[The role of dental medical records in the assessment of the quality of medical care]. / Rol' meditsinskoi karty stomatologicheskogo bol'nogo pri ekspertizakh kachestva okazyvaemoi meditsinskoi pomoshchi.

The influence of the quality of registration of medical records in the provision of dental care to the possibility of objective evaluation of the quality of treatment in forensic examinations. The structure of complaints that became the basis for 432 patients' appeal to the court, the frequency of occurrence and the qualitative composition of questions to expert doctors are determined. It is proved, that the medical record of a dental patient is one of the main proofs in the judicial process when justifying the position of the parties: 81% of legislative examinations contained questions about compliance with clinical recommendations and treatment standards, and 69% about the presence of defects and shortcomings of treatment. Analysis of the quality 1530 of dental records in various regions of the Russian Federation showed that only 77.8±1.06% of the records contained a detailed description of the course of surgery, a description of additional diagnostic methods was present in 70.6±1.16%, and an informed consent to surgery in 15.3±0.91% of the records. Unqualified filling out of the medical record is currently regarded as poorly provided medical care so it is necessary to change the attitude of dentists to filling out medical documentation.

[Dental care for patients at risk of adverse reaction to local anesthetics]. / Stomatologicheskaia pomoshch' patsientam s riskom razvitiia pobochnykh reaktsii na mestnye anestetiki.

The study comprised 53 patients with side effect history to local anesthetics. The reasons for the occurrence of adverse reactions to local anesthetics was analyzed, and the frequency of their occurrence in dental practice was studied. It was found that in most patients (85%) with 'allergic reactions' to local anesthetics the diagnosis was unreasonable and incompetent. In most cases psychosomatic reactions were mistaken for an immediate allergic reaction. The prevalence of adverse reactions to local anesthetics was 1 case per 448 injections (1:448), true allergic reactions was documented in 0.1% cases.

[Retrospective study on treatment results of patients with bone destruction in lower molars roots area]. / Retrospektivnyi analiz rezul'tatov lecheniia patsientov s destruktivnymi protsessami v zone kornei moliarov nizhnei cheliusti.

The paper presents retrospective study on the efficiency of tooth protecting operations in patients with odontogenic bone destruction in lower molars roots area. The study was based on the analysis of medical records of patients treated in Central Research Institute of Dentistry and Maxillofacial Surgery from 2011 to 2016. Tooth protecting procedures because of bone destruction in lower molars were carried out in 98 patients but only 59 of them were accessible to proper follow-up. Complications were seen in 15.2% of patients and teeth were extracted in 13.5% of cases. Thus, the efficacy of tooth protecting procedures in lower molars was 86.5%, which proves their feasibility despite of complicated surgical approach.

[Method for prevention of tissue atrophy after teeth extraction].

Modern approach to teeth loss treatment anticipates two main goals - both functional and esthetic rehabilitation. Smile esthetic depends not only on teeth shape, size and color but also on gingival volume and position (pink esthetic). The paper describes the method of optimal tissue preservation after frontal teeth extraction including free tissue transfer in the site of extraction performed in 24 patients. Palatal free autograft was positioned to refill the defect and sutured to gingival margin. Sutured were removed in 7 days. The method proved to be efficient and may be recommended for use in in-patient oral surgery units.