Psychosomatic Aspects F Diseases of the Mucosa of the Oral Cavity

Starikova, Irina; Piterskaya, N.V.; Chaplieva, E.M.; Bobrov, D. S

doi:10.19163/1994-9480-2021-2(78)-137-140

Cited by 3 publications

(1 citation statement)

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“…Хронический рецидивирующий афтозный стоматит -это хроническое заболевание слизистой оболочки полости рта, характеризующееся появлением афт, протекающее с периодическими обострениями [1,4]. По данным отечественных и зарубежных авторов распространенность хронического рецидивирующего афтозного стоматита в мире колеблется от 10 до 35 % [1,5,10,25,26].…”

Section: влияние соматического статуса на возникновение хронического ...unclassified

Influence of Somatic Status on the Appearance of Recurrent Aphthosis Stomatitis

Komova,

Borisova,

Zheleznyak

et al. 2023

APPLIED

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Recurrent aphthous stomatitis is a polyetiological inflammatory disease of the oral mucosa, characterized by the appearance of aphthous ulcers. The etiology and pathogenesis of this disease have not been finally revealed. There is an imbalance of immunity observed in patients who are suffering from recurrent aphthous stomatitis caused by the influence of certain trigger factors. The purpose is to summarize the literature data on the relationship of somatic status with the occurrence of recurrent aphthous stomatitis. The review considers the pathogenesis of recurrent aphthous stomatitis, as well as possible trigger factors: genetic predisposition, infections, somatic diseases, allergies, stress, and hypovitaminosis. An obligatory link in the pathogenesis of recurrent aphthous stomatitis is an imbalance of immunity - cellular (the production of pro-inflammatory cytokines increases, and the synthesis of anti-inflammatory heat shock proteins decreases) and humoral (an increase in the number of neutrophils and B-lymphocytes, activation of the complement system). Genetic predisposition, some somatic diseases (Behcet's disease) and viral infections (in particular, COVID-19) lead to an imbalance in the immune system. Provoke the occurrence of recurrent aphthous stomatitis infections, diseases of the gastrointestinal tract, stress and insufficiency of B vitamins and trace elements. The indirect effect of trigger circumstances is due to a decrease in the trophism of the oral mucosa, which leads to a local decrease in the number of factors of cellular and humoral immunity and to hyposalivation and a decrease in the pH of the oral fluid, which provokes the reproduction of opportunistic microflora. Based on the analyzed literature data, it can be concluded that the somatic status influences the development of recurrent aphthous stomatitis. Accordingly, patients suffering from recurrent aphthous stomatitis should be referred to a general doctor for evaluation.

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Section: влияние соматического статуса на возникновение хронического ...unclassified

Influence of Somatic Status on the Appearance of Recurrent Aphthosis Stomatitis

Komova,

Borisova,

Zheleznyak

et al. 2023

APPLIED

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Application of a computer program in the assessment of psychological parameters of patients with lichen planus of the oral mucosa

Vildanov

Герасимова²,

Чемикосова³

et al. 2022

Russian Journal of Dentistry

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BACKGROUND: The relevance of the study of oral lichen planus (OLP) does not raise doubts given the unclear etiological nature of this dermatitis, potential for malignancy, and difficulty in performing therapeutic measures. AIM: To assess the psychoemotional state of patients with various forms of OLP using a computer program (ConScale). MATERIAL AND METHODS: We examined 287 patients with a verified diagnosis of OLP. The average age of the patients was 47.89.0 years; men, 121 (42.1%); women, 166 (57.9%). RESULTS: Psychological parameters were assessed using ConScale according to the Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI). In comparison with the control group (n=32) of comparable age and sex according to BAI and BDI, significant differences were found in patients with erosive-ulcerative, exudative-hyperemic, and bullous forms of LP. A relationship was found between these clinical forms of OLP and psychological conditions such as anxiety and depression. CONCLUSION: The results indicate the need to include psychological testing of patients with OLP in the protocol for a comprehensive assessment of the patients condition and treatment with individually selected sedatives.

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A prospective analysis of the distribution of diseases of the oral mucosa in the “pre-covid” and COVID-19 periods

Kamishnikova,

Zaporozhskaya-Abramova,

Adamchik

et al. 2024

Stomatol. vseh

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Over the past decades, cases of diseases of the oral mucosa (MSM) and the red border of the lips (RLB) have become significantly more frequent, and the severity of the course of diseases has increased markedly. Some diseases of SOP are prone to relapses, their treatment is not always successful. These diseases often lead to serious complications, including malignant ones. The outbreak of COVID-19 coronavirus infection was also one of the reasons that influenced the increase in the volume and variety of manifestations of MSM diseases. The purpose. To study the structure of MSM diseases in the “pre-epidemic” period and against the background of the pandemic of the new coronavirus infection COVID-19. Material and methods. The research was conducted on the basis of the therapeutic and prophylactic department of the clinic of the Federal State Budgetary Institution of the Ministry of Health of the Russian Federation. As part of the consultation, 988 patients with various diseases of MSM were examined from 2018 to 2022. The most common nosological forms of MSM diseases were identified. The patients were divided into 2 groups: group 1 – patients examined during the “pre-covid” period and group 2 – patients examined during the COVID-19 pandemic. All patients underwent the generally accepted methods of examination in the clinic (collection of complaints, anamnesis, examination of the litter, palpation). According to the indications, the presence of galvanism phenomena in the mouth (in the presence of orthopedic structures) was determined, bacterioscopic examination was performed and, in some cases, mainly for differential diagnosis, cytological examination and examination of the mucous membrane in the rays of a Wood lamp. Results and discussion. Analyzing the data obtained, we concluded that the overall increase in the number of patients who applied for MSM diseases in 2020-2022 increased the number of young patients aged 20 to 35 years. In the structure of diseases, the number of patients with such diseases as lichen planus (RLP), desquamative glossitis and glossalgia has increased. In the structure of dental lesions, cases of combined pathology of MSM diseases have become more frequent. Conclusions. In the complex of diagnostic studies of patients with MSM disease on the background of a coronavirus infection, in addition to a standard examination, it is necessary to introduce a general clinical examination by specialists such as a gastroenterologist, immunologist, neurologist, psychotherapist, dermatologist and others. Based on the etiology and clinic of MSM diseases in this category of patients, in addition to the prescribed generally accepted treatment regimens, it is necessary to prescribe drugs with effects on the autonomic and central nervous systems, as well as drugs that restore the intestinal and oral microflora.

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Psychosomatic Aspects F Diseases of the Mucosa of the Oral Cavity

Cited by 3 publications

References 0 publications

Influence of Somatic Status on the Appearance of Recurrent Aphthosis Stomatitis

Influence of Somatic Status on the Appearance of Recurrent Aphthosis Stomatitis

Application of a computer program in the assessment of psychological parameters of patients with lichen planus of the oral mucosa

A prospective analysis of the distribution of diseases of the oral mucosa in the “pre-covid” and COVID-19 periods

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