medlitГигиена и санитарияHygiene and Sanitation0016-99002412-0650Federal Scientific Center of Hygiene named after F.F. Erisman10.47470/0016-9900-2019-98-3-339-342medlit-298Research ArticleМЕТОДЫ ГИГИЕНИЧЕСКИХ ИССЛЕДОВАНИЙMETHODS OF HYGIENIC AND EXPERIMENTAL INVESTIGATIONSКлиническая оценка безопасности и эффективности профессиональной гигиены полости рта и отбеливания зубов у пациентов с абфракционными дефектами и рецессиейClinical assessment of oral debridement and teeth bleaching safety in patients with teeth abfractions and gingival recessionhttps://orcid.org/0000-0003-3665-1916ВласоваНаталья НиколаевнаVlasovaNatalia N.

Кандидат мед. наук, доцент каф. терапевтической стоматологии ФГАОУ «Первый МГМУ имени И.М. Сеченова» (Сеченовский университет), 119991, г. Москва.

e-mail: vlasova12345@yandex.ru

MD, Ph.D., Associate professor, Department of the therapeutic dentistry оf I.M. Sechenov First Moscow State Medical University (Sechenov University), 119991, Moscow, Russian Federation.

e-mail: vlasova12345@yandex.ru

vlasova12345@yandex.ruhttps://orcid.org/0000-0002-4510-2890ПрохоровН. И.ProkhorovN. I.noemail@neicon.ruКузнецовС. В.KuznetsovS. V.noemail@neicon.ruДанилинаА. А.DanilinaA. A.noemail@neicon.ruНиколашвилиН. И.NikolashviliN. I.noemail@neicon.ruМнацаканянК. К.MnatsakanyanK. K.noemail@neicon.ruФГАОУ «Первый МГМУ имени И.М. Сеченова» (Сеченовский университет)I.M. Sechenov First Moscow State Medical University (Sechenov University)201914102020983339342Copyright © Власова Н.Н., Прохоров Н.И., Кузнецов С.В., Данилина А.А., Николашвили Н.И., Мнацаканян К.К., 20202020Власова Н.Н., Прохоров Н.И., Кузнецов С.В., Данилина А.А., Николашвили Н.И., Мнацаканян К.К.Vlasova N.N., Prokhorov N.I., Kuznetsov S.V., Danilina A.A., Nikolashvili N.I., Mnatsakanyan K.K.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rjhas.ru/jour/article/view/298Введение

Введение. У большинства практикующих врачей существуют сомнения в безопасности проведения профессионального отбеливания у пациентов с рецессией десны и дефектами твёрдых тканей зуба в пришеечной области. 

Цель исследования – оценка безопасности и эффективности профессиональной гигиены полости рта и отбеливания зубов у пациентов с клиновидными дефектами зубов и рецессией десны. 

Материал и методы

Материал и методы. Было проведено рандомизированное контролируемое проспективное клиническое исследование с участием двух групп по 30 человек. В группе № 1 проводили профессиональную гигиену полости рта и профессиональное отбеливание зубов, абфракционные дефекты и зоны рецессии десны были изолированы жидким коффердамом. В группе № 2 проводили только профессиональную гигиену полости рта. Оценивали индекс истирания зуба (ИИЗ), индекс Шиффа и вертикальный размер рецессии десны. 

Результаты

Результаты. В течение года увеличение размера клиновидного дефекта наблюдали в области пяти зубов в группе № 1 и в области семи зубов в группе № 2. Увеличение вертикального размера рецессии на 1 мм наблюдали в области шести зубов в группе № 1 и в области восьми зубов в группе № 2. Cтатистически достоверных различий между группами 1 и 2 выявлено не было. В группе 1 после профессионального отбеливания гиперестезия отмечалась в области 240 зубов (40%), однако через 14 суток количество зубов с повышенной чувствительностью значительно уменьшилось и составило 110 (18,3%). В группе № 2 после проведения профессиональной гигиены количество зубов с гиперестезией составило 250 (41,7%), в течение 14 суток количество зубов с гиперестезией снизилось до 239 зубов (39,8%), что превышает аналогичный показатель в группе № 1. 

Заключение

Заключение. Профессиональное отбеливание зубов не оказывает негативного влияния на рост рецессий зубов и клиновидных дефектов.

Introduction

Introduction. The most of dental practitioners have some doubts about teeth bleaching safety in patients with teeth abfractions and gingival recession. 

Aim

Aim. Assessment of professional oral debridement and teeth bleaching safety in patients with teeth abfractions and gingival recession. 

Material and methods

Material and methods. Randomized controlled trial was done in two groups of 30 patients with teeth abfractions and gingival recession. In group 1 oral debridement and professional dental bleaching were performed. Abfractions and recessions were isolated with a liquid dam. In group 2 oral debridement was made. The vertical size of recession, Tooth Wear Index and Schiff air sensitivity index were evaluated. 

Results

Results. After 12 months the enlargement of wedge defects was pronounced in 5 teeth in group 1 and in 7 teeth in group 2. The enlargement of the gingival recession was marked in 6 teeth in group 1 and in 8 teeth in group 2. No statistical difference between groups was seen. In group 1 after teeth bleaching the sensitivity was present in 240 teeth (40%), after 14 days amount of teeth with sensitivity reduced to 110 (18.3%). In group 2 after oral debridement, the sensitivity was present in 250 teeth (41.7%), after 14 days amount of teeth with sensitivity reduced to 239 (39.8%). 

Conclusion

Conclusion. The teeth bleaching has no effect on dental abfractions and gingival recession.

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The authors declare that there are no conflicts of interest present.