http://ir.librarynmu.com/handle/123456789/2103 2026-04-11T21:34:45Z 2026-04-11T21:34:45Z Hryva, L. http://ir.librarynmu.com/handle/123456789/17404 2026-02-06T09:17:02Z 2025-01-01T00:00:00Z

Название: Temporary Anchorage Devices usage stability in modern orthodontics: systematic review Авторы: Hryva, L. Краткий осмотр (реферат): Abstract: In orthodontic treatment, TADs have mostly been utilized for anchorage when patient compliance is lacking. Various failure rates have been reported in modern orthodontic literature. An accurate assessment of the TADs stability rate and potential risk factors for the mechanicallyretained TADs was the aim of our research. Up to December 2017, MEDLINE, Scopus, and the Cochrane Library were used for electronic database searches. Reference lists were examined and further searching for ongoing and unpublished data was done. Hand searches of pertinent journals and grey literature were also conducted. We gathered English-language published prospective cohort studies (PCSs) and randomised controlled trials (RCTs) that detailed the failure rate of miniscrews, which are less than 2 mm in diameter, when used as an orthodontic anchoring. In this study, data extraction, risk of bias evaluation, and blind and duplicate study selection were done. Using the random-effects model, failure rates and pertinent risk variables for miniscrews were determined, along with the accompanying 95 percent confidence intervals (CIs). The I2 and Chi2 tests were used to evaluate the heterogeneity among the studies. The Newcastle-Ottawa Scale and the Cochrane Risk of Bias were used to determine the risk of bias. The robustness of the meta-analysis results was tested by using subgroup and sensitivity analyses. This study comprised 30 prospective clinical trials as well as 16 randomized clinical trials. Because there was insuficient statistical data to calculate the impact sizes, five studies were excluded from the meta-analysis. In a random-effect model, 3250 miniscrews approximately amongst 41 trials were combined. Miniscrews showed an overall failure rate of 13.5% (95% CI 11.5%–15.9%). Analysis of division groups revealed that smoking and the kind of gingivae had statistically significant effects on the rate of miniscrew failure, while the diameter, length, and design of the miniscrews, patient age, and place of insertion had non-significant effects. Conclusion: TADs have an acceptably low failure rate. Because of the high degree of heterogeneity and imbalanced groups in the included research, care should be taken when interpreting the results. To validate the results of this review, significant sample sizes from highquality randomized clinical trials are needed.

2025-01-01T00:00:00Z Komarov, D. Savelieva, N. http://ir.librarynmu.com/handle/123456789/17403 2026-02-06T08:33:53Z 2025-01-01T00:00:00Z

Название: Prevalence and intensity of dental caries in adolescents with juvenile idiopathic arthritis Авторы: Komarov, D.; Savelieva, N. Краткий осмотр (реферат): Abstract: One of the central problems of modern dentistry is the analysis of the impact of juvenile idiopathic arthritis (JIA) - the most widespread heterogeneous rheumatic disease in pediatrics on a child's dental health. The prevalence of JIA in Ukraine is 0,37 cases per 1000 children under 17 years of age with a tendency to increase. JIA is a collective term that combines various forms of arthritis of unknown etiology, which debut in children under 16 and lasts for more than 6 weeks. The central idea in JIA management isthat treatment, timeliness, and adequacy determine the disease's prognosis and the child's further development. The primary principles in the treatment of JIA manifestations remain the principles of basic therapy of the disease, necessarily with the use of disease-modifying antirheumatic drugs. Taking into account the negative dynamics of the incidence of JIA and scientific data about the impact of the disease on the condition of hard dental tissues, conducting research in this area is of particular scientific interest to us. This study aims to determine the prevalence and intensity of the carious process in adolescents suffering from JIA, taking into account the subtypes of rheumatological disease and the possible negative impact of basic drug therapy. As part of the study, a dental examination of 80 adolescent children suffering from JIA was conducted. The control group consisted of 20 healthy adolescents. By the study design, the study participants were divided primarily by the presence of JIA; the second division was based on the presence of a specific subtype of JIA in the study participants: groups with polyarticular rheumatoid factor positive (RF+) (n=29), oligoarticular (n=24), enthesitis-associated (n=12), polyarticular RF- (n=10), undifferentiated (n=5) variants of JIA and a control group (n=20). Another division of the study participants took place according to the basic medical support: groups of patients taking methotrexate at a dose of less than or equal to 15 mg (n=43) and greater than 15 mg (n=18), a group of patients receiving adalimumab (n=20) and a control group (n=20). An examination of the oral cavity, recording of the dental formula and determination of the prevalence and intensity of the carious process in the studied groups depending on the presence of JIA, basic medical support and subtype of the disease were performed. Statistical analysis of the data was performed using the STATISTICA 10.0 program. It was noted that patients with JIA have a 1,6-fold higher intensity of dental caries compared to children without JIA (p= 0,004). Analysis of the structure of the DMF+df index allows us to state that patients with JIA have carious lesions of permanent teeth on average 2 times more often compared to the control group (p= 0,004). Analysis of the effect of basic drug therapy on the caries intensity in general and separately on each structural component of the DMF+df index showed that patients taking methotrexate at a dose of less than or equal to 15 mg have an average cariesintensity of 1,25 times higher compared to patients who take adalimumab, and a 2-fold higher intensity of the carious process compared to children without general somatic pathology (p = 0,0096 and p = 0,0008, respectively). The study also showed that patientstaking methotrexate at a dose of lessthan or equal to 15 mg have an average of 3 times higher frequency of carious lesions of permanent teeth (p = 0,0016). The analysis of the influence of the JIA subtype on the intensity of the carious process showed that patients with RF-negative polyarticular and oligoarticular variants of JIA have, on average, twice the intensity of caries compared to the control group (p = 0,0032 and p = 0,0065, respectively). In contrast, the JIA subtype does not affect the structure of caries incidence in adolescents.

2025-01-01T00:00:00Z Pysarenko, A. Kostenko, V. http://ir.librarynmu.com/handle/123456789/17402 2026-02-06T08:28:01Z 2025-01-01T00:00:00Z

Название: Explanatory language in dental informed consent communication Авторы: Pysarenko, A.; Kostenko, V. Краткий осмотр (реферат): Abstract: Informed consent is a legal and ethical cornerstone of dental care, yet its effectiveness depends not only on content but also on clarity of communication. While existing research extensively covers the ethical and legal aspects, less attention has been given to the linguistic strategies that shape patient comprehension. This study examines the use of code glosses, i.e. in-text clarifications of technical terms, in 50 informed consent forms (ICFs) used in U.S. dental practices. Using Hyland’s metadiscourse model and the Text Inspector tool, glosses were identified, categorized, and analyzed across different sections of the forms. Results show that Explanation glosses dominate (45.9%), with Implication and Exemplification glosses each at 19.7%. Most glosses appearin Procedure (30%) and Diagnosis (28%) sections, while fewer are found in Risk (22%) and Consent statements (10%). These findings highlight areas where patients may receive insuficient support to understand complex or abstract information, particularly when it comes to making truly informed choices. Glosses improve readability by unpacking specialized language and reducing cognitive load, especially under conditions of stress or limited health literacy. Despite their benefits, certain gloss types, such as analogies or conditionally phrased advisories, remain underused, possibly due to legal caution or a preference for standardized phrasing. The study underscores that code glosses are essential communicative tools, not mere stylistic additions. Greater integration of patient-friendly language and multimodalstrategiesis recommended to strengthen informed consent practices and promote clearer, more equitable healthcare communication.

2025-01-01T00:00:00Z Hlushko, I. Flis, P. http://ir.librarynmu.com/handle/123456789/17401 2026-02-06T08:24:02Z 2025-01-01T00:00:00Z

Название: Assessment of the correlation between Pharyngeal Airways and Palatal Index in different skeletal growth patterns Авторы: Hlushko, I.; Flis, P. Краткий осмотр (реферат): Abstract: In the discipline of orthodontics, a person's face structure can be ascertained through the specific characteristics and anatomical correlations of the palate depth, width, and airway dimensions, which aid in the identification of malocclusions. A greater awareness of the relationship between upper airway structure and sleep disordered breathing, as well as the relationship between this condition and craniofacial morphology in general, has led to a gradual increase in interest in upper and lower airway dimensions over the past few decades. The study comprised 30 participants, with a mean age of 17.5 years. Skeletal classes I, II, and III were assigned to the participants based on their ANB (A point, nasion, B point) angle (N = 10). The study models were used to calculate the palatal height, palatal breadth, and palatal height index using Korkhaus analysis. McNamara Airway Analysis was used to measure the upper and lower pharyngeal airway dimensions based on the lateral cephalogram. The ANOVA test was used to calculate the findings. For the palatal index and airway dimensions, there was a statistically significant difference observed in all three groups of malocclusions (class I, II, and III). The subjects with skeletal class II malocclusion showed the highest mean palatal index values (P=0.03). For the upper airway, class I had the greatest mean value (P=0.041), while class III had the highest mean value (P=0.026) for the lower airway. It was concluded that subjects with the class II skeletal pattern have a high palate and reduced upper and lower airways when compared with class I and class III skeletal patterns, which showed larger upper and lower airways, respectively.

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