The article presents the results ofa dental examination ofvacationers in a sanatorium and the calculation of the needfor dental treatment. The lack ofpractice of sanitation of the mouth at the place of residence before the sanatorium treatment, the load of the dentist in the sanatorium with the treatment of caries and its complications to the detriment of the prevention of diseases with the use of natural sanatorium factors is revealed.

In order to identify the risk of oncological pathology in patients of dental clinics, a questionnaire has been developed that allows for a number of targeted questions to identify a high or very high risk of cancer in the patient. These questions reflect the presence (including in the past) of oncological diseases among respondents and their relatives, the presence of diseases and foci of trauma to the oral mucosa, smoking and systematic use of alcohol, the carriage of herpes virus, human papilloma or fungal flora, work in harmful working conditions and climate. The frequency of positive responses increases with age (with the exception of smoking and drinking) and is less common in women. Interviewed 574 people in 6 dental clinics in the Moscow region.According to a screening questionnaire at a dental appointment, a high and very high risk of developing cancer pathology according to WHO criteria applies to 44.1% and 36.4% of the population of the Moscow region, respectively. At the age of 40 years, the high risk does not exceed 21.4%, in people 40-60 years old it increases to 88.0% and decreases to 11.7% after 60 years; at the same time, a very high risk increases from 5.8% in people under 40 to 12.0% at the age of 40-60 years and to 88.3% after 60 years. Up to 40 years of age, cancer risk is 2 times more likely to be detected in men, then evening out in men and women.

In connection with the deterioration of the environmental situation, the prevalence of bad habits, untimely access to the dentist for the treatment of dental diseases and preventive examinations, the complexity of diagnosis and treatment of precancerous diseases of the oral cavity cancer incidence with the localization of the tumor in the maxillofacial region increases. It is necessary to activate the early diagnosis of cancer at the dental reception and the qualification of dentists of all specialties in matters of cancer alertness. A survey of 176 dentists in 12 districts of the Moscow region on 10 issues, reflecting the frequency of detection of cancer pathology and precancerous conditions, doctors ‘ knowledge of diagnostic methods and therapeutic tactics in the detection of this pathology. Most of the interviewed dentists of the Moscow region consider the full collection of anamnesis and examination of the maxillofacial area and oral cavity in patients. Not more than 10% of dentists (mainly surgeons) reported about the treatment of patients with cancer (precancerous and cancerous diseases), at the same time about 80% of doctors met in their work with cancer. The main diagnoses of cancer pathology doctors note cancer of the mucous membrane of the mouth, tongue and lip; then leukoplakia and lichen planus. More than 40% of dentists do not use clinical and laboratory methods for the diagnosis of diseases of the mucous membrane of the mouth and lips; the most common methods of diagnosis of diseases of the mucous is Cytology and clinical examination. About 80% of dentists in the Moscow region had experience in referral for further examination and treatment of patients with cancer pathology in approximately equal proportion to dentists, surgeons, oncologists in the area and in MONICA (less often MOS); dentists in a number of districts of the Moscow region do not use the opportunities of regional dental institutions. Half of dentists do not fill in the reporting and regulatory documentation in the detection of cancer of the mouth. With a high readiness of more than 85% of dentists to use a new method of diagnosing cancer, about 40% of doctors were not familiar with the photodynamic screening test Vizi Lite Plus. The vast majority of dentists in the Moscow region consider it appropriate for the early diagnosis of cancer pathology organization of dental examination, dental preventive examinations, as well as the use of screening tests, although a third of doctors did not give proposals to improve the early diagnosis of cancer. There is no doubt that there is a need to improve the organizational and diagnostic base of early diagnosis of cancer in dentistry.

Аннотация. Актуальность. На фоне развития промышленного здравоохранения актуален анализ современной стоматологической заболеваемости у работающего населения, потребности в разных видах стоматологического лечения и протезирования. Особенно это касается стажированных работников с общесоматической патологией. Цель: анализ стоматологической заболеваемости и потребности в стоматологическом лечении у работников промышленных предприятий, находящихся на санаторном лечении. Материал и методы. Проведен анализ показателей стоматологической заболеваемости 402 работников предприятий по результатам клинико-рентгенологического обследования в санатории, на основании которых рассчитана потребность в стоматологическом лечении и его трудоемкость. Для расчета трудозатрат врача-стоматолога с учетом имеющейся потребности в стоматологическом лечении использованы показатели трудоемкости современного стоматологического лечения и профилактики, изложенные в исследовании Олесова Е.Е. Результаты. Установлено отсутствие преемственности стоматологического лечения работников по месту работы и в санатории, а также отсутствие практики санации рта работникам перед направлением в санаторий. Расчетами показана невозможность санации рта всем работникам в санаторных условиях в связи с высокой ее трудоемкостью. Заключение. Рекомендована разработка алгоритма взаимодействия врача стоматолога по месту работы и в санатории для обеспечения преемственности стоматологического лечения и концентрации усилий санаторного врача на проведение профилактических мероприятий с использованием курортных факторов. Ключевые слова: санаторий, стоматологическая заболеваемость, потребность в лечении, трудоемкость, организация.

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