http://repository.usmf.md:80/handle/20.500.12710/27011 Sat, 11 Apr 2026 13:59:20 GMT 2026-04-11T13:59:20Z http://repository.usmf.md:80/handle/20.500.12710/27067 Title: Bone augmentation in internal fixation of congenital pathologies, post-traumatic disorders (non-or malunions) and pseudarthrosis treatment on upper limb Authors: Cojocari, Ștefan; Cobzac, Vitalie; Nacu, Viorel; Cociug, Adrian; Buzu, Dumitru; Vacarciuc, Ion; Ticu, Ion; Guțu, Andrian; Suveica, Teodor; Caproș, Nicolae Abstract: Background. The paper explores the applicability and efficiency of bone augmentation in combination with internal fixation as a primary strategy in the treatment of malunited or non-united fractures and pseudarthrosis in the upper limb. The aim is to evaluate the impact of this approach on improving bone consolidation and the functional recovery of patients. Materials and Methods: The study includes a review of cases treated between 2019-2021, focusing on patients (N:39) with malunited (N:11) or non-united (N:6) fractures, congenital deformities (N:2), and pseudarthrosis (N:20) of the upper limb. Various internal fixation techniques (pins, plates (LC-DCP/T-DCP/LCP)), types of graft used (autograft from the iliac crest (N:6), allograft - bone block (21), demineralized bone graft (N:5), bone substitutes - autologous nucleated cellular suspension from bone marrow (N:8)) and their impact on the healing process are analyzed. Results. The results obtained highlight a significant improvement in bone consolidation rates and the functionality of the treated limb, emphasizing the effectiveness of bone augmentation in combination with internal fixation. Depending on the type of pathology, valuable perspectives for optimizing future treatments are presented. Conclusions. Bone augmentation accompanied by internal fixation represents an effective approach for managing deformity, malunited or non-united fractures and pseudarthroses of the upper limb. Selecting the appropriate method of augmentation and internal fixation, adapted to the specifics of each case, is crucial for achieving optimal bone consolidation and functional recovery. Mon, 01 Jan 2024 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/27067 2024-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/27066 Title: Psychogenic risks of obesity Authors: Voronțov, Gabriela; Buta, Galina Abstract: Background. In many textbooks, the risk factors of obesity, the pathogenesis, how it affects the organ systems, are addressed, and less are analyzed the psychogenic risks of obesity on patients. Materials and methods. The study was carried out based on 30 bibliographic sources from the databases: NCBI, PubMed, EMRO, Medscapes. Results. The disease of obesity is associated with a significant psychosocial burden. Many individuals who have obesity also struggle with issues related to their mood, self-esteem, quality of life, and body image. This emotional distress likely plays a role in treatment seeking but also can impact successful treatment. With reference to the Republic of Moldova, 56% of adults (18 years +) are overweight, including 23% are obese. And the summary report data of the study assessing the health behaviors of school-age children (2014) show that 11% of children are overweight, including 2.2% – obese. Previous research suggests a relationship between excess body weight and depression. Persons with extreme obesity, for example, are almost five times more likely to have experienced an episode of major depression in the past year as compared with those of average weight. Disordered eating is common among persons with obesity. Many patients presenting for weight loss treatment report that they engage in eating for emotional reasons; others report having difficulty controlling the frequency of their eating, portion sizes. Obesity also negatively impacts health-related quality of life. Individuals often report significant difficulties with physical and occupational functioning. Persons who are obese are frequently subjected to discrimination in several settings, including educational, employment, and even health care settings. This persons are less likely to complete high school, are less likely to marry, and typically earn less money compared with persons of average body weight. A small minority of individuals with obesity actively abusing substances. Approximately 10% of candidates with obesity report a history of illicit drug use or alcoholism, a percentage higher than seen in the general population. Conclusions. Knowledge of the psychogenic risks of obesity is of significant importance in taking preventive measures and appropriate treatment of patients. Mon, 01 Jan 2024 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/27066 2024-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/27065 Title: The carious experience of the first permanent molar in a group of children aged between 7-14 years Authors: Magaleas, Alexandra; Șevcenco, Nina Abstract: Background. The permanent first molar is the most vulnerable to caries due to its position, coronal morphology and early eruption in the oral cavity. The purpose of the study is to determine the prevalence of dental caries in the permanent first molar in a group of children aged between 7-14 years. Materials and methods. A statistical study was carried out over a period of 1 year on a group of 53 children aged between 7-14 years. Each patient was questioned and examined, noting the dental status of the temporary and permanent teeth. Also, the COE index was calculated for each patient, noting the number of carious teeth and the number of extracted and filled teeth. The data were recorded and processed statistically with the Microsoft Excel program. Results. The 53 children included in the study had a total of 184 erupted permanent first molars on the arch. Of these, 43.4% (80) were free of caries, 8.2% (15) had fissure caries, 21.7% (40) – simple caries, 2.7% (5) – complicated caries and 24% (44) – fillings. Regarding the gender distribution of caries of the first permanent molars, a predominance of boys is observed. However, in recent centuries, an important decrease in the prevalence of dental caries and the severity of molar caries in children can be observed in developed countries and even in countries with a disadvantaged socio-economic situation. Conclusions. The particular vulnerability to caries of the permanent first molar imposes the need for permanent supervision, the rigorous application of dental caries prevention methods, the sealing of fissures and pits, as well as early therapeutic intervention. Since the prevalence of dental caries is very high for patients under the age of 10, it is necessary to adopt caries prevention strategies applied as early as possible. Mon, 01 Jan 2024 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/27065 2024-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/27064 Title: Hypertrophic gingivitis during orthodontic treatment. Clinical case Authors: Fratescu, Cristina; Șevcenco, Nina Abstract: Background. In the process of human evolution, the stomatognathic system has undergone significant changes, which led to the development of various pathological types of occlusion and tooth position abnormalities. As a treatment, different types of orthodontic appliances are used, and one consequence is hypertrophic gingivitis. Hypertrophic gingivitis is a chronic pathological process of proliferative type, with the involvement of the connective tissue and the gingival fibromucosa, not involving the bone tissue, but with the loss of the anatomical-morphological configuration of the gum presenting an aesthetic defect that has a negative impact on health oral cavity and the patient's quality of life. The purpose of the work. Diagnosis and treatment of hypertrophic gingivitis induced by fixed appliance orthodontic treatment. Materials and methods. Case presentation. Patient A.V., B./16 years, addressed the SRIMC, presenting aesthetic and functional complaints. Following the clinical examination, the diagnosis of chronic hypertrophic gingivitis was established. Results. There are several causes to develop hypertrophic gingivitis, one of which is determined by the pressure of the orthodontic structure on the soft tissues of the periodontium, causing inflammation that becomes chronic. Another variant is also possible in which the main reason for the inflammatory reaction is enzymes and toxins produced by microorganisms from bacterial plaque accumulations. The treatment started with: 1. improvement of the main symptoms; 2. professional oral hygiene; 3. oral baths with chlorhexidine 0.06%, for one week; 4. administration of anti-inflammatory drugs and agents that normalize vascular tissue permeability: 5% butadiene ointment, 3% acetylsalicylic acid ointment, indomethacin in the form of gum applications; 5. electrophoresis. Conclusions. Hypertrophic gingivitis during orthodontic treatment is induced by the response reaction of the gingival tissues to the fixed orthodontic appliance and poor oral hygiene. By timely prevention and treatment using drugs and physiotherapy, further complications can be avoided, as well as the structure and functionality of the periodontal tissues can be completely normalized. Mon, 01 Jan 2024 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/27064 2024-01-01T00:00:00Z