Profilaxy of odontogenic inflammatory diseases of the oro-maxillo-facial region

One of the basic problems facing the dental surgery is the prevention and treatment of inflammatory diseases of oro-maxillo facial region. Cephalic extremity suppurations with odontogenic starting point is a category of diseases that can take various clinical aspects of a greater or lesser severity. Prevention is a system of government, social, hygienic and medical measures aimed at ensuring a high level of health and disease prevention. Depending on the extent to segments of the population and existing preventive measures, we identify three levels of prevention of dental diseases: • an individual; • collective; • mass.To achieve efficiency in preventing of inflammatory diseases of oro-maxillo-facial region, we need a thorough study of clinical cases among the ranks of the population. Studing of 637 medical records of patients in the department of oral-maxillo-facial surgery in Emergency Hospital, concluded that we need to pay attention to prevention of these diseases. If the pacient don’t treat in time the inflammatory process in can appeared dangerous complication like sepsis, mediastenite witch in most cases the pacient die. Making an effective prevention will lead to a considerable decrease in the incidence of complications. To study this compartment is very important for future specialist: making a correct preventive diagnosis, laboratory explorations, that section entitled patients, treatment and record the dynamics of patients after discharge. In conclusion we mention that the incidence of odontogenic inflammatory processes in Moldova is relatively larger, which requires us to make the most efficient prevention program

Provincializing Security: Materiality and Sensoriality

Security has come to embody a self-evident and much sought-after kind of good, and has come to colonise imaginaries, debates, policies, and large swathes of what social life means in various corners of the world. Echoing postcolonial calls for decentring that which is taken for granted, my essay seeks to provincialise security in three distinct ways. Drawing on my research on the securitisation of the Roma in Italy, first, I trace the transfor- mation of the term sicurezza from safety to security in a recent-historical perspective, showing how the notion morphed from bodily integrity to a much more blurred – though taken for granted – concept. Second, using a non-representational approach grounded in new materialism, I show that what hides beneath the ubiquitous talk of sicurezza surrounding the Roma nowadays are dimensions of materiality and sensoriality that construct insecurity in a relational and ever-shifting manner. Third, I privilege the perspective of the Roma in a decolonising move that questions their secur- itisation and the overall framing of Roma-related concerns as a security problem. Finally, I show the productivity of the topology framework in provincialising both security, and the western-centric theory production around it

General aspects of diagnosis of oral mucosal diseases of the patients with chronic viral hepatitis B and C

Department of Dental propedeutics Pavel Godoroja, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of MoldovaIntroduction. Some oral mucosal diseases appear as a result of immunodeficiency of the organism caused by systemic diseases. In recent years, it has been shown that chronic hepatitis B and C infection, in addition to causing liver disease, is also responsible for several extrahepatic manifestations and immune abnormalities. Chronic viral hepatitis B and C was found to be involved in the pathogenesis of some oral diseases. The diagnostic process includes some sequential steps to elucidate the cause itself and to provide an adequate plan of treatment. Aim of the study. To provide general aspects in diagnosis of oral mucosal diseases of the patients with chronic viral hepatitis B and C using the review from literature. Materials and methods. The dates found in five scientific articles from different countries were selected in this study. An overview from literature on the diagnosis data of the oral mucosal diseases of the patients with chronic viral hepatitis B and C was done. Results. The analyzis of the methods used to diagnose the oral mucosal diseases revealed the important role of knowing their etiology on establishing the correct treatment plan. Besides the clinical diagnostic, a big importance in diagnosis has the paraclinical examination, which includes: biopsy of the affected tissues, microbiological tests, radiological examinations, immunofluorescence tests. In addition to these examinations, the tests for chronic viral hepatitis B and C have to be done, such as: serologic examination (hepatic markers), molecular-biological and immunologic testes. Conclusions. According to the five scientific articles, the diagnosis of oral mucosal diseases of the patients with chronic viral hepatitis B and C involves four sequential steps: 1. obtaining of comprehensive overview of the patient’s local and general status; 2. evaluation of all the findings to correlate the chief sight of symptoms with the current history, 3. physical findings and medical history; 4. establishment of differential diagnosis

The incidence of oral mucosa diseases to the patients with chronic viral hepatitis

Actualitatea În activitatea zilnică profesională, medicul stomatolog este confruntat cu o largă paletă de afecţiuni ale cavităţii orale inclusiv şi cele care pot reflecta îmbolnăviri grave ale întregului organism. Printre acestea trebuie menţionate, în mod cert, cele legate de manifestările orale asociate hetatitelor virale, care, în ultima perioadă de timp, au devenit din ce în ce mai frecvente şi mai răspândite. Scopul este de a efectua o totalizare şi de a crea o viziune ce ţine de incidenţa maladiilor mucoasei bucale la pacienţii cu hepatite cronice virale pe plan mondial. Materiale si metode Au fost selectate şi studiate articole ştiinţifice internaţionale din mai multe ţări. S-a efectuat o reprezentare grafica a analizei statistice conform datelor selectate privind incidenţa afecţiunilor mucoasei bucale la pacienţii cu hepatite cronice virale. Rezultate In urma datelor selectate s-a constatat că afecţiunile mucoaselor bucale cel mai des se manifestă ca rezultatul reacţiei imune a organizmului in bolile sistemice. În Germania — 68,7% din pacienţii cu HCV (hepatita C) fiind diagnosticaţi cu lichen plan bucal. În Iran s-a efectuat un studiu mai amănunţit privind asocierea lichenului plan bucal cu HCV unde s-a constatat o prevalenţă nesemnificativă. În Japonia rezultatele arată o prevalenţă de 68% a pacienţilor cu lichen plan bucal si HCV. In Rusia fiind efectuat un studiu generalizat privind asocierea afecţiunilor mucoaselor bucale cu hepatitele cronice virale in 87,5% din cazuri. Concluzii Totuşi reieşind din faptul ultimilor date epidemiologice privind creşterea cazurilor de hepatite cronice virale şi lipsa unor studii in Republica Moldova care dovedesc corelaţiile cu alte maladii aşa cum sunt afecţiunile mucoasei cavităţii bucale aparute pe fundalul imudeficienţei acestor pacienţi, această problemă necesită să fie cercetată mai amănunţit pentru monitorizarea acestui grup de pacienţi.Actuality Every working day, the dentist meets a lot of oral cavity diseases including those which can be reflected as a result of systemic diseases. We should mention an important point of association of oral mucosa diseases with chronic viral hepatitis which frequency were increased last period of time. The aim of study is to create a vision about the incidence of oral mucosa diseases in correlation with chronic viral hepatitis in the world. Materials and methods In this study were selected the dates from the scientific articles from different countries. There were created the graphical presentation of statistical analyses of incidence of oral mucosa lesions to the patient with chronic viral hepatitis. Results According to the selected information we can mention that oral mucosa diseases appear as a result of immunodeficiency of the organism with systemic diseases. In Germany — 68,7% of the patients with viral hepatitis C manifest oral lichen planus (OLP). In Iran were made a deep study of association of OLP with chronic viral hepatitis C, the result of prevalence were not insignificant. The prevalence of 68% of the patient with OLP in association with chronic viral hepatitis C were identified in Japan. In Russia were made a general study of prevalence of association of oral mucosa diseases with chronic viral hepatitis being 87,5% of cases. Conclusions According to the last epidemiological dates which show the increasing of the cases of chronic viral hepatitis and absence of any studies in Republic of Moldova which confirm the correlation with oral mucosa diseases, this problem needs to be investigated deeply in order to be able to monitoring this group of patients

Carious experience in institutionalized children

Purpose: This paper aims at assessing dental caries indicators and dental treatment needs in institutionalized children. Material and methods: The clinical material of this paper is the investigation data of 203 institutionalized children. Group 1 represented 82 children aged 7-17 years with varying degrees of mental retardation institutionalized in auxiliary schools. The control group was formed of 121 healthy children institutionalized in boarding schools. Dental status was assessed against WHO criteria. Carious experience was evaluated by estimating the prevalence index (PI) of dental caries, dmft and DMFT indices. Results and discussions: Prevalence index of dental caries falls within 83.24 to 93.45%, and the intensity of caries varies from 3.98 to 5.17 for the COA index. The study found high dental caries indicators estimated in institutionalized children, especially children with mental retardation; it is obvious the need for minimal invasive treatment methods and the establishment of preventive programs that will help reduce damage by dental decay. Conclusions: Improving dental care for institutionalized children under current conditions in Moldova should be designed by targeting the prevention of major dental periodontal disorders

Fordyce granules in oral medicine

Department of Stomatological Propaedeutic, Pavel Godoroja, Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of Moldova, The 8th International Medical Congress for Students and Young Doctors, September 24-26, 2020Background. Fordyce granules are whitish-yellow ectopic sebaceous glands found within the oral mucosa that can occur on the edge of the lips or inside of the cheeks . They usually develop as isolated or symmetrically distributed ectopic sebaceous glands and tend to became obvious after puberty, however they might sometimes cluster together. They can be white, yellowishwhite, slightly raised papules on the buccal mucosa and vermilion of the upper lip. Case report. Clinical examination was carried out on 3 patients in order to identify Fordyce granules and determine the sites of predilection on the buccal mucosa. The patients did not undergo any treatment. The research findings have shown that these harmless spots can cause complaints due to their appearance but do not present any health risks. Conclusions. -Fordyce granules is a particular condition. -They are not infectious. -The normal character of Fordyce Granules do not cause any untoward effects

Treatment of dental fluorosis with mini–invasive techniques

Rezumat. În Republica Moldova, fluoroza reprezintă o problemă medico-socială majoră. Avem mai multe zone endemice, unde populaţia suferă de fluoroza dentară. Populaţia nu este informată referitor la această maladie, nu cunoaşte care sunt metodele de prevenire şi de tratament, suferind de probleme disfuncţionale, estetice şi de adaptare socială. Au fost studiate metodele miniinvazive de tratament a fluorozei dentare şi s-au aplicat în practică la pacienţi. S-a constatat că metodele miniinvazive de tratament sunt o soluţie bună în combaterea acestei patologii şi oferă pacienţilor o adaptare mai bună în societate.Summary. In the Republic of Moldova, fluorosis is a major medical and social problem. We have several endemic areas, where the population suffers from dental fluorosis. The population is not informed about this disease, does not know what are the methods of prevention and treatment, suffering from dysfunctional, aesthetic and social adaptation problems. Minimally invasive methods of treating dental fluorosis have been studied and applied in practice to patients. It has been found that minimally invasive treatment methods are a good solution in combating this pathology and offer patients a better adaptation in society

Diagnosticul și tratamentul cariei dentare medii la dinţii permanenţi

Introduction. The average tooth decay in the permanent teeth has been detected more and more frequently lately. This argument requires dentists to a rational treatment tactic, taking into account the morphological and structural features of teeth with medium forms of tooth decay. Purpose. Early diagnosis and timely treatment of average forms of dental caries in permanent teeth with dynamic assessment of patients and determination of the effectiveness of the proposed treatment. Material and methods. The study was conducted on a group of 30 patients, of both genders, aged 17-60 years who were complained with sensitivity of their teeth to the consumption of hot, cold, sweet food, as well as acidic foods. Patients were diagnosed and treated in a single visit with the placement of the light-curable composite fillings. Results. The obtained results showed a positive outcome and a success rate of 97% in the dynamics of patients treated with light-curable composite aesthetic fillings. The treatment performed on permanent teeth with medium dental caries allowed the exclusion of cases of marginal secondary caries in the study group. Conclusions. Regular dental check-ups, early diagnosis of tooth decay and proper treatment can be successful in stopping the carious lesions and in preventing the complications of tooth decay

Diagnosticul și tratamentul cariei dentare medii la dinții permanenți

Background. The average tooth decay in the permanent teeth has been detected more and more frequently lately. This argument requires dentists to a rational treatment tactic, taking into account the morphological and structural features of teeth with medium forms of tooth decay. Objective of the study. Early diagnosis and timely treatment of average forms of dental caries in permanent teeth with dynamic assessment of patients and determination of the effectiveness of the proposed treatment. Material and Methods. The study was conducted on a group of 30 patients, of both genders, aged 17-60 years who were complained with sensitivity of their teeth to the consumption of hot, cold, sweet food, as well as acidic foods. Patients were diagnosed and treated in a single visit with the placement of the light-curable composite fillings. Results. The obtained results showed a positive outcome and a success rate of 97% in the dynamics of patients treated with light-curable composite aesthetic fillings. The treatment performed on permanent teeth with medium dental caries allowed the exclusion of cases of marginal secondary caries in the study group. Conclusion. Regular dental check-ups, early diagnosis of tooth decay and proper treatment can be successful in stopping the carious lesions and in preventing the complications of tooth decay.Introducere. Caria dentară medie în dinții permanenți se depistează tot mai frecvent în ultimul timp. Acest argument impune medicii stomatologi către o tactică rațională de tratament, ținându-se cont de particularitățile morfologice și structurale ale dinților cu forme medii de caria dentara. Scopul lucrării. Diagnostic precoce și tratament oportun a formelor medii de carie dentară la dinții permanenți cu evaluarea în dinamică a pacienților și determinarea eficienței tratamentului propus. Material și metode. Studiul a fost realizat pe un lot de 30 de pacienți, de ambele genuri, cu o vârstă cuprinsă între 17-60 de ani care s-au adresat cu acuzele de sensibilitate a dinților la consumul de alimente calde, reci, dulci, cât și la produsele alimentare acide. Pacienții au fost diagnosticați și tratați într-o singură vizită cu plasarea obturației din compozit fotopolimerizabil. Rezultate. Rezultatele obținute au arătat în evidență un rezultat pozitiv si o rată de succes de 97% în dinamică a pacienților tratați cu obturații estetice din compozit fotopolimerizabil. Tratamentul efectuat al dinților permanenți cu carie dentară medie a permis excluderea cazurilor de apariție a cariei secundare marginale în lotul de studiu. Concluzii. Controlul stomatologic periodic al pacienților, diagnosticul timpuriu al cariei dentare și tratamentul corect efectuat poate avea un succes în stoparea leziunii carioase și prevenirea complicaților cariei dentare