[ANALYSIS OF THE SIZE OF THE CEPHALOMETRIC VALUES OF THE FACE AND THE ODONTOMETRIC PARAMETERS OF THE JAWS DURING THE PERIOD OF OCCLUSION CHANGE OF THE DENTAL ROWS].

115 respondents aged 7-11 with occlusive pathology were examined anthropometrically and biometrically. The sizes of the craniofacial complex were studied using the parameters of the width and diagonal of the face. The jaw indices of the face were calculated. The mesio-distal, vestibulo-oral and vertical dimensions of the crowns of primary and permanent teeth were measured. The widths and lengths of dental arches during the period of tooth change were determined by the method of Pont and Korkhaus. Diagnosed mesognathic, dolichognathic and brachygnathic face types with normodont, macrodont and microdontic variants of dental arches. Regardless of the type of dental arches, the ratio of the width of the upper dental arch in the molar region to the similar parameters of the lower one was determined and is 1.02±0.05. The results of the study of the length of the anterior part of the dental arches also indicate that the odontometric indicators are commensurate with each other and this correlation is equal to 1.23±0.05. The correlation of the value of the sum of 14 upper teeth to the sum of 14 lower teeth is 1.15±0.05. The data obtained are used to predict the results of orthodontic treatment.

[COMPREHENSIVE ASSESSMENT OF THE SPECIES COMPOSITION AND SENSITIVITY OF MICROFLORA IN PATIENTS WITH ODONTOGENIC MAXILLARY SINUSITIS].

Objective - to study the species composition of microflora and its sensitivity in patients with odontogenic maxillary sinusitis. The study included 230 patients of both sexes aged 18 to 70 years, who were treated at the Moscow Regional Scientifics Research and Clinical Institute named after M. F. Vladimirsky with a diagnosis of Odontogenic maxillary sinusitis. Of these, there were 155 patients with odontogenic sinusitis, complicated by perforation of the maxillary sinus and the presence of an oro-antral fistula, and 75 patients with maxillary aspergillosis. All patients underwent microbiological examination of smears and flushes from the maxillary sinus cavity with the determination of the species composition and antibiotic sensitivity. In the majority of the patients with perforative forms of odontogenic maxillary sinusitis, coccal flora (streptococci and various species) was detected, in a smaller number compared to it - facultative and obligate anaerobes, pathogenic fungi (Candida). A comparative analysis of the microflora, depending on the duration of the maxillary sinus perforation, showed that the rhinogenic microorganisms (Moraxella spp.) were found only in intraoperative perforations (up to 20% of cases). The presence of obligate anaerobes (Fusobacterium spp. Bacteroides spp.) was typical for long-existing perforations. In patients with maxillary aspergillosis facultative and obligate anaerobes were found less frequently and in a smaller variety than in patients with perforative maxillary sinusitis. There were no cases of sinus contamination by pathogenic fungi of the genus Candida in this group. At the same time, rhinogenic microgranisms (Moraxella spp.) were detected with a higher frequency (up to 27.3%) in this group of patients.

[The modern methods of evaluation of implementing personalized programs of prevention of age-associated diseases].

The development of preventive programs targeting specific groups of consumers of medical social services having age-related health and lifestyle characteristics is one of the most prospective methods to improve quality of medical care of the elderly and senile patients. The previously developed by Russian and foreign scientists programs of personalized prevention of age-related diseases make it possible to organize target groups of patients seeking medical services in both state and private health care organizations to be screened for conditions of medical and social significance from the point of view of preventive medicine. This permits to achieve a real integration of various components of preventive care that improves health of elderly and senile patients in terms of morphofunctional indices of patient's physical status, quality of life, degree of independence, and, as a result, quality and scope of implementation of preventive programs for elderly population. Therefore, the development of the basics of personalized programs preventing age-related diseases in elderly population is actual.