ve-inous blood of the patient. The efficiency of a technique is proved to application at 189 patients with cranio-facial deformations.

Key words: inherent cranio-facial deformations, cranioplasty, membranous genesis osteal shaving.

, ,

.. , .. *, ..., ., . ,.. *, , ..., . , ., . , ..

* -- , ,- -

, .

Advantages of use of an membranous genesis osteal shaving, mixed with veinous blood of the patient, for closing smallpostoperative defects of skull arch and basis bones

N.A. TSYGANOVA, V.A. BELCHENKO, A.G. PRITYKO, Z.M. KHADJAEV

- -- - - - . - , , ,

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2006, 3-4

40

( 1,5-2,0 2) - . - - , - - . . -, - , --.

- - , - - -. . - - .

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- - , - , -. - -, - . - -, , . - , , - , .

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41

2006, 3-4

. 1. -

, .

. 2. ,

, .

- (. 2).

400 - 57 - - - . 189 - - - - - . - . , -, -, - , - .

1. ..

- : . - . / .. . ., 1996. . 39-40, 43-50, 57-58.

2. .. -

- / .. , .. , .. // II - - - , , : . ., 2006. . 189-199.

3. .. , - - - --- - -: . - . . / .. -. ., 1998.

4. .. - - / .. . ., 1968. . 112-131.

5. .. . - / .. . , 1975. 7. . 37-39.

6. Tayapongsak P., OBrien DA., Monteiro CB., Arceo-Diaz LL. Autolo-gous fibrin adhesive in mandibular re-construction with participate cancello-us bone and marrow. J. Oral Maxillofac Surg 1994. 52:161-6.

7. Marx RE. Clinical application of bone biology to mandibular and maxilla-ry reconstruction. Clin Plast Surg 1994. 21:377-92.

8. Roberts AB., Spron MB. Physiol-ogical actions and clinical applications of transforming growth factor-beta (TGF-beta). Growth Factors 1993. 8:1-9.

9. Miyazono K., Ten-Dijke P. Ichiyo H., Heldin CH. Receptors for transfor-ming growth factor-beta. Adv Immunol 1994. 55:181-220.

10. Owen M. Lineage of osteogenic

cells and their relationship to the stro-mal system. Bone and Mineral Res 1985; 3:1-25. 10.Caplan Al. Bone development and repair. Bioessays 1987. 6:171-5.

11. Pierce GF., Mustoe ., Lmgel-bach J., Musakowski VR., Griffin RM., Deuel TF. Platelet derived growth fa-ctor and transforming growth factor-b enhance tissue repair activities by un-ique mechanisms. J Cell Biol 1989. 109:429-40.

12. Antonaides HN. Human platelet derived growth factor (PDGF): purific-ation of PDGF-I and PDGF-II and sep-aration of their reduced sub-units. Proc Natl Acad Sci USA 1981. 78:7314-7.

13. Pierce GF., Tarpley J., Yanagi-hara D., Deuel TF. PDGF-BB, TGF-II and basic FGF in dermal wound he-aling: neovessel and matrix formation and cessation of repair. Am J Pathol 1992:140:1375-88.

14. Mohan S., Baylink DJ. Bone gr-owth factors. Clin Orthop Rel Res 1991. 263:30-43.

15. Mustoe ., Purdy J., Grama-tes P., Deuel TF., Thomasen A., Pierce GF. Reversal of impaired wound he-aling in irradiated rats by platelet de-rived growth factor-BB: requirement of an active bone marrow. Am J Surg 1989. 158:345-50.

16. Stefan M. Lemperl, Christopher J. Calhoun, Robert W. Curran, Ralf E. Holmes. Bony Healing of large cranial and mandibular defects protected from soft-tissue interposition a comparati-ve study of spontaneous bone regener-ation, osteoconduction and cancellous autografting in dogs. Plastic and reco-nstructive surgery. 1998. Vol. 101. 3. P. 630-672.

13 2006 .

-

2006, 3-4

42

-

- . - . - . - . , - . - , - . - . .

: - , -, , -, .

AbstractA rare case of the surgical treatment of an child with congenital interfrontal encephalocele is

described in the article. A combined coronal and transfacial approach was used. The bony de-fect presented two joining round defects in the left half of the frontal bone. The medial edge of the bony defect was the metopic suture. Three herniation necks left the common bony defect se-parately; the herniations presented altered cerebral tissue and altered arachnoid. The dural de-fects were closed with a free periosteal flap, laid over the defects and sutured to the dura. The fr-ontal bony defect was repaired with a calvarium graft. A good aesthetic result was achieved.

Key words: anterior encephalocele, frontoethmoidal encephalomeningocele, sincipital en-cephalomeningocele, craniofacial surgery.

-

.. , .. *, ..., ., . ,.. *, , ..., . , ., . , .. , ...

* -- , ,- -

, .

The experience of surgical treatment of an childwith congenital interfrontal encephalocele

R.N. ASADOV, V.A. BELCHENKO, A.G. PRITYKO, V.L. PETRAKI

-

(, ) - - . - -- ,

, - [5, 9, 10]. , , 1:35 000 1:40 000 -, 1:5000 [9, 13].

-- () -, - [5, 7, 9]. - -, Suwanwela & Su-

-

43

2006, 3-4

wanwela 1972 , . 1.

, - - . , - -, - [7]. - :

1) - ;

2) - ;

3) , , ;

4) - [3].

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2006, 3-4

44

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15 2006 , - .

. - . - -. , - - .

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- . - , 13- .

.

-

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;

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-

45

2006, 3-4

, - , - [2, 710]. - , - - [2, 7]. - , -, -. - [79]. - - [9, 12].

- -- . - - . - - - [3, 12, 13]. , - - , - - , - [46, 11]. - - (- , , . .). , - - , - - [5].

-

: -, - . - - - . - - , - [1, 5].

- - , - , - - , .

-. , - , - . . - -, - - - . - - - -. - - (. 5).

1. .. --

. . .: - , 2006.

2. .. - - / .. , .. . .: - -. 1987.

3. Boonvisut S. Morphologic study of 120 skull base defects in frontoethmoidal

encephalomeningoceles / S. Boonvisut, S. Ladpli, M. Sujatanond, C. Tandhavad-hana, N. Tisavipat, M. Luxsuwong, S. Nu-nta-aree, S. Srimaharaja, T. Panitphong, D. Dulayajinda, S. Areewattana // Plast. Reconstr. Surg. 1998 Jun. Vol. 101. 7. P. 1784-1795.

4. Dodge H. W. Intracranial encep-halo-meningocoeles associated with cr-anium bifidum / H. W. Dodge, J. G. Love, J. W. Kernohan // Arch. Surg. 1959. Vol. 79. P. 75-84.

5. Eppley B. L. Craniofacial correc-tion of giant frontoethmoidal encephal-omeningocele / B. L. Eppley, R. R. Ha-thaway, J. E. Kalsbeck, M. Rosenthal // J. Craniofac. Surg. 1999 Mar. Vol. 10, 2. P. 111-116.

6. Gussack G. S. Craniofacial appro-ach for the neonatal management of fron-tonasal encephalocoeles / G. S. Gussack, M. Schlitt, D. Hurley // Int. J. Pediatr. Otorhinolaryngol. 1988. Vol. 16. P. 225-235.

7. Holmes A. D. Frontoethmoidal encephaloceles: reconstruction and re-finements / A. D. Holmes, J. G. Meara, A. R. Kolker, J. V. Rosenfeld, G. L. Klug // J. Craniofac. Surg. 2001 Jan. Vol. 12, 1. P. 6-18.

8. Koopmann C. F. Jr. Combined ne-urosurgical-otolaryngologic operative approach to a massive nasoethmoidal en-cephalomeningocele / C. F. Jr Koopma-nn, A. F. Reynolds // Otolaryngol. Head Neck Surg. 1981 Jul. Aug. Vol. 89. 4. P. 545-549.

9. Mahapatra A. K. Anterior enceph-aloceles: a study of 92 cases / A. K. Ma-hapatra, A. Suri // Pediatr. Neurosurg. 2002 Mar. Vol. 36, 3. P. 113-118.

10. Mahatumarat C. Frontoethmo-idal encephalomeningocele: surgical co-rrection by the Chula technique / C. Ma-hatumarat, N. Rojvachiranonda, C. Ta-echolarn // Plast. Reconstr. Surg. 2003 Feb. Vol. 111. 2. P. 556-565. di-scussion P. 566-567.

11. Rahman N.-U. Nasal encephal-ocoeles. Treatment by transcranial op-eration / N.-U. Rahman // J. Neurol. Sci. 1979. Vol. 42. P. 73-85.

12. Raimondi A. J. Pediatric ne-urosurgery theoretical principles art of surgical techniques / A. J. Raimondi. Springer-Verlag New York Inc. 1987. . 405-412.

13. Suwanwela C. Frontoethmoidal encephalomeningocele. Surgery / C. Su-wanwela, C. Sukabote, N. Suwanwela. 1971 Apr. Vol. 69, 4. P. 617-625.

13 2006 .

-

2006, 3-4

46

-

-, - , - . - , .

: , - .

AbstractThe actuality of correct use of diagnostics methods of a zygomatic complex fractures is de-

termined by complexity of such techniques and subsequent treatment, poor efficiency of used methods of diagnostics in conditions of a difficult configuration of an average facial zone bones, presence of pneumatic cavities, and appreciable quantity of complications. The generalization of clinical experience on an patients with traumatic damages of an average facial zone bones rehabilitation will allow to develop algorithm of inspections excluding an exuberant radial load on the patient and ensuring high informative the received data.

Key words: zygomatic complex fractures, methods of patient examinations in maxillo-facial surgery.

.. *, ..., ., . , .. *** - , ,

** - , . .. ,.

The comparative characteristic of informative valueof clinical and radiological methods of patients examinations with zygomatic complex fractures

V.I. GUNKO, J.R. MARKARYAN

- - -- . - - , -

, [1].

- - , - - , -

, -, .

- - -

-

47

2006, 3-4

. - - , , , [2]. - , , , -, - [3]. - , - , - .

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(33 -) - , - , -.

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, - - : 1) , (); 2) ,

1.

-

2006, 3-4

48

; 3) - ; 4) - , - , - , . - , , , , , - - .

- - - - - - . - - , - , - , . , - , - , .

- -, 3D - , - , -

, - -, . , - .

, , - - , .

,

- , - - -.

, - - . - - -, - - - . - -,

- . , - .

1. .. -

- - / .. , ..- // - . .,1991. . 174-178.

2. .. /.. , .. // VII - : - . ., 2002. 128 .

3. .. -, / .. // . . . .. ., 1984. 23 .

4. .. - - - / .. // .. . . . ., 1984. 24 .

5. .. -- / .. - // . . . . ., 1998. 272 .

6. Quirainy L.A. Convergence insuffici-ency and failure of accommodation followi-ng midfacial trauma / L.A. Quirainy // Br.J. Oral Maxillofac. Surg. 1995. Vol. 33. 2. P. 71-75.

7. Sands T. Fractures of the Zygomaticcomplex: a case report and review / T. Sa-nds, O. Symington, N. Katsikeris, A. Br-own // J. Can. Dent. Soc. 1993. Vol. 59. 9. P. 749-755, 757.

20 2006 .

-

: .. , ..

(495) 781-2830(495) 956-9370(495) 111-01-21(495) 969-0725

49

2006, 3-4

-- -

- . , , -, . - , - .

: , , .

AbstractOne of most complicated problems of cranio-maxillo-facial surgery till now has an aftertre-

atment of the patients with inherent defects of cranio-facial area development. The analysis of domestic and foreign activities demonstrates, that, unfortunately, medical care to this group of patients not always appears in a volume most favourable for removal of having defects and de-formations. Frequently medical actions appear behind schedule, in postoperative period there are complications and relapses.

Key words: cranio-facial area defects, aftertreatment, inherent defects.

-

.. , ..., .. - -

, .

Value of rational planning of complex treatment in anaftertreatment ill with inherent defects of cranio-facial area

N.M. KHELMINSKAYA, A.G. PRITYKO

2-3% 20-30 1000 -, - - , - . -- () - - , - , . -

. - . - - 250. 40% .

- - - - - , , , - , .

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2006, 3-4

50

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51

2006, 3-4

, 14 . - , - . ; - - , ; .

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/ .. - // I - -. ., 2003. 1.

2. .., .., .. - : - -- / . .. - .. . .: -, 2000. 2:793.

3. .. - - - : . - . / .. -. ., 1997. 212 .

4. .. - -- : . - . / .. . ., 2003. 319 .

5. .. - - - . -- -, - / .. , .. . , 1995. . 20-29.

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10 2006 .

-

2006, 3-4

52

. . , . , . . . , .

The prevalence and intensity of dentoalveolar anomaliesat children and teenagers with allergic pathology

O.I. ADMAKIN

- - - . - , - - , ,- , : --, -- ( . ., . ., 2002; . ., 2003; Rothe M. J.,Grant-Kels J. M., 1996; Ladebauche P.,1997; Shaw L. t al., 2000; Stephen G.,2000).

-, - , -, -, ( . ., - . ., 1999; . ., -

. ., 2001; Zhu J. F et al., 1996; Reddy D. K. et al., 2003).

, - - , - : , , - ( . ., 1995; . ., 1997; . . .,1998; . ., 2001; - . ., 2001; . . .,2005).

- - - -, , - - - - ( . . .,1996).

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- - - . . (2001), Folster-Holst R., Christophers E. (1996). , - , ( . ., 2005).

, -

..

-

-

, - -, . - .

: , - .

AbstractAmong chronic diseases from children and teenagers the large densities is occupied with al-

lergic pathology, which differs by the large polymorphism and is shown both isolated defeats, and combined syndromes. By the purpose of the present research was the study of prevalence and intensity dentoalveolar anomalies at children and teenagers with allergic pathology.

Key words: dentoalveolar anomalies, childrens allergic pathology.

53

2006, 3-4

- - .

140 12- 15- , -, 53 , 44 - 43 ( - ). 50 - .

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- ( %) - - DAI (Jenny J. et al., 1993).

- :

DAI = ( 6) + () + (-) + ( 3) + ( - ) + ( ) + ( - 2) + ( 4) + ( - 4) + ( - 3) + 13.

-, - , - , . 2

12- , -

, - 89,3% . 14,3% - , (. 3). 57,1% -. 28,6%. - 10,7% 12- . - 42,9%, 35,7% . 3,6% . - - 7,2% . - 28,6% , 32,1% (II ).

12- - 79,2% -. , - 8,3% -. 41,7% . 16,7% .

1.

-

2006, 3-4

54

8,3%. , 37,5% - - 25,0% . 4,2% -. 54,2% -, 33,3%, 20,8%.

12- - , , - - 20,0%. 76,0% . 28,0%, - 20,0%. 64,0%, 40,0%. - 4,0%. - 12,0% . 28,0% -

, 24,0% (. 3).

12- -, -, , - - 4,0%. - 32,0% -. 24,0% . - 8,0%. - - 20,0% , 24,0%. 4,0% . 20,0% , - 8,0%.

- - DAI , 12- 26,4, 26,1, 27,6, 23,7 (. 1),

- , - .

15- , - , 8,0% , - (. 3). 60,0% - , 28,0% - , 20,0% . - 28,0% , 36,0%. - 4,0% , 12,0%. - 24,0% , - 16,0% (. 4).

- 65,0% 15- - . -: , - 5,0%, - 45,0%, 20,0%. 10,0% . - - 30,0% -, 35,0%. 5,0% . - -

3. 12 ( %)

2.

-

55

2006, 3-4

5,0% . - 25,0%, - 5,0% .

15-- - 94,4%, : , 11,1%, - 55,5%. 16,7% - . 14,8% . 38,9%, - 27,8% . 5,6% . - - 11,1% . - 66,7% ,

38,9% 27,8% .

, -, 4,0% 15- , - . - 40,0% -. 16,0% . - 12,0%. - 28,0%, - 24,0%. - 4,0%, 4,0%. - 28,0% -, 24,0%, 4,0%.

15-

26,2, - 24,0, 26,7, 22,2 (. 2). , - -, -- .

-

- - . -, - , 15% . 1998 2003 0 15 -

4. 15 ( %)

. 1. DAI 12-

. 2. DAI 15-

-

2006, 3-4

56

2,8 , 15-17 3,6 . , - - , , - ( . ., . ., 2002; . ., - . ., 2004).

, , - -, - - - . , - . - - , , - , - -, ( . ., 1996).

, - -, ( . ., 2001). - , - - - - - - (Prentice A., Bates C. J., 1994).

-, - - . -, 90% - - , - .

- - DAI - , - - .

- ,

- - . -, - - , - .

1. , -

-, - 90%, - , , - .

2. - - - DAI 12- , - - .

3. - 15- , - - - - . , -.

1. ..

- / .. , .. , . .-, . . // Dental forum. 2005. 4. . 30-35.

2. .. - - - : . ./. . . , 2001. 133 .

3. .. / .. . .: , 2003.

4. .. / .. ,.. . .: , 2001. 320 .

5. .. - - - - / .. , .. // . . .-. . -, , 2-4 - 1999 ., . . , 1999. . 112-113.

6. .. . . / .. , .. . .,2002. 120 .

7. .. - -

: . . .. . , 1997. 132 .

8. .. - : . . . / .. -. ., 1995. 16 .

9. .. : -. . . / . . . ., 2005. 26 c.

10. .. - , - / .. // . 2001. 1. C. 24-25.

11. .. - / . . , . . // - . 2004. . 8. 2. . 4-10.

12. .. / .. ; . .. // . ., 1996. 360 .

13. .. - / .. , .. , .. , .. // . . . , 1998. C. 183-185.

14. .. - - : . . / .. . , 2001. 139 .

15. .. / .. , .. , . . , .. // , 1996. 2. . 62-69.

16. Folster-Holst R. Fluortabletten zur Ka-riesprophylaxe bei Neurodermitis-Kindem mit Kllhmilchallergie? / R. Folster-Holst, E. Ch-ristophers // Dtsch. Med. Wochenschr. 1996. Bd. 121. 1-2. S. 40.

17. Jenny J. Predicting handicapping ma-locclusion using the Dental Aesthetic Index (DAI) / J. Jenny, N. C. Cons, F. J. Kohout, J. Ja-kobsen // Int. Dent. J. 1993. Vol. 43. 2. . 128-132.

18. Ladebauche P. Managing asthma: a gr-owth and development approach / P. Ladebau-che // Pediatr. Nuts. 1997. Vol. 23. 1. P. 37-44.

19. Prentice A. Adequacy of dietary mineralsupply for human bone growth and mineralisati-on / A. Prentice, C.J. Bates // Eur. J.Clin. Nutr., 1994. Vol. 48. 1. S. 161-177.

20. Reddy D.K. Dental caries status of ch-ildren with bronchial asthma / D.K. Reddy, A.M. Hegde, A.K. Munshi // J.Clin. Pediatr. Dent. 2003. Vol. 27. 3. . 293-295.

21. Rothe M.J. Atopic dermatitis: an update / M.J. Rothe, J.M. Grant-Kels // J. Amer. Acad. Dermatol. 1996. Vol. 35. 1. P. 1-13.

22. Shaw L. Childhood asthma and dental erosion / L. Shaw, Y. H. al-Dlaigan, A. Smith // ASDC J. Dent. Child. 2000. Vol. 67. 2. . 102-106, 182.

23. Stephen G. Allergy / G. Stephen // J. Curr. Biol. 2000. 10. . 93-95.

24. Zhu J.F. Dental management of children with asthma / J. . Zhu, H.A. Hidalgo, W. C. Ho-lmgreen, S.W. Redding, J. Hu, R.J. Henry // Pe-diatr. Dent. 1996. Vol. 18. 5. . 363-370.

20 2006 .

-

57

2006, 3-4

, ,

, - , , , -, . - , - .

: , , .

AbstractSuch properties of glass-ionomer cement as a chemical adhesion to a dentine, enamel and

cement of a tooth without acid etching, fastness to influence of a moisture during sealing, ca-riesostatic effect at the expense of prolonged release of fluorine ions in a tooth tissue and in a oral liquid, good biocompatibility, untoxic allow widely them to utillize in dental practice and optimize their application in a childrens dentistry. One of perspective domestic traditional gl-ass-ionomer cement is the material of chemical curing Stomalit, developed specially for a ch-ildrens dentistry.

Key words: hildren teeth treatment, glass-ionomer cement, Stomalit.

.. , ..., ., . , .. , ., -

. . .. , . -

Opportunities of application domestic glass-ionomercement Stomalit in childrens dentistry practicet

G.A. KHATSKEVICH, N.N. ROSHINA

- - - (). , -

- . - -

- - .

, - ,

.. ..

2006, 3-4

58

-, - -, - - , , , . - - , -. - . , - , -, - - .

- - -, - -. - 2 3, - , - . - : - - - , - . , (- ) - (- ), - - , . - . , - -, - , - .

.

-

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96 - ;

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- 58 ;

19 - .

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-

- . - . - , - .

- , :

1. ; ; .2. ; ; ; , .3. 4.

-

, 100%. - 7,5% . - - II . 12 98%. - 10,3% . - - .

, - , 12 100%, 2,1% - 3,1% 12 - - . 100% 12 , 12 5,2% -. - .

59

2006, 3-4

1.

, - 95% , 95% 12 - 9,5% . , - - (. 1).

12 . - - II . - - . - . - - 8,5% .

- - .

, - , - , - .

-, - :

1. , , -, , , - .

2. - -, -

.

3. - - , , - , .

1. .. -

/ .. . .: , 2003. 144 .

2. . . - / . . , .. , . . . .: , 1981. 176 .

3. Mount G. J. - / G. J. Mount // -. 2003. 2. . 73-77.

23 2006 .

64229

(I )

2006, 3-4

60

C

.. *, ..., ., . , .. **, ...,.. *, ..., ., .. *, ..., .,

*

**- HBI-dent

Modern aspects of treatment of the chronicrelapsing virus stomatitis

M.B. IVERIELI, T.O. TSINTSADZE, N.O. ABASHIDZE, Kh.V. GOGISHVILI

-

: , + SL-30, - . -- , . , - : +,, .

: , , +, SL-3.

AbstractThe purpose of our research was a clinical estimation of efficiency of local and general anti-

virus preparations of new generation: Panavir, SuperLysine+ and laserotherapeutic device SL-30 also studying of cytologic features of oral mucous membrane at patients with chronic re-lapsing herpetic stomatitis (CRHS) before treatment and for 6-th day of treatment. On the basisof the clinical-laboratory investigations has been determined high therapeutic efficiency - re-duction of epythelisation terms, good analgesive effect, the best adhaesive properties. Thus, theinvestigations carried out by us allowed to prove scientificant efficiency of use of local and ge-neral anti-virus preparations of new generation: SuperLysine+, Panavir and also laserotherapy in a complex of treatment herpetic infections.

Key words: chronic relapsing herpetic stomatitis, Panavir, SuperLysine+, laserotherapeutic device SL-3.

- , , -, . - - - [2, 3, 9]. -

. 50% 100%, - -, - [4, 6].

() , -

, - [5, 10]. , - , , -, , - . -

61

2006, 3-4

- - - - . - - - , [3, 7].

, - - .

- - : - ( , - -. -), + (, . Nutriment House) - SL-30 ( Beurer); - - - .

, - - 172 55 . 94 , 54,65 2,87% (11 83 -), 78 , 45,35 2,87% ( 67 ) (. 1).

. - 62 (36,05 3,6%). 32 (18,6 2,96%) , - -. , 30 (17,45 2,15%), , .

60 - (34,88 3,6%), 30 - (17,44 2,8%). - , -

+, - - - .

50 (29,07 3,4%), 25 - (14,53 2,3%). - - - , - SL-30. 25 - - (. 2).

- - :

1. ;2. ;3.

- (PCR);

4. --;

5. - - , - ;

6. .

. - .

- , , - . - -.

- - , - -, - . , - -, - . , - .

, . - -

, . - , -, . - .

- (, -, , - .).

- - (PCR).

- - - . - , -, 95- . - (--) ( Bio Optica, ). - - . - ( 10 x 40) - , -, , , , , -, - . - (), (d), - (m), - - (t). - , - [1], (CDI) - (IDI).

, - , -, 59 (34,3P0, 76%), - 84 (48,83P3, 8%) - - 29 (16,87P1, 82%) . , , - - .

2006, 3-4

62

1.

2.

35 (20,34P3, 06%) -. , - , - . 30 (17,44P2, 8%) - - . 18 (10,46P2, 33%) .

-, - . : 53 (30,81P3, 5%), 33 (19,18P2, 05%), - 40 (23,25P3, 22%), 17 (9,88P2, 2%), - 12 (6,97P1, 94%) - (3,48P 1, 39%).

59 - (34,3P0, 76%) - . - - .

- 37 (44,04P3, 78%)

, - 21 (25,0P3,3%) -; 11 (13,09P2, 56%) (7,1P1, 95%).

- 29 (16,87P1, 82%) - . - (34,48P, 3,1%) , (24,1P3, 26%) , - (20,68P3, 08%) -, - - . - (13,79P2, 62%) .

, - - - - .

- :

- - . - - -

- -. . , .

32 - 27 (84,37P2,76%) (15,63P2,76%) , - .

-, , - , - , , - - . - , , , - - .

- . - ,

63

2006, 3-4

- -- . 11 . - - - 5,1 , - 5,9 , - 6,8 . , , , , , - , - , - , -- .

30 + 28 (93,3P1, 9%) (6,7P1, 9%) -, - .

-, , - +, - - , - . A - .

- - , - - , - 11 . + -- , - 4,9 , - 5,1 , - 5,9 .

, , -, - + - - . - -- , . - - - - .

- , -- . -, -.

- - , -+.

25 - - 15 - (60,0P3, 7%) (40,0P3, 7%) , -.

-, , - - - -, - . , -, - SL-30, - - .

Sl-30 - . - , - , 11 . - , - SL-30, - 5,9 , 6,8 , 7,1 .

, -, - Sl-30 -

- -- , - - .

- - I , ( > 0,05), - 1,2 ( < 0,05), . , - ( > 0,05), - 1,2 ( < 0,05), - , 1,3 , (MI) - - (IDI) - ( > 0,05) - .

I , - - 1,7 ( < 0,05), - ( < 0,05), . - , - 3,3 0,5, - 2,6 ( < 0,05), , - 6,2 0,4, 1,3 , - 1,4 ( < 0,05), (MI) - ( > 0,05), -- (IDI) 1,4 ( < 0,05), - (. 1).

- II , - -

2006, 3-4

64

. 1.

. 2.

+

. 3.

SL-30

( < 0,05), 6,9 ( < 0,05), . - , 3,7 0,8. -, 3,4 0,2, , - 5,7 0,6. - ( < 0,05), - 2,1 ( < 0,05), , - (MI) 1,3 ( < 0,05), -- (IDI) - , - 0,2.

II - , - - ( > 0,05), - 1,3 - ( < 0,05), . - , - - ( > 0,05), 1,2 ( < 0,05), , - 1,3 -, (MI) -- (IDI) ( > 0,05) .

- III - , - 1,2 - ( < 0,05), ( < 0,05), . - , - 3,9 0,4, - , - 4,4 0,2, , - 6,6 0,4,

( < 0,05), - 2,2 ( < 0,05), - (MI) 1,3 ( < 0,05), -- (IDI) - , 0,2. (. 2).

- III , 1,2 ( < 0,05), - 1,4 ( < 0,05), -. - - (p > 0,05), -, 5,7 0,6. - 1,3 ( < 0,05), , (MI) -- (IDI) - (p > 0,05).

III - - -, , - - ( > 0,05), - 1,3 ( < 0,05), -, -, - ( > 0,05), - (MI) -- (IDI) - (p > 0,05).

IV , , - - (p > 0,05), - - 1,2 - ( < 0,05), , - - 1,3 ( < 0,05), - 1,7

( < 0,05), , - 6,1 0,5, 1,4 ( < 0,05), - 1,3 ( < 0,05), - , (MI) - ( > 0,05), - -- (IDI) 1,2 , (. 3).

65

2006, 3-4

.., 28 . .

.., 28 . . .

.., 34 . .

.., 34 . . . +

1.

- : - , , +.

2. + ( - , , - , - ).

SL-30 - - - -- .

3. - - - - - + (MI-0,8; IDI-0,14) SL-30 (MI-0,7; IDI-0,24).

, -

- - -: +, -, .

1. . ,

, / . . , 2001. C. 2-98, 154-189.

2. .. -, , / .. . ., 2002. C. 236-258, 685-711.

3. .. : - / .. -. : , 2004. . 16-22, 47-57, 81-93.

4. : . - / . .. . ., 1996. 13 .

5. .. - / .. -, .. , .. , .. . ., 2001. . 17-41, 76-123.

6. .. , - : . / .. , .. , .. . ., 2001. . 3-19.

7. .. - / .. , .. // . 1997. 1. . 56-59.

8. .. / .. , .. , .. , .. -, .. // -. 1999. 1. . 34-37.

9. .. - / .. , .. -, .. // -. 2003. 4. . 54-58.

10. .. - / .. , .. , .. . , 1996. . 9-18, 21-122.

11. Aurelian L. Understanding the pa-thogenesis of HSV-associated erythema mu-ltiforme / L. Aurelian, H. Kokuba, JW. Bu-rnett // Dermatology. 1998. 197 (3). P. 219-222.

12. Buckley DA. Topical immunotherapy in dermatology / DA. Buckley, AW. du Vivier // International Journal of Clinical Practice. 1999 Mar. 53 (2). P. 130-137.

13. Favoreel HW. Immunological hiding of herpesvirus-infected cells / HW. Favoreel, HJ. Nauwynck, MB. Pensaert // Archives of Virology. 2000. 145 (7). P. 1269-1290.

14. Hirayama J. Comparison of the effec-ts of different antiviral treatments on the an-tioxidant systems of stroma-free hemoglobin / J. Hirayama, H. Abe, N. Kamo, K. Ikebuchi, H. Ikeda // Photochemistry & Photobiology. 2001 Sep. 74 (3). P. 461-464.

2 2006 .

2006, 3-4

66

,

. - . .

: , - .

AbstractNow is established large children requirements in a denture, that determines a urgency of a

problem. Conducted by the autors of the article the research has shown a feasibility fixed pr-othetic in definite clinical situations and in different age periods. The applying intrabone de-ntal implants is the choice of the doctor and can with success be applied under the indicationsin childrens age dentistry clinic.

Key words: dental prothesis in childrens age, dental implantation for children.

.. *, ..., ., . , .. **, ..., .,.. *, ..., ., ..

* , , .

** , .

Clinical means of fixed prothesis used at treatmentof children with dentitions defects

S.V. DMITRIENKO, A.V. LEPILIN, D.S. DMITRIENKO, O.L. FOMINA

- . , - [1].

- . , - -, - , . - [6].

. 1. () ()

. 2. () ()

67

2006, 3-4

. 3.

- , - [5]. - - - - [3].

- - - [2, 4].

- , .

- - - .

- , - , (-- , ).

-, , - - , .

- - - - . - . - - . - , - , . , - (. 1).

.

- .

- (. 2).

( > 0,6) -. - . , - - - . - .

- - (. 3).

- - - , , (. 4).

- - - . -

(. 5).

. , - .

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() ()

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() ()

2006, 3-4

68

, (. 6).

- - - - . - -, - , - -.

- - - (. 7).

, , - - -.

- , - .

- . . , - , - - [1].

- - - (. 8).

- - - 0,01 . - . - -. - , - (. 9).

, - - 0,01 100 .

, - - . - -

.

1. .. -

- : . - . / . . . , 1994. 308 .

2. .. -- - : -. . . . / .. . ., 2004. 22 .

3. .. -- - : . . . / .. . , 1993. 103 .

4. : . . / . . -, . . .: - , 2003. 766 .: .

5. .. - / .. , ... .: , 1991. 447 .

6. Eismann H. Prothetische MaBnahmen beiKinder und lugendlichen / H. Eismann // Stom-atologia der DDR. 1981. 8. P. 637-643.

9 2006 .

. 8. ()

()

. 9.

16

. 6. 14

. - ().

()

. 7. ().

()

69

2006, 3-4

. - . - , , .

: , , - .

AbstractThe traumas of the upper anterior teeth in a permanent occlusion at the teenagers were and

remain one of the most wide-spread traumatic situations in dentistry. For the prevention of probable complications extremely important well-timed reversion to the doctor. The vacuum technology, offered in article, of posttraumatic complications as chronic periodontitis has on a view of the authors the perspective future.

Key words: anterior teeth trauma at children, endovacuum treatment technique, chronic destructive periodontitis.

: .

. . , ..., , . . . , , . , .

Anterior permanent teeth trauma at children: experienceof the problem decision and her complications. Endovacuumtreatment technique of extensive destructive changesin an osteal tissue at chronic destructive periodontitis

T.G. KHOKHRINA, E.A. SEMENKOVA

.. ..

2006, 3-4

70

. - , -, - . , - 80% . - - . -- .

- , - , - , -, , -. - . , -, .

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(. 1), - 12- 11- , - . - , - . - - : 12- - 2 3 , - 11- - 3 5 , - 12- . - . - . 42- 1/3 - . , 42- . -

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-:

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-;

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;

;

;

11- 12- - :

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- ;

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.

Fiber-splint t53- 21- . - .

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, -, - . - -, (53- 21-). - . -

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71

2006, 3-4

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11- , - . - , , - 25 20 . - - 12- 11- , , , - , . - 12- 11- , - , - , 11- . - 12- 11- (). 2005 . 11- 12- -. 13- -. - 11- , -, - . - . - , - 11- (. 5). 11- .

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2006, 3-4

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. - - :

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2006, 3-4

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). - . - - . - (. 11). - - - .

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1. .. -

- - / . . , . . . : , 1983. . 13-14.

2. .. / . . -, . . . .: , 1999.

3. - - . .: , 2001. today. . 1. 1. . 3-12.

4. .. - - /

.. , .. , . . - // . . 1973. 1. . 17-20.

5. .., - .., .. : . . / . . .. . , 1998. . 59-61.

6. .. - - / .. , .. -. .: , 2005.

7. .. - : / .. , .. . : , 1988. 112 .

8. .. / .. -. .: . - -, 1963.

9. .. - / .. . , 1960. 124 .

10. .. - - / .. // - // - . ., 1990. . 107-111.

11. . / . , . . -, , -, , 2000. 324 .

12. .. -: - / . . // to-day. 1-2, 2003.

13. Simon J.H.S. Incidente of periap-ical cysts in relation to the root canal / J.H.S. Simon // J. Endod. 6:845. 1980.

14. Wilson L.R. Effect of final alcoh-ol rinse on sealer coverage of obturated root canals / L.R. Wilson, A.H. Wiemann // J. Endod. 1995. Vol. 21. P. 256.

15. Ferguson, F.S. Prevalence and type of traumatic injuries to the an-terior teeth of preschool children / F.S. Ferguson, L. W. Ripa // J. Pedod. 4:3 1979. 23 2006 .

- on-line

[email protected]

-, , , .

2006, 3-4

74

-

: , -, , - .

: , - , - .

AbstractBy the authors is considered preventive prosthetics at premature removal temporary molars:

the new dentures are offered, the indications to application are developed, the design feature,influence on development of tooth arches and eruption of constant teeth are covered.

Key words: treatment-prophylactic prosthetic repair, premature extraction of temporary mo-lars, prophylaxis of dento-facial anomalies and deformations

.. , ..., . ,.. , . ..,

.

Treatment-prophylactic prosthetic repair of tooth archesat premature extraction of temporary molars

M.Ya. ALIMOVA, A.V. ALIMOVA

- - (.. , 1972; .. - ., 1983; .. ., 1987; .. , 1993; .. , 1995 .). - - , - , , - , -

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2006, 3-4

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AbstractSuggested the technique of complex treatment of children with inborn cleft of the upper lip

and palate before uranoplasty, including expansion of dental arch in upper jaw, producing a fi-xed prothetic design, sanitation of organs an nasopharynx. For an estimation of efficiency of tr-eatment it is recommended to use the method rhinomanometrics.

Key words: inborn cleft of the upper lip and palate, uranoplasty, rhinomanometrics method.

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Planning of ortodontic and orthopedic treatment of children of three-six years old with inborn unilateral lip and palat cleft

E.V. FILIMONOVA, S.V. DMITRIENKO, O.A. BUYDA

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