2017
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Документ Вплив профілактичного комплексу на стан тканин пародонта у дітей регіонів із різним умістом фтору в питній воді(Вищий державний навчальний заклад України «Українська медична стоматологічна академія», 2017) Каськова, Людмила Федорівна; Каськова, Людмила Фёдоровна; Kaskova, L. F.; Моргун, Наталія Анатоліївна; Моргун, Наталья Анатольевна; Morgun, N. A.; Новікова, Світлана Чеславна; Новикова, Светлана Чеславна; Novikova, S. Ch.; Амосова, Людмила Іванівна; Амосова, Людмила Ивановна; Amosova, L. I.; Янко, Наталія Валентинівна; Янко, Наталия Валентиновна; Yanko, N. V.За підсумками обстеження 120 дітей (60 - основна група, 60 - референтна група) у віці 6 років, які проживають у місцевості із різним умістом фтору в питній воді виявлено, що флюороз має перебіг на фоні погіршення стану тканин пародонта. Профілактичний комплекс, який вміщує препарат «Остеовіт» і зубну пасту «Новый жемчуг кальций» у регіоні з підвищеним умістом фтору в питній воді більш ефективний, ніж той, що передбачає пероральне вживання таблеток гліцерофосфату кальцію, полівітаміни «Ревіт» та аплікації глюконату кальцію; По результатам обследования 120 детей (60 - основная группа, 60 - референтная группа) в возрасте 6 лет, проживающих в местности с разным содержанием фтора в питьевой воде выявлено, что флюороз протекает на фоне ухудшения показателей состояния тканей пародонта. Профилактический комплекс, который содержит препарат «Остеовит» и зубную пасту «Новый жемчуг кальций» в регионе с повышенным содержанием фтора в питьевой воде более эффективный, чем тот, который предусматривает приём внутрь таблеток глицерофосфата кальция, поливитаминов «Ревит» и аппликации глюконата кальция; Increased fluoride exposure has negative effect on human tissues and organs. Fluoride activates neutrophil superoxide generation and weakens antioxidant system in blood and periodontal tissues, stimulates production of prostaglandins and thereby exacerbates the inflammatory response in gingivitis and periodontitis. Periodontal immature tissues are sensible to hurt factors; pathological changes in periodontal tissues strengthen with low hygienic level. Recent studies have shown that periodontal indexes worsen with severity of fluorosis. Thus, fluorosis prevention is actual problem in areas with high content of fluoride in drinking water Purpose of research was to analyze changes of the periodontal tissues state in children who live in areas with different content of fluoride in drinking water under influence of treatment-prevention complexes (Poltava — optimal fluoride content, Shishaki — high). 120 children aged 6 years were examined: 60 children from Poltava, 60 children from Shishaki. Dental fluorosis was estimated with WHO classification. Children from both regions were divided on two groups - base and referent. The base group took treatment-prevention complex with «Osteovit» and cleaning teeth by «Novyi zhemchug calcii». The referent group took glycerophosphate calcium, polyvitamins «Revit» tablets, and gluconate calcium topically. All children took hygienic education, tooth cleaning method was standard, treatment of all carious teeth, orthodontic treatment if they need; sanitary-educative work is provided for parents. Recommendations were made for child’s tooth brush: medium softness, brush head is corresponded to child age. Gum’s inflammation was estimated with PMA index proposed by Masser and modified Parma (1960). Probability of differences between data was assessed by Student’s - Fischer t criterion. The children from Shishaki had prevalence of periodontal diseases 87,94 ± 2,74%, which is significantly higher (P<0,001) than index in children from Poltava, — 48,92 ± 1,84%. Prevalence of periodontal disease increases with severity of fluorosis. Light degree of gingivitis prevailed in children from Poltava (96,13 ± 1,01%). Rate of children with light degree of gingivitis decreased in Shishaki (79,03 ± 3,66%), while rate of children with moderate degree of gingivitis increased (20,97 ± 3,66%). Initially PMA in base and referent groups wasn’t considerably different (p>0,5). After first prevention course PMA improved in both groups. PMA decreased in base group in Poltava from 4,31 ± 0,91% to 1,44 ± 0,51% (p<0,01) and from 4,86 ± 0,71% to 2,92 ± 0,46% (p<0,05) in referent group. In Shishaki PMA changes were higher: from 9,35 ± 0,90 to 4,40 ± 0,49% (p<0,001) in base group and from 9,44 ± 1,07 to 5,98 ± 0,59% (p<0,01) in referent group. After 6 months PMA was better than at first examination, but worse than after prevention course. PMA in base group in Poltava was 2,22 ± 0,47% and 3,80 ± 0,54% in referent group, in Shishaki 5,28 ± 0,48% in base group and 6,90 ± 0,55% - in referent group. After 12 months PMA in base group in Poltava was 1,62 ± 0,25% and 3,47 ± 0,50% in referent group, in Shishaki 4,45 ± 0,38% in base group and 6,16 ± 0,68% - in referent group. Thus, it is necessary to prescribe prevention complex 2 times a year for long effect. PMA was reliable better in base group (p<0,05) then in referent group for whole observation period. Prevention complex with «Osteovit» and cleaning teeth by «Novyi zhemchug calcii» in region with high content of fluoride in drinking water was more effective than glycerophosphate calcium, polyvitamins «Revit» tablets, and gluconate calcium topically. Taking all these aspects into consideration, it can be concluded that in the coming future examination the other periodontal indexes will be a very helpful tool for different treatment-prevention means efficacy monitoring.Документ Симуляційне навчання у підготовці майбутніх дитячих лікарів-стоматологів(Вищий державний навчальний заклад України «Українська медична стоматологічна академія» (м. Полтава), 2017) Каськова, Людмила Федорівна; Новікова, Світлана Чеславна; Анопрієва, Наталія Михайлівна; Амосова, Людмила Іванівна; Янко, Наталія Валентинівна; Каськова, Людмила Фёдоровна; Новикова, Светлана Чеславна; Аноприева, Наталья Михайловна; Амосова, Людмила Ивановна; Янко, Наталия Валентиновна; Kaskova, L. F.; Novikova, S. C.; Anoprieva, N. M.; Amosova, L. I.; Yanko, N. V.Стаття присвячена симуляційному навчанню студентів під час викладання пропедевтики дитячої терапевтичної стоматології та профілактики стоматологічних захворювань в поєднанні з виробничою практикою, його роль в формуванні професійних компетенцій у студентів; Статья посвящена симуляционному обучению студентов во время преподавания пропедевтики детской терапевтической стоматологии и профилактики стоматологических заболеваний совместно с производственной практикой, его роль в формировании профессиональных компетенций у студентов. The main task of the university in modern conditions is to prepare fully developed, erudite, cultural, emotionally restrained, professionally competent future dentist. So naturally, that one of the main factors in teaching students is a significant strengthening of the practical aspects of training future doctors while maintaining the appropriate level of theoretical knowledge. In present conditions, there are many innovative educational technologies. However improving the efficiency of teaching students especially in medical schools remains a serious problem. Modern ideology of preparing future professional dentist aimed to create additional conditions, methods and methods which directly affect the process of development of practical skills. At the department of pediatric therapeutic dentistry with prevention of dental diseases carefully and balanced attitude to the issue and promotes the assimilation of theoretical material and the acquisition and improvement of manual skills at each stage of learning. In order to depth clinical training of students, especially primary courses, at the department is organized class of simulation training, for clinical prepare of future specialists is a difficult process and modern approaches in acquiring practical skills are important and necessary in the educational process. In phantom class at the department are installed simulators — dental phantom heads on a tripods that are fully mimic the patient (head with anatomic rubber mask and jaw models with the ability to replace teeth and different body position The benefits of simulation training: • Clinical experience in a virtual environment without risk for the patient. • Objective evaluation of the skill level. • No limited number of repeat in a practical skills trainings. • Improving practical skills in difficult dental situations. • Some of the teachers functions takes over a virtual simulator. • No stress while performing the first independent manipulation in the dental chair. Thus, the study of the subject «Propedeutics of Pediatric Therapeutic Dentistry» for mastering of all practical skills and basic manipulations needed for further study in clinical departments, it is desirable to have classes of stimulating student learning. Simulation training is effective psychological and pedagogical tool that significantly enhances cognitive activity and independent individual work of students.