Background. Predicting the immediate and long-term results of treatment is an urgent problem of modern medicine. The prognosis of complex dental treatment is influenced by many factors. Among the main ones: features of the individual's anatomy and physiology, the type and method of the chosen treatment, the doctor's qualification, features of the patient's psychological profile, the presence of concomitant pathology, and so on. Each of the factors must be considered separately to understand the mechanism and the strength of its impact. Relevance. Finding out the influence of diseases of the hepatobiliary system on the prognosis of dental orthopedic treatment. Objectives. We studied the indicators of patients who re-applied for replacement of an existing dental prosthesis. The study group consisted of patients with liver and biliary tract diseases, and the control group consisted of patients without concomitant General somatic pathology. The terms of use of the prosthesis, the number and severity of treatment complications, and the state of the prosthetic bed were evaluated. Standard clinical and paraclinical diagnostic methods, corresponding pathology, cone-beam computed tomography and statistical analysis methods were used as research methods. Results. The correlation of the terms of use of various types of dentures with the presence of liver and biliary tract diseases in the anamnesis was determined. The dependence of the structure of bone tissue and its density on the presence of the considered pathology was revealed. Conclusion. The obtained data can be applied by orthopedic dentists in the near and long-term prognosis of the result of treatment of patients with partial loss of teeth and concomitant diseases of the hepatobiliary system.

Subject. An interdisciplinary approach in the science and practice of the dental industry has long become an established reality. The direct and indirect effect of a huge number of somatic diseases on the dental health of patients, the tactics of their treatment and subsequent follow-up observation was studied. One of these diseases is diabetes. On the other hand, the number of lawsuits against orthopedic dentists is growing every year and they are often associated with an insufficient, in the patient's opinion, period of comfortable use of the manufactured construction. When analyzing the causes of patients re-seeking dental orthopedic care, we revealed a significant discrepancy in their occurrence in patients with and without diabetes. In this article, we tried to describe the causes and consequences of such a phenomenon and propose ways to solve the discovered problem. The goal is to reduce the number of complications of dental orthopedic treatment in patients with diabetes mellitus. Methodology. We analyzed data from 304 patients who applied to dental clinics for the purpose of repeated prosthetics of teeth and dentitions. One of the research methods was a specially designed questionnaire, which included a number of questions for the reasons for replacing the prosthesis. Clinical and paraclinical methods for examining patients that meet the standards of care for established diagnoses were also used. Results. A clear dependence of the life of dentures on the presence of a history of diabetes was revealed. The main complaints of patients with repeated visits to the orthopedic dentist are formulated. The most common causes of early abandonment of the use of dentures were identified and the peculiarities of adaptation to them in patients with the pathology under consideration were determined. Findings. The obtained data can be applied in predicting the immediate and long-term results of prosthetics of teeth and dentitions, and on the basis of them, the period of clinical observation of patients with diabetes can be changed.

In POAG patients, the effect of minimally invasive subscleral removal of the external wall of Schlemm's canal (microfistulazing procedure) followed by laser trabeculopuncture is no weaker than that of basic technique.

Цель-оценить влияние различных гипотензивных препаратов на вероятность возникновения цилиохориоидальной отслойки (ЦХО) после лазерной трабекулопунктуры как 2-го этапа в системе комбинированного лазерно-хирургического лечения у пациентов с первичной открытоугольной глаукомой (ПОУГ). Материал и методы. Материалом для настоящего исследования послужили 60 пациентов с оперированной ПОУГ II-III стадии, уровнем внутриглазного давления (ВГД) a-b на максимальном гипотензивном режиме. Во всех случаях выполняли субсклеральное удаление наружной стенки синуса в микрофистулизирующем варианте. На 2-м этапе, спустя 14 сут, проводили лазерную трабекулопунктуру. С целью снижения риска резкого перепада офтальмотонуса не менее чем за 5 сут до ее проведения назначали гипотензивную терапию. В 1-ю группу вошли 30 пациентов (30 глаз), которые использовали препарат из группы α 2-адреномиметиков-бримонидин (0,15%). Во 2-й группе, состоявшей из 30 пациентов (30 глаз), применяли либо неселективный β-блокатор, либо ингибитор карбоангидразы. Клинический мониторинг динамики ВГД осуществляли на 1, 5, 9 и 12-е сутки после 1-го этапа и затем после лазерной трабекулопунктуры. Инструментальная диагностика ЦХО заключалась в применении ультразвуковых методов. Результаты. Случаи развития ЦХО были зафиксированы у 7 пациентов в 1-й и у 15-во 2-й группах. Необходимо отметить, что перепад ВГД после 2-го этапа был менее выражен у пациентов, получавших α 2-адреномиметик по сравнению с лицами, применявшими неселективный β-блокатор или ингибитор карбоангидразы (p<0,05). Вывод. Такая тактика позволила статистически значимо снизить частоту развития ЦХО после комбинированного лазерно-хирургического лечения у пациентов с ПОУГ, вероятно, в виду того что фармакокинетика α 2-адреномиметиков в меньшей степени оказывает угнетающее влияние на продукцию внутриглазной жидкости, чем препараты других исследуемых нами групп. Ключевые слова: первичная открытоугольная глаукома, гипотензивная терапия, α 2-адреномиметики, субсклеральное удаление наружной стенки синуса, лазерная трабекулопунктура, цилиохориоидальная отслойка.