Pridatko I.S., Kushnir K.G., Nepreluk O.A., Roganov G.G.

Crimea State Medical University named after S. I. Georgievsky

Impact syndrome intolerance to acrylic plastics in orthopedic patients indicators Schiller-Pisarev

In our time, used a number of different methods for the treatment of orthopedic patients, a large number of technological approaches. So, as the problem is now in first place, and over time the number of patients increases.One of the most effective technological approaches that affect the microbiological is Schiller - Pisarev.

With Schiller- Pisarev judged the presence , extent and severity of the inflammatory process. Schiller- Pisarev is based on the detection of glycogen in the gums , the content of which increases dramatically during inflammation due to keratinization of the epithelium. In the gingival epithelium of healthy individuals glycogen is either absent or has his tracks . Depending on the intensity of the inflammation of the gums color for lubrication modified Lugol's solution ( potassium iodide - 2.0 g , iodine crystal - 1.0 g , distilled water - 40.0 ml ) varies from light brown to dark brown in color . In the presence of periodontal healthy difference in the color of the gums is not found .

The sample can also serve as a criterion for evaluating the effectiveness of the treatment, as well as anti-inflammatory therapy reduces the amount of glycogen in the gums . For the graduation degree of inflammation is necessary to distinguish the sample : positive, weakly positive and negative . In some cases the sample is used with simultaneous application stomatoskopa (magnification 20 times ) or a colposcope (magnification of 40, 60 and 100) . Schiller performed in patients with periodontal disease before and after treatment. Purity is not specific , but without the possibility of the use of other tests can be a relative measure of the dynamics of the inflammatory process in the course of treatment.

In the group of orthopedic patients who developed syndrome of intolerance to acrylic plastics, Schiller-Pisarev was 1,65 ± 0,018 points, which was 40% higher than in the control group (p <0.001). After conducting clinical therapy comprising administration of a sorbent and destination prebiotics indicators studied samples decreased, approaching the performance of control and were 1,28 ± 0,015 points (p <0.05).The degree of staining and fixed in land survey map of intense darkening of the gums, for objectification can be expressed in numbers ( points) : color gingival papillae - 2 points , the color of the gingival margin - 4 points , the color of the alveolar gingiva - 8 points . Total score divided by the number of teeth, which are conducted in the field of study ( usually 6 )

Iodine value = sum each tooth / teeth number of surveyed

ill-defined process of inflammation - up 2.3 points;

Moderate inflammation process - 2,3-5,0 points;

intense inflammatory process - 5,1-8,0 points.

Schiller-Pisarev (own modification). In order to reduce irritants in 2% aqueous solution of Lugol, which is used in the original Schiller-Pisarev, 0.5% aqueous solution of Lugol.

Methodology of Schiller-Pisarev:

1. Prepared 0.5% Lugol.

2. On the lower lip at a slightly lowered mandible superimposed sterile gauze soaked in Lugol solution, so that it is evenly covered all departments of the mucous membrane of the lower lip and firmly in contact with them.

3. Application continued for 1 min., After which the gauze tissue was removed and assessed by the degree of color separation iodine reactivity scale iodine negativity I and II (no staining, light yellow and yellow color, respectively) and iodine negativity I, II and III (light brown , brown and dark brown staining, respectively) using stomatoskop.

We have studied the possibility of dental implants in favorable and unfavorable anatomical and topographical conditions of the patients.

On the basis of modern immunology , diabetology and Dentistry developed a system for the provision of prosthetic dental care to patients , including the definition of the immunological status of the metabolism of peripheral blood lymphocytes ( in case of need - immunocorrection polioksidoniem ) consultation of an endocrinologist , the use of nickel-titanium for dental prosthetics.Defines the principles and features of the construction of dentures from superelastic shape memory alloy based on nickel titanium , consisting in : a) the absence of the need to explore models for the determination of paralleling lines between worlds and the depth of the holding area , and b) increasing fixation prosthesis during function by increasing sizes clasp retention in the area , and c) the possibility of an arbitrary location clasp in less esthetic zone , and d) simplifying the process and reducing production time frame clasp prosthesis.