34 research outputs found
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