[Clinical factors essential for dental caries intensity in rheumatic patients]. / Klinicheskie faktory, vliiaiushchie na intensivnost' kariesa zubov u bol'nykh revmaticheskimi zabolevaniiami.

A total of 349 patients with rheumatoid arthritis, 129 with systemic lupus erythematosus, and 92 with systemic scleroderma were examined. A higher incidence of caries (CDL index) in comparison with the norm (p < 0.05) was observed in all patients; the most significant factor promoting caries development was involvement of the salivary glands presenting as Sjogren's syndrome (p < 0.005). The presence and severity of temporomandibular involvement virtually did not affect the intensity of caries (p > 0.1). The highest CDL index was observed in patients with rheumatoid arthritis and systemic scleroderma with pronounced dysfunction of the hand joints (p < 0.01) and higher activity of disease (a higher percentage of patients with Sjogren's diseases of the second and third degrees of activity) (p < 0.05). These data confirmed the multifactorial nature of dental caries etiology in rheumatic diseases.

[A classification of mandibular fractions]. / K voprosu o klassifikatsii perelomov nizhnei cheliusti.

A new classification of mandibular fractures is suggested. Unlike fractures of the upper and middle zones of the face, mandibular injuries are characterized by typical location and configuration, which prompted us to undertake this study. Literal and digital symbols were used in formulation of the diagnosis. These symbols characterize the line of fracture, involved teeth, site of fracture, presence (or absence) of dislocated fragments, occlusive disorders, combined injuries, status of soft tissues at the site of injury, presence of inflammation in the fracture fissure and its severity. Examples demonstrating the convenience of the formula are presented.

[Experimental study of endosurgical approaches to maxillary sinuses]. / Endokhirurgicheskie dostupy k verkhnecheliustnym pasukham v éksperimente.

Studies on 30 cadavers were carried out in order to develop endoscopic approaches to diagnosis and treatment of inflammatory and tumorous diseases of the maxillary sinuses. Morphometric data helped objectively validate surgical accesses and experimentally confirmed the efficiency of three accesses: from the maxillary tuber, through the anterior wall, and through the inferior nasal passage. Endosurgical approaches allow radical operations with minimum injury and ensure functional and esthetic effects.

[Modern endosurgical technologies in the diagnosis and treatment of maxillary inflammations and tumors (part 2)]. / Sovremennye éndokhirurgicheskie tekhnologii v diagnostike i lechenii vospalitel'nykh i opukholevykh zabolevanii verkhnei cheliusti (soobshchenie 2).

A total of 102 patients with inflammatory diseases and tumors of the maxillary sinuses were examined and treated using endosurgical technologies. X-Ray computer-aided tomography and magnetic imaging helped determine the access to the maxillary sinus, and the endosurgical instrument was inserted through the anterior wall of the sinus, medial wall, and maxillary tuberosity. Endosurgery was the most effective in polypous sinusitis, mucocele, inverted papilloma, and for biopsy. Endosurgical technologies allow a full-scale surgical intervention with the least invasion.

[The use of a Kolapol preparation for eliminating perforation of the floor of the maxillary sinus and defects in the maxillary alveolar process]. / Primenenie preparata kolapol dlia ustraneniia perforatsii dna verkhnecheliustnoi pazukhi i defektov al'veoliarnogo otrostka verkhnei cheliusti.

Colapol was used for repair of perforation and maxillary alveolar process in 26 patients with perforating odontogenic sinusitis. Colapol is a highly effective Russian biocomposite permitting restoration of full-value bone and characterized by an antiinflammatory effect.

[The diagnosis and treatment of contact odontogenic mediastinitis]. / Diagnostika i lechenie kontaktnogo odontogennogo mediatsinita.

Contact odontogenic mediastinitis is a complication of advanced phlegmons of the face and neck. 22-year experience in the treatment of 107 patients with odontogenic mediastinitis, clinical and laboratory criteria of its diagnosis and differential diagnosis with advanced phlegmons are presented. The programs of intensive therapy adjusted for the disease phase and surgical treatment contributed to lowering of lethality from 50 to 15.3%.

[Ways to prevent and treat disseminated inflammatory diseases of the maxillofacial area and their complications]. / Puti profilaktiki i lecheniia rasprostranennykh vospalitel'nykh zabolevanii cheliustno-litsevoi oblasti i ikh oslozhnenii.

The authors analyze the results of diagnosis and treatment in 1062 patients with diffuse inflammatory diseases of the maxillofacial area and of complications of these diseases, such as mediastinitis, thrombosis of the cavernous sinus of the dura mater, meningoencephalitis. Improvement of the program of diagnosis and treatment helped improve the results: mortality from sepsis reduced from 50 to 26%. Approaches to prevention of progressive purulent infection are outlined.

[The x-ray picture of chronic odontogenic osteomyelitis of the mandible in adults in the past and today]. / Rentgenologicheskaia kartina odontogennogo khronicheskogo osteomielita nizhnei cheliusti u vzroslykh v proshlom i v nastoiashchee vremia.

Analysis of mandibular roentgenograms of 286 patients with odontogenic osteomyelitis has lead the authors to a conclusion on the predominance of diffuse forms of the condition with marked sequestration in the 30's and 40's. Currently hyperplastic osteomyelitis occurs in 12% of cases.

[The assessment of the immune status of patients with acute and exacerbated chronic periodontitis]. / Otsenka immunnogo statusa bol'nykh ostrym i obostrivshimsia khronicheskim periodontitom.

The authors analyze the parameters of total and local immunity in patients with acute and exacerbating chronic periodontitis. No essential changes in the mean values of blood characteristics were revealed, though T lymphocyte level was reduced in the acute period of the condition. Studies of the local immunity have revealed more significant shifts, particularly in the material from the involved tooth gingival groove, where both quantitative parameters and cellular functional activity were changed.

[Use of an immunogram in the clinical management of patients with phlegmon of the maxillofacial area]. / Ispol'zovanie immunogrammy pri klinicheskom vedenii bol'nykh s flegmonoi cheliustno-litsevoi oblasti.

Indices of immunogram (levels of T-, B-lymphocytes, amount of O-cells, indices of T-helpers and T-suppressors, adhesive and phagocytic activity of neutrophils, leukogram) were repeatedly studied in patients with phlegmon of maxillofacial area. A short-term recovery of the levels of T- and B-lymphocytes makes it possible to control the completeness of the surgical procedure. Shifts in the immunogram allow to reliably and objectively follow the development of the inflammatory process in patients with phlegmons of maxillofacial area.

[The immune system of the tooth-maxillodental segment region. 2. The physiological activity indices of the cells of the dentogingival sulcus in stomatological diseases]. / Immunnaia sistema regiona zub--zubocheliustnoi segment. Soobshchenie 2. Pokazateli fiziologicheskoi aktivnosti kletok zubodesnevogo zhelobka pri stomatologicheskikh zabolevaniiakh.

Presents data on functioning of the oral cavity local immunity organ, gingival groove. Analyzes a relationship between the counts and functional activities of the cells from the gingival groove and oral cavity washing, specific features of these cells in various conditions of the maxillodental segment.