http://repository.usmf.md:80/handle/20.500.12710/21443 2026-04-11T21:47:37Z http://repository.usmf.md:80/handle/20.500.12710/21536 Title: Medicina stomatologică = Journal of Stomatological Medicine. Vol. 3 (52) / 2019 Abstract: Revista Medicina Stomatologică este o ediţie periodică cu profil ştiinţifico‑didactic, în care pot fi publicate articole ştiinţifice de valoare fundamentală şi aplicativă în domeniul stomatologiei ale autorilor din ţară şi de peste hotare, informaţii despre cele mai recente noutăţi in ştiinţa şi practica stomatologică, invenţii şi brevete obţinute, teze susţinute, studii de cazuri clinice, avize şi recenzii de cărţi şi reviste.; Journal of Stomatological Medicine is a periodical edition with scientific-didactical profile, in witch can be published scientific articles with a fundamental and applicative value in dentistry, of local and abroad authors, scientific and practical dentistry newsletter, obtained inventions and patents, upheld thesis, clinical cases, summaries and reviews to books and journals. 2019-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/21535 Title: Применение клеточных биотехнологий в лечении рецессии десны Authors: Рубникович, С.П.; Волотовский, И.Д.; Денисова, Ю.Л.; Андреева, В.А.; Панасенкова, Г.Ю.; Новик, Т.П. Abstract: РЕЗЮМЕ Цель исследования: Разработать и научно обосновать новый метод лечения пациентов с рецессией десны с использованием аутологичных мезенхимальных стволовых клеток жировой ткани. Материалы и методы исследования. Проведено комплексное лечение у 93 пациентов с анатомической рецессией десны в сочетании с зубочелюстными аномалиями в возрасте 20−34 лет. Пациентов распределили на 3 группы (1–я, 2–я и 3–я группы) в зависимости от примененного лечения. Всем пациентам проводили периодонтологическое лечение. В 2–й группе пациентам наряду с периодонтологическим лечением включили ортодонтическую аппаратуру, в 3–й группе использовали ортодонтическое лечение и применение клеточного трансплантата на основе смеси аутологичных мезенхимальных стволовых клеток и стерильного биопластического коллагенового материала «Коллост». Результаты исследования. Комплексная оценка состояния тканей периодонта трех групп показала, что среди получивших стандартный лечебный комплекс хорошее состояние тканей периодонта через 1–2 года после лечения отмечалось лишь у 16,7 % пациентов 1–й группы. Включение ортодонтического лечения позволило получить хорошие результаты у 25 % пациентов 2–й группы, что на 8% больше, чем в 1–й группе. В то же время хорошие результаты лечения выявлены у 94% па- циентов 3–й группы, которым в комплекс лечебно-профилактических мероприятий включали периодонтологическое и ортодонтическое лечение с использованием аутологичных мезенхимальных стволовых клеток, что подтверждает необходимость применения мероприятий, направленных на нормализацию положения зубов, зубных рядов и прикуса с использованием малых ортодонтических сил длительного воздействия, улучшение микроциркуляции тканей периодонта и восстановление контура маргинальной десны. Заключение. Включение в комплексное лечение пациентов с рецессией десны аутологичных мезенхимальных стволовых клеток сопровождается уменьшением распространенности (1,6 раза) и интенсивности рецессии десны (1,15 мм), а объем тканей увеличился в 2,6 раза, стимуляцией процессов микроциркуляции периодонта (по показателям капиллярного давления периодонта в 1,1 раза и интенсивности микроциркуляции периодонта в 3,1 раза), а также нормализацией положения зубов, зубных рядов и прикуса, что позволило получить хорошие отдаленные результаты у 94 % пациентов.; SUMMARY The aim of the study is to develop and scientifically justify a new method for treating patients with gingival recession using autologous mesenchymal stem cells of adipose tissue. Materials and methods. A complex treatment was conducted in 93 patients with an anatomical recession of the gums in combination with dentoalveolar anomalies at the age of 20 to 34 years. Patients were divided into 3 groups (1st, 2nd and 3rd groups) depending on the treatment used. All patients underwent periodontological treatment. In the second group, patients included periodontological treatment including orthodontic equipment, in the third group, orthodontic treatment and the use of a cell transplant on the basis of a mixture of autologous mesenchymal stem cells and sterile bioplastic collagen material “Collost”. Results and discussion. A comprehensive assessment of the periodontal tissue of the three groups showed that among the patients who received the standard treatment complex, a good condition of the periodontal tissues 1 to 2 years after treatment was noted only in 16.7% of the patients of the 1st group. Inclusion of orthodontic treatment made it possible to obtain good results in 25% of patients in the 2nd group, which is 8% more than in the 1st group. At the same time, good results of treatment were revealed in 94% of patients in group 3, who included periodontological and orthodontic treatment using autologous mesenchymal stem cells, which confirms the need for measures aimed at normalization position of teeth, dentition and bite with the use of small orthodontic long-acting forces, improving microcirculation of periodontal tissues and restoring the contour of the marginal gum. Conclusions. Inclusion of autologous mesenchymal stem cells in the complex treatment of patients with gingival recession is accompanied by a 1.6-fold decrease in the prevalence and gum recession (1.15 mm), and tissue volume increased 2.6-fold, stimulation of periodontal microcirculation processes (in terms of capillary the periodontal pressure was 1.1 times and the intensity of periodontal microcirculation was 3.1 times), as well as the normalization of the position of teeth, dentition and occlusion, which allowed to obtain good long-term results in 94% of patients. 2019-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/21534 Title: Aspecte clinice şi tehnice în tratamentul edentaţiei unidentare prin proteze implanto-purtate Authors: Rusu, Vasile; Oineagra, Vasile; Oineagra, Vadim; Rusu, Andrei Abstract: Rezumat. Este prezentat analiza a trei metode de fixare a protezelor fixe unidentare implantopuratate unde am analizat cantitatea de ciment ce refluează în afara liniei de conexiune dintre abutmentul standart, abutment individual hybrid şi înşurubare, cu ajutorul metodei fotometrice. Acest studiu s-a efectuat pe cadru tripodic, la aceiaşi distanţă, unghi, parametrii, lumină şi folosind aceiaşi cantitate de ciment în fiecare coroană. Calibrarea s-a efectuat cu ajutorul unui analog calibrat. În rezultatul cercetării am observat că cantitatea de ciment ce refluează în afara liniei de conexiune dintre abutmentul standart, abutment individual hybrid şi coroana este diferit.; Summary. Was made the analysis of three methods of prosthesis fixing on the implants, where we analyzed the amount of cement reflecting off the connection line between the standard abutment, individual hybrid abutment and screwing, using the photometric method. This study was performed on a tripod frame, at the same distance, angle, parameters, light and using the same amount of cement in each crown. Calibration was performed using a calibrated analog. As a result of the research we noticed that the amount of cement reflecting off the connection line between the standard abutment, individual hybrid abutment and the crown is different. 2019-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/21533 Title: Edentaţia parţială complicată cu instabilitatea poziţiilor de ocluzie Authors: Oineagra, Vadim; Solomon, Oleg; Oineagra, Vasile; Rusu, Vasile Abstract: Rezumat. Rezultatele se bazează pe examenul clinic- instrumental complex, paraclinic şi a tratamentului protetic a 20 pacienţi, cu vârsta cuprinsă între 39 şi 62 de ani, cu edentaţii parţiale ale arcadelor dentare, uni sau bilaterale. Cercetările realizate au permis de a confirma că dereglările morfologice de la nivelul arcadelor dentare care deviază sau/ şi blochează deplasările mandibulei, determină deplasarea mandibulei în PIM cu modificarea ei influenţând totodată şi stabilitatea ei. Clinic modificările şi instabilitatea poziţiilor de ocluzie statice şi dinamice se manifestă prin dereglări morfo-funcţionale la nivelul complexului neuro-muscular şi articulaţiei temporo-mandibulare. Aceste dereglări au fost confirmate prin rezultatele investigaţiilor clinico-instrumentale, radiologice (OPG, tomografia computerizată a ATM), şi a elecromiografiei muşchilor mobilizatori ai sistemului stomatognat. S-a confirmat că aprecierea gradului de funcţionalitate a sistemului stomatognat în cazul edentaţiei parţiale se bazează pe aprecierea stabilităţii poziţiilor de ocluzie statice şi dinamice. Conceperea şi realizarea tratamentului edentaţiei parţiale are la bază conceptul de reechilibrare ocluzală şi asigurarea stabilităţii poziţiilor de ocluzie.; Summary. The results are based on clinical and laboratory complex exams and prosthetic treatment of 20 patients, aged between 39 and 62 years , with the partial edentulous dental arches , unilateral or bilateral. The researches allowed to confirm that morphological disorders in the dental arch deflects and / or block movements of the mandible , the mandible moves in PIM with its changing influence also the stability. Clinical changes and instability positions of static and dynamic occlusion is manifested by the complex morpho–functional neuromuscular disorders and TMJ . These results were confirmed by clinical and instrumental investigations , radiological and electromyography of the masticatory muscles of the stomatognathic system. We confirmed that the evaluation of the degree of functionality of the stomatognathic system, in the case of partial edentulous, is based on static and dynamic occlusal positions. Design and implementation of partial edentulous treatment is based on the concept of rebalancing occlusal positions and ensure the stability of the occlusion 2019-01-01T00:00:00Z