Dental rehabilitation of total adentia at pensioners of the Ministry of defense and contingent attached to military medical organizations

OBJECTIVE: Based on the data of domestic and foreign literature, as well as our own research, to evaluate the possibility of treating patients with extensive jaw cysts, including those undergoing military service in seafarers, using various surgical methods.MATERIALS AND METHODS: A review of the literature presented in domestic and foreign scientometric databases over the past 10 years was made. 15 domestic and 37 foreign scientific papers from the PubMed international medical library, the CyberLeninka electronic library and the elibrary medical electronic portal were analyzed. Publications were studied for the following keywords: odontogenic cysts of the jaws, cystectomy, cystotomy, marsupialization, decompression drainage, guided bone regeneration, keratocysts.RESULTS: During the study of specialized literature over the past 10 years, it was revealed that in the context of the treatment of extensive jaw cysts, the description of the cystectomy operation was most common: in 65.0% of domestic and 50.0% of foreign literature sources. Cystotomy was found in 25.0% and 33.3% among domestic and foreign sources. The method of marsupialization was used less often only in 10.0% in domestic literature and in 17.7% in foreign literature.DISCUSSION: Analysis of literature sources of domestic and foreign databases has demonstrated the most frequent use of cystotomy and cystectomy in the treatment of extensive jaw cysts and extremely rare use of decompression drainage, despite the significant advantages of using the marsupialization method, namely minimizing the likelihood of damage to neighboring anatomical structures, preventing subsequent possible deformation of the jaws, reducing the risk of recurrence of jaw cysts, as well as the development of postoperative and intraoperative complications compared with cystotomy and cystectomy.CONCLUSION: Based on the review of the literature and our own research, this article examines the main options for surgical treatment, and also assesses the possibility of using decompression drainage to provide emergency care in a campaign and treat military personnel with extensive cavity formations of the jaws.

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Characteristics of speech function in the process of patients getting used to removable dentures

Kerimkhanov

Iordanishvili

2023

Medicinskij alfavit

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Relevance. The majority of elderly and senile patients in the Russian Federation still use removable acrylic dentures, which is associated with the economic problems of the elderly. However, there are few studies devoted to the study of the effect of such dentures on the quality of speech function. Objective. Evaluation of quality of speech function in the patients with partial and complete tooth loss during the adaptation to the removable dentures including using by patients new home-made adhesive cream for denture fixation. Materials and methods. Overall 111 (33 male and 78 female) elderly patients with partial (63) and complete (48) tooth loss were examined and were divided into 4 study groups. Groups 1 and 2 included patients with partial tooth loss and groups 3 and 4 included patients with total tooth loss. There were also examined 17 elderly people who had no defects of dentition and formed a control group. The defects of dental rows in the patients of groups 1–4 were eliminated by making removable dentures. At the same time, during the adaptation period, patients in groups 2 and 4 of the study used a new domestic adhesive cream for fixing dentures. Before treatment and during the adaptation period, the quality of speech function of the patients was studied. Results. It was found that with preservation of the integrity of the dental rows in the elderly people a high quality of speech is observed. Loss of teeth leads to a decrease in the quality of speech function, especially in patients with partial loss of teeth in the anterior part of the jaw or front teeth on both jaws. By the middle of the adaptation period, the quality of speech function had improved in all patients examined, both with partial and total tooth loss. Use of the adhesive cream by patients provided a reliably better quality of speech function with partial and full removable acrylic dentures, which was characterised as «high» at the end of the adaptation period. Conclusion. On the basis of the conducted research, home-made adhesive cream for denture fixation can be recommended to patients with the purpose of optimization of the adaptation period to removable acrylic dentures as well as for permanent use, which will improve not only fixation and stabilization of dentures, state of the prosthetic bed mucosa, but also the quality of speech function.

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Dental rehabilitation of total adentia at pensioners of the Ministry of defense and contingent attached to military medical organizations

Cited by 5 publications

References 5 publications

Reparative potential of bone tissue and associated influencing factors

Reparative potential of bone tissue and associated influencing factors

Decompression drainage of jaw cysts as a method of providing emergency surgical care and treatment of the crew of ships and vessels

Characteristics of speech function in the process of patients getting used to removable dentures

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