Experimental data on the hemodynamics of dental pulp at different stages of caries treatment are given. Observations of speckle patterns in backscattered laser light are used as a measurement method to qualitatively characterize changes in blood flow rate through the dental pulp. The measurements were made by the author-designed experimental setup. Theoretical estimations showed that stationary reflected light from an in vivo tooth contains a negligibly small information body on changes in the pulpal blood flow due to the shadowing of the pulp by optically thick enamel and dentin. Therefore, the temporal variations in the speckle patterns are the only possible way that can provide monitoring of blood conditions in the pulp by using backscattered light. Various statistical characteristics of the random reflected light fields are studied as indicators of blood flow rate changes. There were selected five statistical parameters of backscattered speckle images that give self-consistent data on these changes. The parameters include four combinations of integrals of the Fourier transforms of the observed temporal variations as well as the speckle image contrast. The selected parameters are shown to qualitatively agree with general considerations on the effects of reduced or increased blood flow rates on the selected integral quantities.
On the background of a high percentage of caries incidence, the prevalence of its complications is increasing – pulpitis, apical periodontitis. Teeth with complicated caries can cause odontogenic inflammatory processes in the maxillofacial region. Being foci of chronic infection and intoxication, they have an adverse effect on the body as a whole. In connection with the above, it is obvious that determining the optimal concentration of chlorhexidine bigluconate and exposure to the dentin of the crown part of the tooth in case of carious lesion of the latter is currently very important. The purpose of the study was to evaluate the antimicrobial activity of chlorhexidine (by suspension and contact method) in various concentrations in relation to monocultures of biofilm formed on tooth sections and in U-shaped 96-well plastic plates. Material and methods. In this work, one of the most relevant pathogens for modern medicine was Staphylococcus aureus, which was one of the most powerful pathogens that form biofilms, was used as a model. The antimicrobial activity of chlorhexidine bigluconate was evaluated on S. aureus and E. coli biofilm cultures formed on dental samples and in polystyrene plastic tablets. Antimicrobial activity was evaluated by the reduction factor was determined by the difference in the number of decimal logarithms of CFU/ml in the experiment compared to the control. The obtained data was subjected to statistical processing. Results and discussion. The study revealed that 2.0 % solution of chlorhexidine bigluconate had a high level of antibacterial activity against tablet biofilm cultures of S. aureus and E. coli. When it was exposed to S. aureus and E. coli tablet biofilm cultures with exposures of 30 and 60 seconds, statistically significant differences were found (p=0.02). Secondly, statistically significant differences in the effect of sensitivity of single-species biofilm cultures of dental samples to the effect of antiseptic at the specified concentration were determined (p=0.007). At the same time, the level of antibacterial activity of 2.0 % chlorhexidine bigluconate solution in respect of tablet biofilm cultures of S. aureus and E. coli was significantly higher than in biofilm cultures of S. aureus and E. coli of dental samples (p<0.05). Conclusion. The obtained results give grounds for using them in clinical practice in order to improve the effectiveness of caries treatment which will help reduce the number of complications and on the one hand, corresponds to the main direction of medicine ‒ prevention and on the other hand, increases the level of specialized medical care provided to the population as a whole
Composite stomatological light-cured materials with a polymer matrix, bonding layer and inorganic filling (glass) are examined. The requirements imposed on these materials by modern therapeutical stomatology are indicated. The composition and some technological aspects of the production of the new material are presented. An investigation of the physical-mechanical properties of the new composite material (strength, water absorption, polymerization depth) showed that these indices are on par with the best foreign analogs.
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