Subject: In 2018, for the first time at the Ural State Medical University dental department, the IADS (International Association of Dental Students) international student exchange program began, during which students are invited to an internship at the dental faculty and the dental clinic of the USMU for 2-4 weeks. Purpose of the article: To show the possibilities of this form of training for future dentists, as an international internship at the dental faculty, as part of student exchange between universities. Material, methods, results: At the end of July 2018, 4 students of the fifth year who studied in the specialty of dentistry at the medical faculty of the University of Ljubljana (Slovenia) and 1 fourth-year student of the Dental Faculty of the Tehran University of Medical Sciences (Iran) came to the IADS internship for the "Dentistry" (in english). The cycle of training consisted of lectures and practical exercises with development of manual skills. During the cycle the guests got acquainted with the structure of the university, visited the bases of the dental clinic of the Ural Medical State University, dental clinics of the graduates of the USMA. Also, foreign colleagues were organized tours to the vivarium of UGMU, the central research laboratory of UGMU and the laboratory of physical and chemical methods of research of the Institute of Geology and Geochemistry of the Ural Branch of the Russian Academy of Sciences. At the end of the cycle, the guests noted the high saturation of the course with practical exercises, the availability of visual material and the equipment of classes with equipment and tools. Conclusions: Carrying out an international internship for foreign students is one of the steps to forming a multilingual environ at the university, whose goal is to enter the international educational and scientific space.
АннотацияПредмет. В статье представлено исследование стоматологического статуса пациентов с ранними проявлениями повышенной стираемости зубов. Проведена оценка эффективности применения новой фармакологически активной композиции наноструктурированного фторгидроксиапатита в качестве реминерализующего средства в виде геля в срав-нении с традиционными методиками.Цель -изучение эффективности применения новой фармакологически активной композиции наноструктурирован-ного фторгидроксиапатита при лечении ранних проявлений повышенной стираемости зубов.Методология. Обследовали 153 пациента на этапах реминерализующей терапии с применением новой фармако-логически активной композиции и традиционных методик, фиксировали индексы OHI-S, PMA, КПУ, пародонтальный индекс, показатели электрометрии, ТЭР-теста, качества жизни.Результаты. В течение одного года наблюдений в исследуемых группах в 91,2 % случаев отмечалась стойкая ремиссия заболевания без прогрессирования убыли твердых тканей зубов на фоне снижения показателей электрометрии и ТЭР-теста. 56,4 % пациентов на протяжении года отметили отсутствие симптома гиперестезии. Повторное появление симптома гиперестезии на фоне фиксированных показателей резистентности и электропроводности эмали было зафиксировано у 34,8 % пациентов. В 8,8 % случаев отмечалось отсутствие динамики показателей и снижения гиперестезии.Выводы. Изучен уровень кариесрезистентности, электропроводности эмали зубов пациентов двух групп: с фасет-ками стираемости в пределах эмали и с точечным поражением дентина на фоне проведенного курса реминерализующей терапии с использованием фармакологически активной композиции наноструктурированного фторапатита. По окончании лечения выявлена взаимосвязь между снижением симптома гиперестезии и повышением уровня стоматологического здоровья пациентов.Ключевые слова: повышенная стираемость зубов, реминерализующая терапия, наноструктурированный фторги-дроксиапатит.eXperience OF new pharmacOlOgical active cOmpOsitiOn based On nanOstrUctUred FlUOrapatitis applicatiOn in treatment OF early maniFestatiOns OF tOOth wear legkih A. V., Mandra Yu. V. Ural state medical university, the city of Yekaterinburg 15-21Терапевтическая стоматология / Therapeutic dentistry Оригинальные исследования / Original research papers [15][16][17][18][19][20][21]
<p class="p1"><span class="s1">Research by means of Raman spectrometry 30 teeth samples with pathological elements: early teeth attrition within the enamel, caries within the enamel, the intact enamel (control) was made. For caries average ratio of mineral/organic matrix is 0.31, and for fabrics with high abrasion – 0.64. With the development of caries decreased mineral content of the components (reduced phosphate line) and there are broad line of organic compounds, as well as increased uorescent background. All the investigated samples consist mainly of carbonate-apatite substituted by B-type, the maximum amount of which is characteristic of the intact enamel, minimum – for carious tissue; intermediate position occupied by the fabric with high abrasion. Carious tissue characterized highest content disordered phosphate – A-type substitution (carbonate ions replace hydroxyl ions) or presence of amorphous calcium phosphate. Comparison of qualitative and quantitative assessment of the composition of the mineral component of the pathology of hard tissues of teeth de nes a personalized approach to treatment and prevention of the progression of diseases of hard tissues of the teeth. </span></p>
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