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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">kurskvest</journal-id><journal-title-group><journal-title xml:lang="ru">Человек и его здоровье</journal-title><trans-title-group xml:lang="en"><trans-title>Humans and their health</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1998-5746</issn><issn pub-type="epub">1998-5754</issn><publisher><publisher-name>Kursk State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21626/vestnik/2022-4/13</article-id><article-id custom-type="elpub" pub-id-type="custom">kurskvest-1112</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>МЕДИКО-БИОЛОГИЧЕСКИЕ НАУКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>MEDICOBIOLOGICAL SCIENCES</subject></subj-group></article-categories><title-group><article-title>Характеристика силовых взаимоотношений челюстей при реабилитации пациентов с полной утратой зубов съемными протезами: клиническое и патофизиологическое исследование</article-title><trans-title-group xml:lang="en"><trans-title>Characteristics of jaw force relations in rehabilitation of patients with total tooth loss and removable dentures: a clinical and pathophysiological study</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9149-2631</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Керимханов</surname><given-names>Камиль Аличубанович</given-names></name><name name-style="western" xml:lang="en"><surname>Kerimkhanov</surname><given-names>Kamil’ A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>врач-стоматолог, ООО «Медис», г. Санкт-Петербург</p></bio><bio xml:lang="en"><p>dentist, LLC “Medis”, St.-Petersburg, Russian Federation</p></bio><email xlink:type="simple">1yadakamil@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7745-2599</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бобынцев</surname><given-names>Игорь Иванович</given-names></name><name name-style="western" xml:lang="en"><surname>Bobyntsev</surname><given-names>Igor I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д-р мед. наук, профессор, зав. кафедрой патофизиологии, директор НИИ общей патологии, КГМУ, г. Курск.</p></bio><bio xml:lang="en"><p>Dr. Sci. (Med.), Professor, Head of the Department of Pathophysiology, Head of the Research Institute of General Pathology, KSMU, Kursk, Russian Federation</p></bio><email xlink:type="simple">bobig@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0052-3277</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иорданишвили</surname><given-names>Андрей Константинович</given-names></name><name name-style="western" xml:lang="en"><surname>Iordanishvili</surname><given-names>Andrey K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>д-р мед. наук, профессор, профессор кафедры челюстно-лицевой хирургии и хирургической стоматологии, ВМедА, г. Санкт-Петербург; зав. кафедрой хирургической стоматологии и челюстно-лицевой хирургии, МСИ, г. Санкт-Петербург</p></bio><bio xml:lang="en"><p>Dr. Sci. (Med.), Professor, Professor of the Department of Oral and Maxillofacial Surgery and Surgical Dentistry, MMedA, Saint-Petersburg, Russian Federation; Head of the Department of Surgical Dentistry and Maxillofacial Surgery, MSI, Saint-Petersburg, Russian Federation</p></bio><email xlink:type="simple">professoraki@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>1yadakamil@mail.ru</institution><country>Россия</country></aff><aff xml:lang="en"><institution>LLC “Medis”</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Курский государственный медицинский университет (КГМУ)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kursk State Medical University (KSMU)</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Военно-медицинская академия имени С.М. Кирова (ВМедА); Медико-социальный институт (МСИ)</institution><country>Россия</country></aff><aff xml:lang="en"><institution>S.M.Kirov Military Medical Academy (MMA); Medico-Social Institute (MSI)</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>30</day><month>12</month><year>2022</year></pub-date><volume>25</volume><issue>4</issue><fpage>104</fpage><lpage>111</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Керимханов К.А., Бобынцев И.И., Иорданишвили А.К., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Керимханов К.А., Бобынцев И.И., Иорданишвили А.К.</copyright-holder><copyright-holder xml:lang="en">Kerimkhanov K.A., Bobyntsev I.I., Iordanishvili A.K.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.kursk-vestnik.ru/jour/article/view/1112">https://www.kursk-vestnik.ru/jour/article/view/1112</self-uri><abstract><p>В настоящее время полная потеря зубов встречается часто, особенно у людей старших возрастных групп, а их реабилитация с использованием полных съемных акриловых протезов не всегда эффективна. Цель исследования: оценить особенности адаптации пациентов к полным съемным зубным протезам с учетом силовых характеристик челюстей и использования адгезивных средств фиксации протезов. Материалы и методы. Исследовано состояние 34 женщин пожилого возраста (от 61 до 75 лет) с полной потерей зубов. 15 пациентампосле изготовления полных съемных зубных протезов на протяжении всего адаптационного периода не использовали адгезивные средства для улучшения их фиксации, 19 пациентамс момента припасовки и наложения полных съемных зубных протезов рекомендовалось использовать адгезивный крем АСЕПТА parodontal. У всех пациентов после припасовки и наложения протезов оценивали показатели гнатодинамометриии показатели пробы с ядром по И.С. Рубинову. Результаты. Установлено, что при реабилитации пациентов с полной потерей зубов с использованием съемных протезов определяются хорошие силовые характеристики челюстей (81-105 Н), а также хорошая фиксация и стабилизация новых зубных протезов. Исследование показало, что оптимизировать силовые характеристики челюстей при использовании полных съемных акриловых протезов и повысить их устойчивость можно, примененяя адгезивные средства для фиксации протезов, что позволяет уменьшить количество посещений для коррекции протезов до 1,25±0,41, а также улучшить показатели гнатодинамометрии на 7,21-29,1%. Заключение. Стоматологическая реабилитация полной потери зубов с использованием полных съемных акриловых протезов достаточно эффективна, особенно при использовании средств для фиксации съемных зубных протезов. Использовании последних требует повышенной онкологической настороженности из-за наличия хронических травматических повреждений слизистой оболочки полости рта, протекающих без болевого симптома, являющихся факультативным предраком.</p></abstract><trans-abstract xml:lang="en"><p>At the present time the complete loss of teeth is frequent, especially in older age groups, and their rehabilitation with the use of full removable acrylic dentures is not always effective. Objective: to estimate the peculiarities of patients adaptation to the full removable dentures taking into account the jaw strength characteristics and application of adhesive agents to improve denture fixation. Materials and methods. 34 elderly women suffering from the total loss of teeth were under observation. Group 1 consisted of 15 patients, who after fabrication of full removable dentures, during the whole adaptation period did not use any adhesive means for improvement of fixation of removable dentures and group 2 used ASEPTA parodontal cream for fixation of dentures. Indexes of gnathodinamometry and indexes of test with nucleus according to I.S. Rubinov were evaluated in all patients after fitting and application of prosthesis. Results. It has been established, that good jaw strength characteristics (81-105 N), as well as good fixation and stabilization of new dental restorations are determined during rehabilitation of patients with full tooth loss using removable dentures. The study has shown that to optimize the force characteristics of the jaws while using the full removable acrylic dentures and to increase their stability it is possible to use adhesive means for fixing dentures, thus reducing the number of visits for denture correction to 1.25±0.41 and improving gnathodinamometry parameters by 7.21-29.1%. Conclusion. Dental rehabilitation of complete tooth loss with full removable acrylic dentures is quite effective, especially when using removable denture fixation means. The use of the latter requires increased oncological vigilance due to the presence of chronic traumatic lesions of the oral mucosa, proceeding without painful symptoms and being facultative precancer.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>адентия</kwd><kwd>стоматологическая реабилитация</kwd><kwd>зубное протезирование</kwd><kwd>гнатодинамометрия</kwd><kwd>фиксация и стабилизация протезов</kwd><kwd>травматический протезный стоматит</kwd></kwd-group><kwd-group xml:lang="en"><kwd>adentia</kwd><kwd>dental rehabilitation</kwd><kwd>dental prosthetics</kwd><kwd>gnathodinamometry</kwd><kwd>denture fixation and stabilization</kwd><kwd>traumatic denture stomatitis</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Комаров Ф.И., Шевченко Ю.Л., Иорданишвили А.К. Долгожительство: ремарки к патологии зубов и пародонта. Пародонтология. 2017;22(2): 13-15. 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