Saratov JOURNAL of Medical and Scientific Research

Soyher M.G.

Center for Interdisciplinary Dentistry and Neurology, Moscow, chief medical offcer, Candidate of Medical Science

Application of dynamic elect roneuro-stimulation at treatment of patients with deformations of dentitions complicated by muscular and articular dysfunction

Year: 2013, volume 9 Issue: №3 Pages: 418-421
Heading: Stomatology Article type: Original article
Authors: Konnov V.V., Razakov D.Kh., Soyher M.G., Klenkova M.I., Klimov A.V., Pylaev E.V.
Organization: Center for Interdisciplinary Dentistry and Neurology, Moscow, Saratov State Medical University
Summary:

The purpose: to evaluate the efficacy of dynamic electroneurostimulation in the complex treatment of patients with strains of dentition complicated by muscular and articular dysfunction. Material and methods. A total of 38 patients aged 25 to 49 years with the strains of dentition, complicated by muscular and articular dysfunction. Clinical, radiological and graphical methods have been applied. In the combined treatment of dentition deformities complicated by muscular and articular dysfunction, to relieve pain the method of dynamic electroneurostimulation has been used. Results help provide the information about the features and effectiveness of dynamic dysfunction. Conclusion. The use of dynamic electroneurostimulation relieves pain in various degrees of dysfunction in this case, restoring the function of the masticatory muscles and temporomandibular joint. Combining the frequency increases the therapeutic effect of the method by reducing the time of onset of analgesia and extending the duration of its action.

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Algorithm for detecting correlations between tooth size and dental arch parameters

Year: 2013, volume 9 Issue: №3 Pages: 380-383
Heading: Stomatology Article type: Original article
Authors: Dmitrienko S.V., Ivanova О.P., Dmitrienko D.S., Jaradajkina М.N., Soykher М.G.
Organization: Volgograd State Medical University
Summary:

The objective of the study is to develop an algorithm for determining the correlation between tooth size, dental arch parameters and the craniofacial complex. Material and methods. 178 patients with physiological occlusion of permanent teeth and neutral type of jaw growth were examined to determine the correlation between tooth size, dental arch parameters and craniofacial complex. Correlation between tooth size and dental arch parameters was determined based on the relationship of the major dental arch parameters and the size of 12 teeth including first molars, premo-lars, canines and incisors, as well as the width of the face between zygomatic points and the distance between lateral surfaces of the wings of the nose. Results. The algorithm is based on the dentofacial index (D. F. I.), calculated as the percentage ratio of the sum of four incisors to facial width. Conclusions. In patients with mesodontism and physiologic occlusion of permanent teeth the dentofacial indexwas23.5%±1.5%. An increase in the dentofacial index up to 25.1% was indicative of individual macrodontia of four upper anterior teeth. The value below 21.9% indicated individual micro-dontia of four upper anterior teeth. The correlation between individual teeth of different types and compared the size of teeth in certain segments and dental arch parameters has been evaluated.

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Changes in the trigeminal nerve under the infuence of cortexin in patients with chronic generalized periodontitis

Year: 2012, volume 8 Issue: №2 Pages: 481-484
Heading: Neurology Article type: Original article
Authors: Lepilin A.V., Sholomov I.I., Erokina N.L., Soyher M.G., Nozdrina V.D., Bisultanov H.W.
Organization: Saratov State Medical University, Center for Interdisciplinary Dentistry and Neurology, Moscow
Summary:

Purpose: correction of violations in the trigeminal nerve in patients with chronic generalized periodontitis. Material and methods. A clinical examination and study of the functional activity of the trigeminal nerve in 160 patients with chronic generalized periodontitis. Results. Revealed the presence of various degrees of violations of the functional activity of the trigeminal nerve depending on the severity of the pathological process in periodontal tissues. Conclusion.Neuroprotective therapy in the treatment of patients with periodontal disease leads to normalization of the neurophysi-ology of the trigeminal nerve and promotes more rapid relief of the infammatory process in periodontal tissues.

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Way of correction of vegetative violations at patients with mandibulary fractures

Year: 2012, volume 8 Issue: №2 Pages: 424-428
Heading: Neurology Article type: Original article
Authors: Erokina N.L., Lepilin A.V., Prokofeva O.V., Rohatyn T.V., Soyher M.G. , Zhilkina O.V.
Organization: Saratov State Medical University
Summary:

Purpose: correction of vegetative disorders in patients with mandibular fractures. Material and methods. A total of 70 patients with mandibular fractures, both clinically and by additional survey methods: assessment of heart rate variability as a result cardiointervalography, catecholamine levels of red blood cells, rheovasography mental arteries.Results. In most patients studied, revealed marked activation of sympathetic nervous system, the tension of adaptation mechanisms, impaired regional blood fow. The connection between the incidence of fractures complicated course and severity of disorders of autonomic responses. Conclusion. The way of correction of vegetative disorders in patients with mandibular fractures.

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Effect of neurological symptoms on the course and the healing of fractures of the mandible

Year: 2012, volume 8 Issue: №2 Pages: 399-403
Heading: Neurology Article type: Original article
Authors: Bahteeva G.R., Lepilin A.V., Soyher M.G., Bulkin V.A., Muhina N.M.
Organization: Saratov State Medical University, Center for Interdisciplinary Dentistry and Neurology, Moscow
Summary:

Purpose: to study the dental status and neurological symptoms in patients with fractures of the mandible for improving diagnosis, predicting the course of reparative processes and the application of preventive measures of infam-matory complications. Material. We observed 132 patients with mandibular fractures of different location, the hospital received no later than 3 days after injury and comparison group, consisting of 15 healthy people. Dental status of patients included clinical examination: identifying reasons for injuries, complaints external examination of maxillofacial area. Assessment of pain that was observed in patients in the area of innervation of the trigeminal nerve, was carried out using a scale for measuring the intensity of pain and need for analgesics (Lantsev EA, AA Smirnov, 1990). Zone of hypesthesia and hyperesthesia were detected in patients in the study of the surface (pain, temperature and tactile) and the deep sensitivity of the skin. State of the motor portion of the third branch of the trigeminal nerve was assessed by palpation of masticatory and temporal muscles, according to electromyographic, in the late periods of the presence of atrophy of the masticatory muscles on the affected side and disturbance trajectory of the mandible. In addition, elec-trophysiological examination included registration of trigeminal somatosensory evoked potentials. The study of pain sensitivity of the teeth was carried out using a digital tester to determine the viability of the pulp «Digitest». This study was conducted on the day of admission and on the 10th day of treatment. Results. Clinical and instrumental evaluation of patients with uncomplicated fractures of the mandibular nerve fber damage detected in 100 % of cases. In complicated fractures clinically identifed sensory disorders paresteticheskih signs of interest in the trigeminal nerve were found in 51.8 % of cases. In patients with no sensory disorders paresteticheskih using electrophysiological methods trigeminal interest in fractures of the lower jaw found in 26.9 % of all cases. Thus, the overall damage to the trigeminal nerve in complicated fractures of the mandible comprise 77.8 % of cases. Conclusion. The results of our study, often leaving by the wayside, neurological symptoms affect the course and the healing of fractures of the mandible. Sensory disturbances in the form paresteticheskie hyperesthesia after the therapy offset, or pass into a more pronounced form — gipesteticheskie violation. Uncomplicated fractures of the lower jaw, accompanied by gipesteticheskimi sensory symptoms, in most cases are complicated. In our study, sensory disorders paresteticheskie in complicated fractures were found — in 77.8 % of patients. Undoubted interest of the trigeminal nerve in the development of complications of fractures, which was confrmed in our work. Thus, this study will enable the practitioner without additional methods reliably suggest a possible neurological symptoms, the recovery rate of trigeminal nerve and to adjust therapy in patients with mandibular fractures.

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