Analysis of indicators of the orthopedic careprovision to the adult population of Ukraine during 2012-2017

OBJECTIVE

Introduction: Despite the development of dental science and the introduction of modern methods of treatment of dental diseases into practice that allow solving the most difficult clinical situations, the level of dental morbidity remains high. The decrease in the level of dental health negatively affects the state of general somatic health, causing social maladaptation, which in general is negatively reflected at the level of country's socio-economic development. The aim of our research is a comparative analysis of the provision of orthopedic care to the adult population of Ukraine on the basis of officially published statistical data of the Ministry of Health of Ukraine.

PATIENTS AND METHODS

Materials and methods: For the analysis, the officially published statistical data of the Ministry of Health of Ukraine and the Centre for Medical Statistics of the Ministry of Health of Ukraine have been selected.

CONCLUSION

Conclusions: A comparative analysis of the provision of orthopaedic dental care to the adult population of Ukraine has shown a change in the quantitative indicators of manufactured orthopaedic constructions both by years and by regions. Coordination of dental care and the introduction of an effective system of monitoring the state of dental health in all parts of the medical and diagnostic process and the necessary forms of statistical reporting will contribute to the creation of an effective system for assessing the quality of dental care.

Electromyographic characteristics of chewing muscles of individuals with pathological abrasion of hard dental tissues

OBJECTIVE

Introduction: Pathological abrasion of hard dental tissues is accompanied by both morphological and functional disorders of the dentofacial system. Among the functional changes, changes in the bioelectrical activity of the masticatory muscles are primarily considered. The aim was to study the functional state of the masticatory muscles in patients with pathological abrasion of hard dental tissues of varying degrees of severity compared with the norm.

PATIENTS AND METHODS

Materials and methods: Electromyographic studies were conducted in 89 patients aged 18 to 59. 70 patients had pathological abrasion of hard dental tissues of various degrees and 17 patients had intact dentitions and physiological forms of occlusion.

RESULTS

Results: The results of electromyographic studies showed an extension of the chewing period, a reduced chewing rhythm, a deterioration of chewing efficacy in case of the pathological abrasion of teeth, compared with the norm, which increased in dynamics. The correlation between excitatory and inhibitory processes, however, sharply deteriorated with an increase in the duration of activity due to the reduction of the relative bioelectric rest period. The magnitude of the biopotential amplitude decreased relative to the norm with a serious violation of the coordination of masticatory muscles in general.

CONCLUSION

Conclusions: The results of electromyographic studies of the masticatory muscles make it possible to determine the degree of functional changes in the neuromuscular system of the dentofacial system of patients with pathological abrasion of hard tissues of varying severity, compared with the norm. This indicates a decrease in chewing efficacy and the progression of morphological disorders that increase in dynamics.

Current legal issues of conducting a forensic medical examination of newborns' corpses

OBJECTIVE

Introduction: Forensic medical examination is a mandatory investigative action in determining the causes of death of newborns. It is especially significant and occupies a key place in proving the corpus deliciti. The aim is to study the current legal issues of a forensic medical examination of newborns' corpses.

PATIENTS AND METHODS

Materials and methods: The study of legal and literary sources was carried out. The library-semantic and the content analysis methods were applied.

CONCLUSION

Conclusions: Forensic medical examination should also include questions regarding the mother of the newborn: whether she was healthy at the time of delivery; if the medical staff caused any harm to her or her child; if she had the necessary help before and during the childbirth, etc. Examination should be appointed if one of the parents has the desire, which must be expressed in writing in the form of a motion.