28 research outputs found
ΠΠΌΠΏΠ°ΠΊΡΠΈΡΠ° Π½Π° ΠΏΠΎΠ²Π΅ΡΠ΅ Π·Π°Π±ΠΈ Π±Π΅Π· ΠΏΡΠΈΡΡΡΡΠ²ΠΎ Π½Π° ΡΠΈΠ½Π΄ΡΠΎΠΌ - ΠΏΡΠΈΠΊΠ°Π· Π½Π° ΡΠ»ΡΡΠ°Ρ
Tooth eruption is Π° continuous process by which developing teeth move through the soft tissue, oral epithelium, jaw bones and overlying mucosa, to emerge in the oral cavity, contact the teeth of the opposing dental arch, and enable teeth functional position in mastication. Abnormal tissue interactions during tooth development may be potentially revealed as ectopic tooth development, ectopic eruption or tooth impaction. In human dentition, permanent tooth impaction is relatively common. Impaction of the first permanent molar is an uncommon condition and few cases are reported in the literature. It is essential to diagnose and treat the impacted permanent molars as early as possible because treatment at a later stage is usually more complicated due to the tendency of malocclusion to increase with time. We report a case with impaction of the maxillary first permanent molar and impaction of all, maxillary and mandibular permanent second molars. This condition compromise masticatory function. Unilateral mastication also compromises the function of temporomandibular joint. The aim of this case-report was to present orthodontic treatment with Schwartz removable appliance in a patient with maxillary left-side impaction of the second premolar, first molar and second molar. The goal of the first phase was positioning the maxillary first molar into the dental arch with good bone and periodontal support. The surgical intervention, operculectomy, was done and the orthodontic treatment started by traction of the first molar with elastic ligature attached from the bonded bracket to the mobile appliance. One month later the tooth movement was obvious.ΠΡΡΠΏΡΠΈΡΠ°ΡΠ° Π½Π° Π·Π°Π±ΠΈΡΠ΅ Π΅ ΠΊΠΎΠ½ΡΠΈΠ½ΡΠΈΡΠ°Π½ ΠΏΡΠΎΡΠ΅Ρ ΡΠΎ ΠΊΠΎΡ Π·Π°Π±ΠΈΡΠ΅ Π²ΠΎ ΡΠ°Π·Π²ΠΎΡ ΡΠ΅ Π΄Π²ΠΈΠΆΠ°Ρ Π½ΠΈΠ· ΠΌΠ΅ΠΊΠΎΡΠΎ ΡΠΊΠΈΠ²ΠΎ, ΠΎΡΠ°Π»Π½ΠΈΠΎΡ Π΅ΠΏΠΈΡΠ΅Π», ΠΊΠΎΡΠΊΠΈΡΠ΅ Π½Π° Π²ΠΈΠ»ΠΈΡΠΈΡΠ΅ ΠΈ ΡΠ»ΡΠ·Π½ΠΈΡΠ°ΡΠ° ΡΡΠΎ Π³ΠΈ ΠΏΠΎΠΊΡΠΈΠ²Π°, Π·Π° Π΄Π° ΠΈΠ·Π»Π΅Π·Π°Ρ Π²ΠΎ ΡΡΠ½Π°ΡΠ° ΡΡΠΏΠ»ΠΈΠ½Π°, Π΄Π° Π΄ΠΎΡΠ΄Π°Ρ Π²ΠΎ ΠΊΠΎΠ½ΡΠ°ΠΊΡ ΡΠΎ Π·Π°Π±ΠΈΡΠ΅ ΠΎΠ΄ ΡΠΏΡΠΎΡΠΈΠ²Π½ΠΈΠΎΡ Π·Π°Π±Π΅Π½ Π»Π°ΠΊ ΠΈ Π΄Π° ΡΠ° ΠΎΠ²ΠΎΠ·ΠΌΠΎΠΆΠ°Ρ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»Π½Π°ΡΠ° ΠΏΠΎΠ»ΠΎΠΆΠ±Π° Π½Π° Π·Π°Π±ΠΈΡΠ΅ ΠΏΡΠΈ ΡΠ²Π°ΠΊΠ°ΡΠ΅. ΠΠ±Π½ΠΎΡΠΌΠ°Π»Π½ΠΈΡΠ΅ ΡΠΊΠΈΠ²Π½ΠΈ ΠΈΠ½ΡΠ΅ΡΠ°ΠΊΡΠΈΠΈ Π·Π° Π²ΡΠ΅ΠΌΠ΅ Π½Π° ΡΠ°Π·Π²ΠΎΡΠΎΡ Π½Π° Π·Π°Π±ΠΈΡΠ΅ ΠΏΠΎΡΠ΅Π½ΡΠΈΡΠ°Π»Π½ΠΎ ΠΌΠΎΠΆΠ΅ Π΄Π° ΡΠ΅ ΠΎΡΠΊΡΠΈΡΠ°Ρ ΠΊΠ°ΠΊΠΎ Π΅ΠΊΡΠΎΠΏΠΈΡΠ΅Π½ ΡΠ°Π·Π²ΠΎΡ Π½Π° Π·Π°Π±ΠΈΡΠ΅, Π΅ΠΊΡΠΎΠΏΠΈΡΠ½Π° Π΅ΡΡΠΏΡΠΈΡΠ° ΠΈΠ»ΠΈ ΠΈΠΌΠΏΠ°ΠΊΡΠΈΡΠ° Π½Π° Π·Π°Π±ΠΈΡΠ΅. ΠΠ°Ρ ΡΠΎΠ²Π΅ΡΠΊΠΎΡΠΎ Π·Π°Π±Π°Π»ΠΎ, ΠΈΠΌΠΏΠ°ΠΊΡΠΈΡΠ° Π½Π° ΡΡΠ°Π΅Π½ Π·Π°Π± Π΅ ΡΠ΅Π»Π°ΡΠΈΠ²Π½ΠΎ ΡΠ΅ΡΡΠ° ΠΏΠΎΡΠ°Π²Π°. ΠΠΌΠΏΠ°ΠΊΡΠΈΡΠ° Π½Π° ΠΏΡΠ²ΠΈΠΎΡ ΡΡΠ°Π΅Π½ ΠΌΠΎΠ»Π°Ρ Π΅ Π½Π΅Π²ΠΎΠΎΠ±ΠΈΡΠ°Π΅Π½Π° ΠΏΠΎΡΠ°Π²Π° ΠΈ ΡΠ°ΠΌΠΎ Π½Π΅ΠΊΠΎΠ»ΠΊΡ ΡΠ»ΡΡΠ°ΠΈ ΡΠ΅ ΠΏΡΠΈΡΠ°Π²Π΅Π½ΠΈ Π²ΠΎ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΠ°ΡΠ°. ΠΠΌΠΏΠ°ΠΊΡΠΈΡΠ°Π½ΠΈ ΡΡΠ°ΡΠ½ΠΈ ΠΊΠ°ΡΠ½ΠΈΡΠΈ Π½Π΅ΠΎΠΏΡ
ΠΎΠ΄Π½ΠΎ Π΅ Π΄Π° ΡΠ΅ Π΄ΠΈΡΠ°Π³Π½ΠΎΡΡΠΈΡΠΈΡΠ°Π°Ρ Π²ΠΎ ΡΠ°Π½Π° ΡΠ°Π·Π° ΠΈ Π΄Π° ΡΠ΅ ΡΡΠ΅ΡΠΈΡΠ°Π°Ρ ΡΡΠΎ Π΅ ΠΌΠΎΠΆΠ½ΠΎ ΠΏΠΎΡΠ°Π½ΠΎ, Π±ΠΈΠ΄Π΅ΡΡΠΈ ΡΡΠ΅ΡΠΌΠ°Π½ΠΎΡ Π²ΠΎ ΠΏΠΎΠ΄ΠΎΡΠ½Π΅ΠΆΠ½Π°ΡΠ° ΡΠ°Π·Π° Π΅ ΠΎΠ±ΠΈΡΠ½ΠΎ ΠΏΠΎΠΊΠΎΠΌΠΏΠ»ΠΈΡΠΈΡΠ°Π½ ΠΏΠΎΡΠ°Π΄ΠΈ ΡΠ΅Π½Π΄Π΅Π½ΡΠΈΡΠ°ΡΠ° Π΄Π° ΡΠ΅ Π·Π³ΠΎΠ»Π΅ΠΌΠΈ ΠΌΠΎΠΆΠ½ΠΎΡΡΠ° Π·Π° ΡΠ°Π·Π²ΠΎΡ Π½Π° Π΄Π΅Π½ΡΠ°Π»Π½Π° ΠΌΠ°Π»ΠΎΠΊΠ»ΡΠ·ΠΈΡΠ° ΡΠΎ ΡΠ΅ΠΊΠΎΡ Π½Π° Π²ΡΠ΅ΠΌΠ΅ΡΠΎ. ΠΠΎ ΠΎΠ²ΠΎΡ ΠΏΡΠΈΠΊΠ°Π· Π½Π° ΡΠ»ΡΡΠ°Ρ ΡΡΠ°Π½ΡΠ²Π° Π·Π±ΠΎΡ Π·Π° ΠΈΠΌΠΏΠ°ΠΊΡΠΈΡΠ° Π½Π° ΠΏΡΠ²ΠΈΠΎΡ ΠΌΠ°ΠΊΡΠΈΠ»Π°ΡΠ΅Π½ ΡΡΠ°Π΅Π½ ΠΌΠΎΠ»Π°Ρ ΠΈ ΠΈΠΌΠΏΠ°ΠΊΡΠΈΡΠ° Π½Π° ΡΠΈΡΠ΅, ΠΌΠ°ΠΊΡΠΈΠ»Π°ΡΠ½ΠΈΡΠ΅ ΠΈ ΠΌΠ°Π½Π΄ΠΈΠ±ΡΠ»Π°ΡΠ½ΠΈΡΠ΅ ΡΡΠ°ΡΠ½ΠΈ Π²ΡΠΎΡΠΈ ΠΌΠΎΠ»Π°ΡΠΈ. ΠΠ²Π°Π° ΡΠΎΡΡΠΎΡΠ±Π° ΡΠ° ΠΎΠ½Π΅Π²ΠΎΠ·ΠΌΠΎΠΆΡΠ²Π° ΡΠ²Π°ΠΊΠ°Π»Π½Π°ΡΠ° ΡΡΠ½ΠΊΡΠΈΡΠ° Π½Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΡ. ΠΠ΄Π½ΠΎΡΡΡΠ°Π½Π°ΡΠ° ΠΌΠ°ΡΡΠΈΠΊΠ°ΡΠΈΡΠ° ΠΈΡΡΠΎ ΡΠ°ΠΊΠ° Π²Π»ΠΈΡΠ°Π΅ Π½Π΅Π³Π°ΡΠΈΠ²Π½ΠΎ ΠΈ Π½Π° ΡΠ΅ΠΌΠΏΠΎΡΠΎΠΌΠ°Π½Π΄ΠΈΠ±ΡΠ»Π°ΡΠ½ΠΈΠΎΡ Π·Π³Π»ΠΎΠ±. Π¦Π΅Π»ΡΠ° Π½Π° ΠΎΠ²ΠΎΡ ΠΏΡΠΈΠΊΠ°Π· Π½Π° ΡΠ»ΡΡΠ°Ρ Π±Π΅ΡΠ΅ Π΄Π° ΡΠ΅ ΠΏΡΠ΅ΡΡΡΠ°Π²ΠΈ ΠΎΡΡΠΎΠ΄ΠΎΠ½ΡΠΊΠΈ ΡΡΠ΅ΡΠΌΠ°Π½ ΡΠΎ ΠΌΠΎΠ±ΠΈΠ»Π΅Π½ Π°ΠΏΠ°ΡΠ°Ρ ΡΠΏΠΎΡΠ΅Π΄ Π¨Π²Π°ΡΡ ΠΊΠ°Ρ ΠΏΠ°ΡΠΈΠ΅Π½Ρ ΡΠΎ Π΅Π΄Π½ΠΎΡΡΡΠ°Π½Π° ΠΌΠ°ΠΊΡΠΈΠ»Π°ΡΠ½Π° ΠΈΠΌΠΏΠ°ΠΊΡΠΈΡΠ° Π½Π° Π»Π΅Π² Π²ΡΠΎΡ ΠΏΡΠ΅ΠΌΠΎΠ»Π°Ρ, ΠΏΡΠ²ΠΈΠΎΡ ΠΌΠΎΠ»Π°Ρ ΠΈ Π²ΡΠΎΡΠΈΠΎΡ ΠΌΠΎΠ»Π°Ρ. Π¦Π΅Π»ΡΠ° Π½Π° ΠΏΡΠ²Π°ΡΠ° ΡΠ°Π·Π° Π±Π΅ΡΠ΅ ΠΏΠΎΠ·ΠΈΡΠΈΠΎΠ½ΠΈΡΠ°ΡΠ΅ Π½Π° ΠΌΠ°ΠΊΡΠΈΠ»Π°ΡΠ½ΠΈΠΎΡ ΠΏΡΠ² ΠΌΠΎΠ»Π°Ρ Π²ΠΎ Π·Π°Π±Π½ΠΈΠΎΡ Π»Π°ΠΊ ΡΠΎ Π΄ΠΎΠ±ΡΠ° ΠΊΠΎΡΠΊΠ΅Π½Π° ΠΈ ΠΏΠ°ΡΠΎΠ΄ΠΎΠ½ΡΠ°Π»Π½Π° ΠΏΠΎΠ΄ΡΡΠΊΠ°. ΠΠ΅ΡΠ΅ Π½Π°ΠΏΡΠ°Π²Π΅Π½Π° Ρ
ΠΈΡΡΡΡΠΊΠ° ΠΈΠ½ΡΠ΅ΡΠ²Π΅Π½ΡΠΈΡΠ°, ΠΎΠΏΠ΅ΡΠΊΡΠ»Π΅ΠΊΡΠΎΠΌΠΈΡΠ°, ΠΈ ΠΎΡΡΠΎΠ΄ΠΎΠ½ΡΠΊΠΈΠΎΡ ΡΡΠ΅ΡΠΌΠ°Π½ Π·Π°ΠΏΠΎΡΠ½Π° ΡΠΎ Π²Π»Π΅ΡΠ΅ΡΠ΅ Π½Π° ΠΏΡΠ²ΠΈΠΎΡ ΠΌΠΎΠ»Π°Ρ Π½Π° ΠΊΠΎΡ Π±Π΅ΡΠ΅ ΠΏΠΎΡΡΠ°Π²Π΅Π½ ΡΡΠ°Π½Π΄Π°ΡΠ΄Π΅Π½ Π±ΡΠ΅ΠΊΠ΅Ρ ΡΠΎ Π΅Π»Π°ΡΡΠΈΡΠ½Π° Π»ΠΈΠ³Π°ΡΡΡΠ° ΠΏΡΠΈΠΊΠ°ΡΠ΅Π½Π° Π½Π° ΠΌΠΎΠ±ΠΈΠ»Π½ΠΈΠΎΡ Π°ΠΏΠ°ΡΠ°Ρ. ΠΠ΄Π΅Π½ ΠΌΠ΅ΡΠ΅Ρ ΠΏΠΎΠ΄ΠΎΡΠ½Π° Π΄Π²ΠΈΠΆΠ΅ΡΠ΅ΡΠΎ Π½Π° Π·Π°Π±ΠΎΡ Π±Π΅ΡΠ΅ ΠΎΡΠΈΠ³Π»Π΅Π΄Π½ΠΎ. 
Full-arch fixed overdenture in lower jaw - immediate solution for efficient mastication
Complete anodontia and alveolar ridge resorption are responsible for lack of retention and stabilization of conventional acrylic lower denture.
Hybrid prostheses on 4 implants placed immediately in the first 7 days is therapeutic solution which allows patients better chewing and increased effective masticatory force.
Aim: The study aims to assess the functional and subjective treatment outcomes of full-arch fixed overdenture hybrid rehabilitation.
Material and Methods: 60 patients with hybrid prostheses over 4 implants were included in the study. The measurement of the masticatory force was done in the chewing center in the projection of the distally placed implant. Electro-gnathic-dynamometer measured the force of the muscle elevator and depressor of the mandible. Sensor was placed in plastic bite templates and the force value was registered three times.
Results: The mean masticatory forces measured in the chewing center before implants and overdenture were 95.7 N. One month later with the prosthesis the value was increased to 185.6 N and after 18 months 186.2 N.
Conclusion: There is significant increase in masticatory force in area of ββthe distal implant. This is indicating increased resistance to load and higher efficiency of the chewing process after the treatment.
Keywords: overdenture, full-arch, hybrid prosthesi
SARS-CoV-2 Infection: General Characteristics and Specific in Dental Practice
The transmission of the coronavirus and possible routes of infection are still unclear. The most common routes of infection in humans are direct transmission through respiratory droplets and salivΠ° when coughing or sneezing and indirect transmission through contaminated surfaces. Most of the infected people after the incubation period have clinical manifestations with mild or moderate respiratory tract infections (RTIs). Physician of dental medicine performs aerosol procedures which transmit the virus directly from healthy people. Oral fluids, blood, conjunctiva, nasal, and oral mucosa are also a source of infection, so they are highly exposed to the virus, much more than other medical staff and therefore it is crucial to establish appropriate protocols and prevention strategies. Under conditions of a declared global pandemic, dentists are advised to stop their work of all cases that are not urgent. If the dental office is one of those that provide the necessary and urgent medical attention, it is necessary to strictly implement control measures to prevent infection. The basic protocols for the operation of the dental offices have been published by the Dental Chamber of Macedonia and they are recommendations regarding the procedures for the maintenance of the hygiene of the medical staff and the working space. Recent experience has shown that dental health-care services are often neglected and inadequately treated in epidemics. Dental workers are particularly exposed to RTIs due to their specific field and mode of operation, so the current experience will prepare them for future challenges.
 
Implant-prosthetic therapy failure in smoker and nonsmoker patients
Introduction: Implant-prosthetic therapy has predictable success, and the complications are associated with a lot of factors. Smoking cigarettes is reason for different oral diseases, bone loss, loss of soft tissue and teeth, appearance of periimplantitis and implant loss. The corellation of smoking and implant-prosthetic therapy failure was examined in the clinical study.
Materials and method: Fifty patients with FDP on 61 implants in frontal and molar region were investigated. They were divided in two groups: smokers and nonsmokers. Thirty four patients were smokers, and sixteen didnβt smoke cigarettes in the last two years. Criteria data for the success of the therapy were mobility of the implant, pain, peri-implant bone loss higher than 1.5 mm, absence of technical complications and function and aesthetics appeal. Control checkups were made after six months, one and two years. Patients had questionnaires, clinical examination and X-ray.
Results: There is a statistically significant difference between smokers and nonsmokers in the failure rates of dental implants. During first year 0,5 mm of bone was lost around eleven implants, and 0,05 mm next years.Total seven implants failed, five in smoker group at the beginning of the first year, and 2 in nonsmoker group during second year.
Conclusion: Results showed that smoking habit can increase the risk of early implants loss two times more often in smokers. For some complications like periimplantitis, local factors have greater influence. Smoking does not increase the risk of late implant loss, but the implants at patients with smoking habit, in correlation with several different local risk factors, is contraindicated. Early complications are results of smoking, while quality and quantity of surrounding bone are responsible for late complications.The results from the investigation, also give informations for proper treatment planning, and patient education for quiting their harmfull habit.
Keywords
Implants, therapy failure, smoking, periimplantitis
Prosthodontics Status and Treatment Needs among the Elderly in the Republic of Macedonia
BACKGROUND: Oral health care management among the elderly differs from the rest of the population, due to some specific physiological changes and general health status related to age. We know very little about the oral health in elderly in the Republic of Macedonia, because there are only a few articles published about dental health status and edentulism of this population.AIM: The study aimed to evaluate the prosthodontic status of older adults over 65 years in the Republic of Macedonia, about their socio-economic status and individual factors.MATERIAL AND METHODS: A cross-sectional study was conducted in 8 regions, in rural and urban areas of Macedonia and a representative sample of 432 people (age > 65 years) was examined. Statistical analyses of the data were made by chi-square tests and the corresponding C-coefficient.RESULTS: Only 6% of all participants had not any prosthetic appliance, 9.5% had more than one bridge, 28.7% of examinees had partial dentures, both bridge(s) and partial denture(s) had 10.7% participants, and 45.1% of examinees were toothless. There was a significant difference between patients who visited the dentist more than once a year and those who did not (c2 = 14.2; df = 4, p < 0.01). From all of the participants, 40.3% used public dental care organisations.CONCLUSIONS: We found a high prevalence of edentulousness among older adults over 65 years in Macedonia. The study confirmed the necessity for establishing healthcare educational programs for the dental treatment of elderly in Macedonia
Treatment planning for effective and efficient correction of Class II malocclusion
Objective: The approach of treatment of Class II malocclusion correction depends on several factors such as: the status and pattern of growth, severity of the malocclusion and patient's cooperation. Because of the wide variation found in Class II malocclusions, many different diagnostic decisions weather to extract or not to extract, must be made and treatment mechanics must, of necessity, differ as well. This case reports describe the common diagnostic decisions and the different biomechanics regarding the teeth extractions in patients with Class II
malocclusion as well as regarding the dimensions of denture: the anterior limit, the lateral and the vertical limit in patients with different skeletal pattern.
Case: The treatment of a Class II malocclusion in case 1 hyperdivergent patient, required extraction of maxillary first premolars to correct the increased overjet, proclined upper incisors, convex profile and skeletal Class II. Case 2 patient with hypodivergent skeletal pattern was treated with camouphlage treatment with maxillary premolar extraction for correction of the jaw relation, retracting the teeth in the extraction space and maintaining the lower incisors position, achieving Angle Class I in the canine region and Angle Class II in the molar region. Case 3 with normal pattern of growth was treated with second maxillary premolars extraction. Due to the fact that the patients were adults, treatment plan could not have included headgears and functional appliances for Class II correction. In all three cases we did not flare the mandibular incisors in order to level the Curve of Spee or to eliminate crowding, due to the fact that their position is very critical.
Conclusion: The results included harmonic occlusal relationships with adequate positioning of the teeth in their bony bases and correction of skeletal disharmonies. We can conclude that accurate diagnosis and treatment planning following orthodontic extraction guidelines lead to a long-term stability. Any decision regarding the need for extraction of teeth during orthodontic therapy is not only dependent on the presence or absence of space in the dental arches. Other issues should be evaluated in order to achieve proper malocclusion correction, maintenance or improvement of facial aesthetics and result stability. It is necessary to develop individualized treatment plan with complete evaluation of patientβs dental, facial and skeletal patterns to offer a correct diagnosis and proper treatment plan. We should respect the basic orthodontic principles of treatment planning and do not exceed the biological limitations according to the natural equilibrium.
Keywords: Class II malocclusion, Treatment planning, Treatment mechanics, Extraction
ΠΠΊΠ»ΡΠ·Π°Π»Π½ΠΈ ΡΠΏΠ»ΠΈΠ½ΡΠΎΠ²ΠΈ ΠΏΡΠΈ ΠΎΡΡΠΎΠ΄ΠΎΠ½ΡΡΠΊΠΈ ΡΡΠ΅ΡΠΌΠ°Π½ ΠΊΠ°Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ ΡΠΎ Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΡΠ° Π½Π° ΡΠ΅ΠΌΠΏΠΎΡΠΎΠΌΠ°Π½Π΄ΠΈΠ±ΡΠ»Π°ΡΠ΅Π½ Π·Π³Π»ΠΎΠ±
ΠΠΎΠ²Π΅Π΄: ΠΠΈΡΡΡΠ½ΠΊΡΠΈΡΠ°ΡΠ° Π½Π° ΡΠ΅ΠΌΠΏΠΎΡΠΎΠΌΠ°Π½Π΄ΠΈΠ±ΡΠ»Π°ΡΠ½ΠΈΠΎΡ Π·Π³Π»ΠΎΠ±(Π’ΠΠ) ΠΈΠΌΠ° ΠΌΡΠ»ΡΠΈΡΠ°ΠΊΡΠΎΡΠΈΡΠ°Π»Π½Π° Π΅ΡΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ° ΠΈ Π²ΠΎΠΎΠ±ΠΈΡΠ°Π΅Π½ΠΎ Π΅ ΠΏΡΠΈΠ΄ΡΡΠΆΠ΅Π½Π° ΡΠΎ Π½ΠΈΠ·Π° Π½Π° ΡΠΈΠΌΠΏΡΠΎΠΌΠΈ ΠΊΠ°ΠΊΠΎ ΡΡΠΎ ΡΠ΅: ΠΏΠΎΡΡΠΎΠ΅ΡΠ΅ Π½Π° Π·Π²ΡΡΠ½ΠΈ ΠΌΠ°Π½ΠΈΡΠ΅ΡΡΠ°ΡΠΈΠΈ(ΠΊΡΠ΅ΠΏΠΈΡΠ°ΡΠΈΠΈ), ΠΌΠΈΠΎΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»Π½Π° Π±ΠΎΠ»ΠΊΠ°, Ρ
ΠΈΠΏΠ΅ΡΠΌΠΎΠ±ΠΈΠ»Π½ΠΎΡΡ Π½Π° Π·Π³Π»ΠΎΠ±ΠΎΡ, ΡΠ΅ΡΡΡΠΈΠΊΡΠΈΠ²Π½ΠΎ ΠΎΡΠ²ΠΎΡΠ°ΡΠ΅ Π½Π° ΡΡΡΠ°ΡΠ° ΠΈ Ρ.Π½. ΠΠΎΡΡΠΎΡΠ°Ρ ΡΠ°Π·Π»ΠΈΡΠ½ΠΈ ΡΠ΅ΡΠ°ΠΏΠΈΡΠΊΠΈ ΠΏΠΎΡΡΠ°ΠΏΠΊΠΈ Π·Π° ΠΌΠ΅Π½Π°ΡΠΈΡΠ°ΡΠ΅ Π½Π° ΠΎΠ²ΠΈΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ. ΠΠΊΠ»ΡΠ·Π°Π»Π½ΠΈΡΠ΅ ΡΠΏΠ»ΠΈΠ½ΡΠΎΠ²ΠΈ ΠΏΡΠ΅ΡΡΡΠ°Π²ΡΠ²Π°Π°Ρ ΠΏΡΠ²Π° Π»ΠΈΠ½ΠΈΡΠ° Π²ΠΎ ΡΡΡΠ°ΡΠ΅Π³ΠΈΡΠ°ΡΠ° Π½Π° ΠΎΡΡΠΎΠ΄ΠΎΠ½ΡΡΠΊΠΈΠΎΡ ΡΡΠ΅ΡΠΌΠ°Π½ Π½Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈΡΠ΅ ΡΠΎ Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΡΠ° Π½Π° Π’ΠΠ.
Π¦Π΅Π»: Π¦Π΅Π»ΡΠ° Π½Π° ΠΎΠ²ΠΎΡ ΡΡΡΠ΄ Π΅ Π΄Π° ΡΠ° ΠΏΡΠΈΠΊΠ°ΠΆΠ΅ΠΌΠ΅ Π΅ΡΠΈΠΊΠ°ΡΠ½ΠΎΡΡΠ° ΠΎΠ΄ ΡΠΏΠΎΡΡΠ΅Π±Π°ΡΠ° Π½Π° ΠΎΠΊΠ»ΡΠ·Π°Π»Π½ΠΈ ΡΠΏΠ»ΠΈΠ½ΡΠΎΠ²ΠΈ Π²ΠΎ ΠΌΠ΅Π½Π°ΡΠΈΡΠ°ΡΠ΅ Π½Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ ΡΠΎ Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΡΠ° Π½Π° Π’ΠΠ, ΠΏΡΠ΅ΠΊΡ ΡΠ΅ΠΏΠΎΠ·ΠΈΡΠΈΠΎΠ½ΠΈΡΠ°ΡΠ΅ Π½Π° ΠΌΠ°Π½Π΄ΠΈΠ±ΡΠ»Π°ΡΠ° Π²ΠΎ ΡΠ΅Π½ΡΡΠ°Π»Π½Π° ΡΠ΅Π»Π°ΡΠΈΡΠ°, ΠΏΡΠ΅Π΄ Π·Π°ΠΏΠΎΡΠ½ΡΠ²Π°ΡΠ΅ Π½Π° ΠΎΡΡΠΎΠ΄ΠΎΠ½ΡΡΠΊΠ°ΡΠ° ΡΠ΅ΡΠ°ΠΏΠΈΡΠ° ΡΠΎ ΡΠΈΠΊΡΠ½ΠΈ ΠΎΡΡΠΎΠ΄ΠΎΠ½ΡΡΠΊΠΈ Π°ΠΏΠ°ΡΠ°ΡΠΈ.β―
ΠΠ°ΡΠ΅ΡΠΈΡΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄: ΠΠ°Ρ Π°Π΄ΡΠ»ΡΠ΅Π½ ΠΏΠ°ΡΠΈΠ΅Π½Ρ ΡΠΎ Π΄Π»Π°Π±ΠΎΠΊ Π·Π°Π³ΡΠΈΠ·, Π΄ΠΈΡΡΠΎΠΎΠΊΠ»ΡΠ·ΠΈΡΠ°, ΠΎΠΊΠ»ΡΠ·Π°Π»Π΅Π½ ΠΊΠ°Π½Ρ ΠΈ Π»Π°ΡΠ΅ΡΠΎΠ³Π½Π°ΡΠΈΡΠ°, ΡΠΎ ΠΏΡΠΈΡΡΡΡΠ²ΠΎ Π½Π° ΠΊΡΠ΅ΠΏΠΈΡΠ°ΡΠΈΠΈ ΠΈ ΡΡΠ±Π»ΡΠΊΡΠ°ΡΠΈΡΠ° Π½Π° Π’ΠΠ, ΡΠΎ Π³Π»Π°Π²Π½Π° ΠΏΠΎΠΏΠ»Π°ΠΊΠ° Π·Π° ΠΈΡΡΠΎΡΠΈΡΠ° Π½Π° Π³Π»Π°Π²ΠΎΠ±ΠΎΠ»ΠΊΠΈ, Π±ΠΎΠ»ΠΊΠ° Π²ΠΎ ΡΠ΅Π³ΠΈΡΠ°ΡΠ° Π½Π° Π’ΠΠ ΠΊΠΎΡΠ° ΠΈΡΠ°Π΄ΠΈΡΠ° Π²ΠΎ ΠΏΡΠ΅Π΄Π΅Π»ΠΎΡ Π½Π° Π²ΡΠ°ΡΠΎΡ ΠΈ Ρ
ΠΈΠΏΠ΅ΡΡΡΠΎΡΠΈΡΠ° Π½Π° Π»Π΅Π²ΠΈΠΎΡ ΠΌΠ°ΡΠ΅ΡΠ΅ΡΠΈΡΠ΅Π½ ΠΌΡΡΠΊΡΠ» Π΅ΠΊΡΡΡΠ°ΠΎΡΠ°Π»Π½ΠΎ, ΠΈΠ·Π²ΡΡΠΈΠ²ΠΌΠ΅ ΠΊΠΎΠΌΠΏΠ»Π΅ΡΠ΅Π½ ΠΊΠ»ΠΈΠ½ΠΈΡΠΊΠΈ ΠΏΡΠ΅Π³Π»Π΅Π΄, Π°Π½Π°Π»ΠΈΠ·Π° Π½Π° ΡΠ΅Π½ΡΠ³Π΅Π½ ΠΎΡΡΠΎΠΏΠ°Π½ΡΠΎΠΌΠΎΠ³ΡΠ°ΡΡΠΊΠ° ΡΠ½ΠΈΠΌΠΊΠ°, Π°Π½ΡΠ΅ΡΠΎ-ΠΏΠΎΡΡΠ΅ΡΠΈΠΎΡΠ½Π° ΡΠ΅ΡΠ°Π»ΠΎΠΌΠ΅ΡΡΠΈΡΠΊΠ° Π°Π½Π°Π»ΠΈΠ·Π° ΠΈ Π°Π½Π°Π»ΠΈΠ·Π° Π½Π° ΡΡΡΠ΄ΠΈΠΎ ΠΌΠΎΠ΄Π΅Π»ΠΈ ΠΈ ΠΈΠ·ΡΠ°Π±ΠΎΡΠΈΠ²ΠΌΠ΅ ΡΠ΅ΠΏΠΎΠ·ΠΈΡΠΈΠΎΠ½ΠΈΡΠ°ΡΠΊΠΈ ΡΠΏΠ»ΠΈΠ½Ρ ΠΎΠ΄ ΡΠ²ΡΠ΄ Π°ΠΊΡΠΈΠ»Π°Ρ ΠΈ ΠΏΠΎ 8 ΠΌΠ΅ΡΠ΅ΡΠΈ ΠΎΠ΄ Π½Π΅Π³ΠΎΠ²Π°ΡΠ° ΡΠΏΠΎΡΡΠ΅Π±Π°, Π·Π°ΠΏΠΎΡΠ½Π°Π²ΠΌΠ΅ ΡΠΎ ΡΠΈΠΊΡΠ½Π° ΠΎΡΡΠΎΠ΄ΠΎΠ½ΡΡΠΊΠ° ΡΠ΅ΡΠ°ΠΏΠΈΡΠ°. β―
Π Π΅Π·ΡΠ»ΡΠ°ΡΠΈ: Π£ΠΏΠΎΡΡΠ΅Π±Π°ΡΠ° Π½Π° ΡΠΏΠ»ΠΈΠ½Ρ ΠΊΠ°ΠΊΠΎ ΠΌΠ΅ΡΡΡΠ°Π·Π΅Π½ ΡΡΠ΅ΡΠΌΠ°Π½, ΠΏΡΠ΅Π΄ Π·Π°ΠΏΠΎΡΠ½ΡΠ²Π°ΡΠ΅ Π½Π° ΡΠΈΠΊΡΠ½Π°ΡΠ° ΠΎΡΡΠΎΠ΄ΠΎΠ½ΡΡΠΊΠ° ΡΠ΅ΡΠ°ΠΏΠΈΡΠ°, ΡΡΠΏΠ΅ΡΠ½ΠΎ ΠΏΠΎΠΌΠΎΠ³Π½Π° Π²ΠΎ ΡΠ΅Π΄ΡΡΠΈΡΠ°ΡΠ΅ Π½Π° ΡΠΈΠΌΠΏΡΠΎΠΌΠΈΡΠ΅ Π½Π° Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΡΠ° Π½Π° Π’ΠΠ ΠΊΠ°Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΡ.β―
ΠΠ°ΠΊΠ»ΡΡΠΎΠΊ: ΠΠ°ΡΠΈΠ΅Π½ΡΠΈΡΠ΅ ΡΠΎ Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΡΠ° Π½Π° Π’ΠΠ ΠΈΠΌΠ°Π°Ρ ΠΏΠΎΡΡΠ΅Π±Π° ΠΎΠ΄ Π²Π½ΠΈΠΌΠ°ΡΠ΅Π»Π΅Π½, ΡΠ΅ΠΎΠΏΡΠ°ΡΠ΅Π½ ΠΏΡΠΈΡΡΠ°ΠΏ ΡΠΎ ΠΊΠΎΠΌΠ±ΠΈΠ½Π°ΡΠΈΡΠ° ΠΎΠ΄ ΡΡΠ΅ΡΠΌΠ°Π½ΡΠΊΠΈ ΠΏΠΎΡΡΠ°ΠΏΠΊΠΈ, Π·Π°ΠΏΠΎΡΠ½ΡΠ²Π°ΡΡΠΈ ΠΎΠ΄ ΡΠ΅ΠΏΠΎΠ·ΠΈΡΠΈΠΎΠ½ΠΈΡΠ°ΡΠ΅ Π½Π° ΠΌΠ°Π½Π΄ΠΈΠ±ΡΠ»Π°ΡΠ° ΠΈ ΠΊΠΎΠ½Π΄ΠΈΠ»ΠΎΡ Π²ΠΎ ΡΠ΅Π½ΡΡΠ°Π»Π½Π° ΡΠ΅Π»Π°ΡΠΈΡΠ° Π²ΠΎ Π·Π³Π»ΠΎΠ±Π½Π°ΡΠ° ΡΠ°ΠΌΠ°, ΡΠ΅Π»Π°ΠΊΡΠΈΡΠ°ΡΠ΅ Π½Π° ΠΎΡΠΎΡΠ°ΡΠΈΡΠ°Π»Π½Π°ΡΠ° ΠΌΡΡΠΊΡΠ»Π°ΡΡΡΠ° ΡΠΎ ΠΏΠΎΠΌΠΎΡ Π½Π° ΠΎΠΊΠ»ΡΠ·Π°Π»Π΅Π½ ΡΠΏΠ»ΠΈΠ½Ρ ΠΈ ΠΏΠΎΠ½Π°ΡΠ°ΠΌΡ Π°ΠΏΠ»ΠΈΡΠΈΡΠ°ΡΠ΅ Π½Π° ΡΠΈΠΊΡΠ½Π° ΠΎΡΡΠΎΠ΄ΠΎΠ½ΡΡΠΊΠ° ΡΠ΅ΡΠ°ΠΏΠΈΡΠ° ΡΠΎ ΡΠ΅Π» Π΄Π° ΡΠ΅ Π΄ΠΎΠ²Π΅Π΄Π°Ρ Π·Π°Π±ΠΈΡΠ΅ Π²ΠΎ ΠΈΠ΄Π΅Π°Π»Π½Π° ΠΎΠΊΠ»ΡΠ·ΠΈΡΠ° ΡΠΏΠΎΡΠ΅Π΄ ΡΠΈΡΠ΅ Π³Π½Π°ΡΠΎΠ»ΠΎΡΠΊΠΈ ΠΏΡΠΈΠ½ΡΠΈΠΏΠΈ.
ΠΠ»ΡΡΠ½ΠΈ Π·Π±ΠΎΡΠΎΠ²ΠΈ: ΠΠΈΡΡΡΠ½ΠΊΡΠΈΡΠ° Π½Π° ΡΠ΅ΠΌΠΏΠΎΡΠΎΠΌΠ°Π½Π΄ΠΈΠ±ΡΠ»Π°ΡΠ½ΠΈΠΎΡ Π·Π³Π»ΠΎΠ±, ΠΎΠΊΠ»ΡΠ·Π°Π»Π΅Π½ ΡΠΏΠ»ΠΈΠ½Ρ, ΡΠΈΠΊΡΠ΅Π½ ΠΎΡΡΠΎΠ΄ΠΎΠ½ΡΡΠΊΠΈ ΡΡΠ΅ΡΠΌΠ°Π½
ΠΡΠΎΡΠ΅Π½ΠΊΠ° Π½Π° ΠΎΡΠ°Π»Π½ΠΎΡΠΎ Π·Π΄ΡΠ°Π²ΡΠ΅ ΠΊΠ°Ρ Π³Π΅ΡΠΈΡΠ°ΡΡΠΈΡΠΊΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ
The geriatric population in R. Macedonia presents a specific group that needs continuous evaluation of their oral health. According to WHO data in 2010, 12 % of the population was aged 65+ years in Macedonia. Aging is the process with different specific changes in all systems and organs, including the orofacial system. The most common conditions associated with age in the geriatric population are teeth loss, parodontopathy, precancerous lesions and oral carcinomas, xerostomia, resorption of the residual alveolar ridge, and overall dysfunction of the orofacial system. There is a great influence of the performed prosthodontic therapy in geriatric patients on the overall and general health. The aim of this study was to evaluate the condition of the soft tissues in geriatric patients, especially in patients with prosthodontic treatments, their oral health, and the influence of oral health on life quality. Πaterial and methods: Πbservational cross-sectional study was conducted in geriatric patients and Geriatric Oral Health Assessment Index (GOHAI) was used for self-assessment of their oral health and the impact of oral conditions and performed dental treatment on quality of life. Results: Participants witha mean age of 72.88 years reported several general and systemic diseases, and the main risk factors for their oral mucosal changes were smoking and drinking alcohol. Total anodontiΠ° was observed in 37.5% of respondents and partial anodontia in 62.5%. The average period of wearing dentures was 7.8 years. The total scoreof the quality of life and oral health of the respondents varied in the interval 1.93 Β± 0.65, and the average value in the subjects with prosthetic constructions for p> 0.05 (p = 0.19) was slightly higher in relation to the subjects without any prosthodontic device. Conclusion: GOHAI-12 score in the study had a low value, less than 50 indicated that the respondents were in poor oral health. According to the results of the self-assessment, there was a weak to moderate perception of oral health. An integrated approach is needed to achieve a critical positive level of general and oral health in geriatric patients
Β
Β ΠΠ΅ΡΠΈΡΠ°ΡΡΠΈΡΠΊΠ°ΡΠ° ΠΏΠΎΠΏΡΠ»Π°ΡΠΈΡΠ° Π²ΠΎ Β ΠΠ°ΠΊΠ΅Π΄ΠΎΠ½ΠΈΡΠ° ΠΏΡΠ΅ΡΡΡΠ°Π²ΡΠ²Π° ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ½Π° Π³ΡΡΠΏΠ° ΠΊΠΎΡΠ° ΠΈΠΌΠ° ΠΏΠΎΡΡΠ΅Π±Π° ΠΎΠ΄ ΠΊΠΎΠ½ΡΠΈΠ½ΡΠΈΡΠ°Π½Π° Π΅Π²Π°Π»ΡΠ°ΡΠΈΡΠ° Π½Π° Π½ΠΈΠ²Π½ΠΎΡΠΎ ΠΎΡΠ°Π»Π½ΠΎ Π·Π΄ΡΠ°Π²ΡΠ΅. Π‘ΠΏΠΎΡΠ΅Π΄ ΠΏΠΎΠ΄Π°ΡΠΎΡΠΈΡΠ΅ Π½Π° Π‘ΠΠ Π²ΠΎ 2010 Π³ΠΎΠ΄ΠΈΠ½Π°, 12 % ΠΎΠ΄ Π½Π°ΡΠ΅Π»Π΅Π½ΠΈΠ΅ΡΠΎ Π²ΠΎ ΠΠ°ΠΊΠ΅Π΄ΠΎΠ½ΠΈΡΠ° Π±ΠΈΠ»ΠΎ Π½Π° Π²ΠΎΠ·ΡΠ°ΡΡ 65+ Π³ΠΎΠ΄ΠΈΠ½ΠΈ. Π‘ΡΠ°ΡΠ΅Π΅ΡΠ΅ΡΠΎ Π΅ ΠΏΡΠΎΡΠ΅Ρ ΡΠΎ ΡΠ°Π·Π»ΠΈΡΠ½ΠΈ ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ½ΠΈ ΠΏΡΠΎΠΌΠ΅Π½ΠΈ Π²ΠΎ ΡΠΈΡΠ΅ ΡΠΈΡΡΠ΅ΠΌΠΈ ΠΈ ΠΎΡΠ³Π°Π½ΠΈ, Π²ΠΊΠ»ΡΡΡΠ²Π°ΡΡΠΈ Π³ΠΎ ΠΈ ΠΎΡΠΎΡΠ°ΡΠΈΡΠ°Π»Π½ΠΈΠΎΡ ΡΠΈΡΡΠ΅ΠΌ. ΠΠ°ΡΡΠ΅ΡΡΠΈΡΠ΅ ΡΠΎΡΡΠΎΡΠ±ΠΈ ΠΏΠΎΠ²ΡΠ·Π°Π½ΠΈ ΡΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ° ΠΊΠ°Ρ Π³Π΅ΡΠΈΡΠ°ΡΡΠΈΡΠΊΠ°ΡΠ° ΠΏΠΎΠΏΡΠ»Π°ΡΠΈΡΠ° ΡΠ΅ Π³ΡΠ±Π΅ΡΠ΅ Π½Π° Π·Π°Π±ΠΈΡΠ΅, ΠΏΠ°ΡΠΎΠ΄ΠΎΠ½ΡΠΎΠΏΠ°ΡΠΈΡΠ°, ΠΏΡΠ΅ΠΊΠ°Π½ΡΠ΅ΡΠΎΠ·Π½ΠΈ Π»Π΅Π·ΠΈΠΈ ΠΈ ΠΎΡΠ°Π»Π½ΠΈ ΠΊΠ°ΡΡΠΈΠ½ΠΎΠΌΠΈ, ΠΊΡΠ΅ΡΠΎΡΡΠΎΠΌΠΈΡΠ°, ΡΠ΅ΡΠΎΡΠΏΡΠΈΡΠ° Π½Π° ΡΠ΅Π·ΠΈΠ΄ΡΠ°Π»Π½ΠΈΠΎΡ Π°Π»Π²Π΅ΠΎΠ»Π°ΡΠ΅Π½ Π³ΡΠ΅Π±Π΅Π½ ΠΈ ΡΠ΅Π»ΠΎΠΊΡΠΏΠ½Π° Π΄ΠΈΡΡΡΠ½ΠΊΡΠΈΡΠ° Π½Π° ΠΎΡΠΎΡΠ°ΡΠΈΡΠ°Π»Π½ΠΈΠΎΡ ΡΠΈΡΡΠ΅ΠΌ. ΠΠΎΠ»Π΅ΠΌΠΎ Π΅ Π²Π»ΠΈΡΠ°Π½ΠΈΠ΅ΡΠΎ Π½Π° ΠΈΠ·Π²ΡΡΠ΅Π½Π°ΡΠ° ΠΏΡΠΎΡΠ΅ΡΠΈΡΠΊΠ° ΡΠ΅ΡΠ°ΠΏΠΈΡΠ° ΠΊΠ°Ρ Π³Π΅ΡΠΈΡΠ°ΡΡΠΈΡΠΊΠΈΡΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ Π²ΡΠ· Π½ΠΈΠ²Π½ΠΎΡΠΎ ΡΠ΅Π»ΠΎΠΊΡΠΏΠ½ΠΎ ΠΈ ΠΎΠΏΡΡΠΎ Π·Π΄ΡΠ°Π²ΡΠ΅. Π¦Π΅Π»ΡΠ° Π½Π° ΠΎΠ²Π°Π° ΡΡΡΠ΄ΠΈΡΠ° Π±Π΅ΡΠ΅ Π΄Π° ΡΠ΅ ΠΏΡΠΎΡΠ΅Π½ΠΈ ΡΠΎΡΡΠΎΡΠ±Π°ΡΠ° Π½Π° ΠΌΠ΅ΠΊΠΈΡΠ΅ ΡΠΊΠΈΠ²Π° ΠΊΠ°Ρ Π³Π΅ΡΠΈΡΠ°ΡΡΠΈΡΠΊΠΈΡΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ, ΠΎΡΠΎΠ±Π΅Π½ΠΎ ΠΊΠ°Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈΡΠ΅ ΡΠΎ ΠΏΡΠΎΡΠ΅ΡΠΈΡΠΊΠΈ ΡΡΠ΅ΡΠΌΠ°Π½ΠΈ, Π½ΠΈΠ²Π½ΠΎΡΠΎ ΠΎΡΠ°Π»Π½ΠΎ Π·Π΄ΡΠ°Π²ΡΠ΅ ΠΈ Π²Π»ΠΈΡΠ°Π½ΠΈΠ΅ΡΠΎ Π½Π° ΠΎΡΠ°Π»Π½ΠΎΡΠΎ Π·Π΄ΡΠ°Π²ΡΠ΅ Π²ΡΠ· ΠΊΠ²Π°Π»ΠΈΡΠ΅ΡΠΎΡ Π½Π° ΠΆΠΈΠ²ΠΎΡΠΎΡ. ΠΠ°ΡΠ΅ΡΠΈΡΠ°Π» ΠΈ ΠΌΠ΅ΡΠΎΠ΄ΠΈ: Π‘ΠΏΡΠΎΠ²Π΅Π΄ΠΎΠ²ΠΌΠ΅ ΠΎΠΏΡΠ΅ΡΠ²Π°ΡΠΈΠΎΠ½Π° ΡΡΡΠ΄ΠΈΡΠ° Π½Π° ΠΏΡΠ΅ΡΠ΅ΠΊ ΠΊΠ°Ρ Π³Π΅ΡΠΈΡΠ°ΡΡΠΈΡΠΊΠΈΡΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ, Π° Π³Π΅ΡΠΈΡΠ°ΡΡΠΈΡΠΊΠΈΠΎΡ ΠΈΠ½Π΄Π΅ΠΊΡ Π·Π° ΠΏΡΠΎΡΠ΅Π½ΠΊΠ° Π½Π° ΠΎΡΠ°Π»Π½ΠΎΡΠΎ Π·Π΄ΡΠ°Π²ΡΠ΅ (GOHAI) Π±Π΅ΡΠ΅ ΡΠΏΠΎΡΡΠ΅Π±Π΅Π½ Π·Π° Π΄Π° ΡΠ΅ ΠΈΠ·Π²ΡΡΠΈ Π΅Π²Π°Π»ΡΠ°ΡΠΈΡΠ° Β Π½Π° Π½ΠΈΠ²Π½ΠΎΡΠΎ ΠΎΡΠ°Π»Π½ΠΎ Π·Π΄ΡΠ°Π²ΡΠ΅ ΠΈ Π²Π»ΠΈΡΠ°Π½ΠΈΠ΅ΡΠΎ Π½Π° ΠΎΡΠ°Π»Π½ΠΈΡΠ΅ ΡΠΎΡΡΠΎΡΠ±ΠΈ ΠΈ ΠΈΠ·Π²ΡΡΠ΅Π½ΠΈΠΎΡ Π΄Π΅Π½ΡΠ°Π»Π΅Π½ ΡΡΠ΅ΡΠΌΠ°Π½ Π²ΡΠ· ΠΊΠ²Π°Π»ΠΈΡΠ΅ΡΠΎΡ Π½Π° ΠΆΠΈΠ²ΠΎΡΠΎΡ. Π Π΅Π·ΡΠ»ΡΠ°ΡΠΈ: ΠΡΠΏΠΈΡΠ°Π½ΠΈΡΠΈΡΠ΅ ΡΠΎ ΠΏΡΠΎΡΠ΅ΡΠ½Π° Π²ΠΎΠ·ΡΠ°ΡΡ ΠΎΠ΄ 72,88 Π³ΠΎΠ΄ΠΈΠ½ΠΈ ΠΏΡΠΈΡΠ°Π²ΠΈΠ»Π΅ ΠΏΠΎΠ²Π΅ΡΠ΅ ΠΎΠΏΡΡΠΈ ΠΈ ΡΠΈΡΡΠ΅ΠΌΡΠΊΠΈ Π·Π°Π±ΠΎΠ»ΡΠ²Π°ΡΠ°, Π° Π³Π»Π°Π²Π½ΠΈΡΠ΅ ΡΠ°ΠΊΡΠΎΡΠΈ Π½Π° ΡΠΈΠ·ΠΈΠΊ Π·Π° ΠΏΡΠΎΠΌΠ΅Π½ΠΈΡΠ΅ Π½Π° ΠΎΡΠ°Π»Π½Π°ΡΠ° ΠΌΡΠΊΠΎΠ·Π° Π±ΠΈΠ»Π΅ ΠΏΡΡΠ΅ΡΠ΅ΡΠΎ ΠΈ ΠΏΠΈΠ΅ΡΠ΅ΡΠΎ Π°Π»ΠΊΠΎΡ
ΠΎΠ». ΠΠΊΡΠΏΠ½Π° Π°Π½ΠΎΠ΄ΠΎΠ½ΡΠΈΡΠ° Π΅ Π·Π°Π±Π΅Π»Π΅ΠΆΠ°Π½Π° ΠΊΠ°Ρ 37,5% ΠΎΠ΄ ΠΈΡΠΏΠΈΡΠ°Π½ΠΈΡΠΈΡΠ΅ ΠΈ Π΄Π΅Π»ΡΠΌΠ½Π° Π°Π½ΠΎΠ΄ΠΎΠ½ΡΠΈΡΠ° ΠΊΠ°Ρ 62,5%. ΠΡΠΎΡΠ΅ΡΠ½ΠΈΠΎΡ ΠΏΠ΅ΡΠΈΠΎΠ΄ Π½Π° Π½ΠΎΡΠ΅ΡΠ΅ ΠΏΡΠΎΡΠ΅Π·ΠΈ ΠΈΠ·Π½Π΅ΡΡΠ²Π°ΡΠ΅ 7,8 Π³ΠΎΠ΄ΠΈΠ½ΠΈ. ΠΠΊΡΠΏΠ½Π°ΡΠ° ΠΎΡΠ΅Π½ΠΊΠ° Π·Π° ΠΊΠ²Π°Π»ΠΈΡΠ΅ΡΠΎΡ Π½Π° ΠΆΠΈΠ²ΠΎΡΠΎΡ ΠΈ ΠΎΡΠ°Π»Π½ΠΎΡΠΎ Π·Π΄ΡΠ°Π²ΡΠ΅ Π½Π° ΠΈΡΠΏΠΈΡΠ°Π½ΠΈΡΠΈΡΠ΅ Π²Π°ΡΠΈΡΠ°ΡΠ΅ Π²ΠΎ ΠΈΠ½ΡΠ΅ΡΠ²Π°Π»ΠΎΡ 1,93 Β± 0,65, Π° ΠΏΡΠΎΡΠ΅ΡΠ½Π°ΡΠ° Π²ΡΠ΅Π΄Π½ΠΎΡΡ ΠΊΠ°Ρ ΡΡΠ±ΡΠ΅ΠΊΡΠΈΡΠ΅ ΡΠΎ ΠΏΡΠΎΡΠ΅ΡΠΈΡΠΊΠΈ ΠΊΠΎΠ½ΡΡΡΡΠΊΡΠΈΠΈ Π·Π° p> 0,05 (p = 0,19) Π±Π΅ΡΠ΅ Π½Π΅ΡΡΠΎ ΠΏΠΎΠ²ΠΈΡΠΎΠΊΠ° Π²ΠΎ ΠΎΠ΄Π½ΠΎΡ Π½Π° ΡΡΠ±ΡΠ΅ΠΊΡΠΈΡΠ΅ Π±Π΅Π· Π±ΠΈΠ»ΠΎ ΠΊΠ°ΠΊΠ²Π° ΠΏΡΠΎΡΠ΅ΡΠΈΡΠΊΠ° ΠΈΠ·ΡΠ°Π±ΠΎΡΠΊΠ°. ΠΠ°ΠΊΠ»ΡΡΠΎΠΊ: Π Π΅Π·ΡΠ»ΡΠ°ΡΠΎΡ Π½Π° GOHAI-12 Π²ΠΎ ΡΡΡΠ΄ΠΈΡΠ°ΡΠ° ΠΈΠΌΠ°ΡΠ΅ Π½ΠΈΡΠΊΠ° Π²ΡΠ΅Π΄Π½ΠΎΡΡ, ΠΏΠΎΠΌΠ°Π»ΠΊΡ ΠΎΠ΄ 50 ΡΡΠΎ ΠΏΠΎΠΊΠ°ΠΆΠ° Π΄Π΅ΠΊΠ° ΠΈΡΠΏΠΈΡΠ°Π½ΠΈΡΠΈΡΠ΅ Π±Π΅Π° ΡΠΎ ΡΠ»Π°Π±ΠΎ ΠΎΡΠ°Π»Π½ΠΎ Π·Π΄ΡΠ°Π²ΡΠ΅. Π‘ΠΏΠΎΡΠ΅Π΄ ΡΠ΅Π·ΡΠ»ΡΠ°ΡΠΈΡΠ΅ ΠΎΠ΄ ΡΠ°ΠΌΠΎΠΎΡΠ΅Π½ΡΠ²Π°ΡΠ΅ΡΠΎ, ΠΈΠΌΠ°ΡΠ΅ ΡΠ»Π°Π±Π° Π΄ΠΎ ΡΠΌΠ΅ΡΠ΅Π½Π° ΠΏΠ΅ΡΡΠ΅ΠΏΡΠΈΡΠ° Π·Π° Π½ΠΈΠ²Π½ΠΎΡΠΎ ΠΎΡΠ°Π»Π½ΠΎΡΠΎ Π·Π΄ΡΠ°Π²ΡΠ΅. ΠΠΎΡΡΠ΅Π±Π΅Π½ Π΅ ΠΈΠ½ΡΠ΅Π³ΡΠΈΡΠ°Π½ ΠΏΡΠΈΡΡΠ°ΠΏ Π·Π° Π΄Π° ΡΠ΅ ΠΏΠΎΡΡΠΈΠ³Π½Π΅ ΠΊΡΠΈΡΠΈΡΠ½ΠΎ ΠΏΠΎΠ·ΠΈΡΠΈΠ²Π½ΠΎ Π½ΠΈΠ²ΠΎ Π½Π° ΠΎΠΏΡΡΠΎΡΠΎ ΠΈ ΠΎΡΠ°Π»Π½ΠΎΡΠΎ Π·Π΄ΡΠ°Π²ΡΠ΅ ΠΊΠ°Ρ Π³Π΅ΡΠΈΡΠ°ΡΡΠΈΡΠΊΠΈΡΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΈ
Oral Hygiene Index in Early Childhood Caries, Before and After Topical Fluoride Treatment
BACKGROUND: Circular caries occurs in the earliest age of the children (1 - 1.5 year), immediately after the eruption of the deciduous teeth. During this period, children are too young to be able to properly implement oral hygiene. Consequently, it is at a negligible level, with plenty of soft plaque on the deciduous tooth surfaces.OBJECTIVE: The main objective of this clinical trial was to determine the correlation between oral hygiene shown with Oral Hygiene index, and the initial stages of circular caries (initial lesion and superficial form), before and after topical fluoride treatment.MATERIAL AND METHODS: For determination of the OHI - index we used the method of Green - Vermillion. It was determined two times in 117 patients, during the first visit and immediately before physiological replacement of deciduous teeth. Patients were two to three years old and diagnosed with initial stages of circular caries. Amino fluoride solution was applied once a week, during six months.RESULTS: We obtained statistically significant improvement of OHI - index at the end of the test, among treated subjects from both major groups.CONCLUSION: It can be concluded that the level of oral hygiene is correlated with the progression of changes in enamel. Topical fluoride treatment has a positive impact on reducing ECC
Advantages of CAD/CAM versus Conventional Complete Dentures - A Review
BACKGROUND: The introduction and evolution of CAD/CAM technology into complete dentures fabrication brought high expectations in improving disadvantages associated with conventional methods.AIM: The purpose of this review was to analyse the existing literature on computer-engineered complete dentures and to determine their advantages over the conventional dentures.MATERIAL AND METHODS: An electronic search of the English literature from January 1994 to March 2018 was performed in PubMed/MEDLINE, using the following keywords: CAD/CAM complete dentures, computer-engineered complete dentures, complete digital dentures, complete milled dentures, and rapid prototyping dentures.RESULTS: A total of 179 English language titles were obtained from the database, and 14 were relevant to fulfil the purpose of this review. A review of 7 articles is summarized in 2 tables for presenting a comparison between CAD/CAM and conventional dentures in clinical and laboratory studies.CONCLUSION: Following the review of articles that discussed the comparison between CAD/CAM and conventional complete dentures in clinical studies, it can be concluded that the main advantages of CAD/CAM dentures are the reduced clinical chair time and the number of visits, digital archiving, significantly higher retention, and more favorable clinical and patient-centered outcomes. As a result of the review of laboratory studies, superior mechanical and physical properties in CAD/CAM dentures were revealed, concerning enhanced accuracy of fit of milled denture bases, less denture tooth movement and increased toughness, ultimate flexural strength, and higher elastic modulus