Content uploaded by Yuri Yurii-59 Vasiliev
Author content
All content in this area was uploaded by Yuri Yurii-59 Vasiliev on Jul 04, 2021
Content may be subject to copyright.
В помощь врачу
80
Вопросы практической педиатрии, 2021, том 16, №2, с. 80–85
Clinical Practice in Pediatrics, 2021, volume 16, No 2, p. 80–85
DOI: 10.20953/1817-7646-2021-2-80-85
An interdisciplinary approach
to the comprehensive diagnosis and rehabilitation
of children with congenital facial malformations
and dentoalveolar anomalies
T.V.Gaivoronskaya1, E.A.Badeeva2, Yu.A.Vasil’ev1, T.I.Murashkina2, А.V.Arutyunov1, F.S.Ayupova1
1Kuban State Medical University, Krasnodar, Russian Federation;
2Penza State University, Penza, Russian Federation
The traditional treatment and prophylaxis of congenital facial malformations in children takes into account the results of well-
known instrumental research methods such as photometric facial analysis, orthopantomography, lateral teleradiography of the
head, diagnostic models of jaws. Modern removable and non-removable appliances (functional and mechanical) are used in
the treatment. At the same time, the functional effect involves relieving the muscle tension in the maxillofacial region and neck
using the techniques of myofascial, segment-reflex massage of the cervical-collar zone and the palate, reliesing the tongue-root
tension. To assess the effectiveness of restoring the myodynamic balance of the muscles of maxillofacial area, it is necessary
to develop modern diagnostic methods. Our clinical experience shows the possibility of determining microsensory changes in
the parameters of the head and neck region using non-invasive nano-, micro- and fiber-optic diagnostic and rehabilitation
technologies. The developed diagnostic methods are safe for the patient and allow obtaining reliable research results.
An interdisciplinary approach will help to improve the rehabilitation of children with congenital facial malformations.
Key words: cleft lip and palate, diagnosis, treatment, interdisciplinary approach, children
For citation: Gaivoronskaya T.V., Badeeva E.A., Vasil’ev Yu.A., Murashkina T.I., Arutyunov А.V., Ayupova F.S. An interdisciplinary approach to the
comprehensive diagnosis and rehabilitation of children with congenital facial malformations and dentoalveolar anomalies. Vopr. prakt. pediatr. (Clinical
Practice in Pediatrics). 2021; 16(2): 80–85. DOI: 10.20953/1817-7646-2021-2-80-85
Междисциплинарный подход к комплексной диагностике
и реабилитации детей с врожденными пороками развития
лица и зубочелюстными аномалиями
Т.В.Гайворонская1, Е.А.Бадеева2, Ю.А.Васильев1, Т.И.Мурашкина2, А.В.Арутюнов1, Ф.С.Аюпова1
1Кубанский государственный медицинский университет, Краснодар, Российская Федерация
2Пензенский государственный университет, Пенза, Российская Федерация
Традиционный лечебно-профилактический комплекс для детей с врожденными пороками развития лица учитывает
результаты известных инструментальных методов исследования таких, как фотометрия лица, ортопантомография,
профильная телерентгенография головы, измерения диагностических моделей челюстей. Для лечения применяют
современные съемные и несъемные ортодонтические устройства функционального и механического действия. При
этом функциональное воздействие предполагает снятие напряжения мышц зубочелюстно-лицевой области и шеи при
помощи приемов миофасционального, рефлекторно-сегментарного массажа шейно-воротниковой зоны и свода нёба,
снижение тонуса корня языка. Для оценки эффективности восстановления миодинамического равновесия мышц зубо-
челюстной области необходима разработка современных способов диагностики. Наш клинический опыт показывает
возможность определения микросенсорных изменений параметрических характеристик областей головы и шеи с
использованием неинвазивных нано-, микро- и волоконно-оптических диагностических и реабилитационных техноло-
гий. Разрабатываемые способы диагностики безопасны для пациента и позволяют получить достоверные результаты
исследований. Междисциплинарный подход будет способствовать повышению эффективности реабилитации детей с
врожденными пороками развития лица.
Ключевые слова: расщелины губы и нёба, диагностика, лечение, междисциплинарный подход, дети.
Для цитирования: Гайворонская Т.В., Бадеева Е.А., Васильев Ю.А., Мурашкина Т.И., Арутюнов А.В., Аюпова Ф.С. Междисциплинарный подход
к комплексной диагностике и реабилитации детей с врожденными пороками развития лица и зубочелюстными аномалиями. Вопросы практи-
ческой педиатрии. 2021; 16(2): 80–85. DOI: 10.20953/1817-7646-2021-2-80-85
Для корреспонденции:
Yuriy A. Vasil’ev, Assistant at the Department of Public Health,
Health Care and History of Medicine, Kuban State Medical University
Address: 4 Sedin str., Krasnodar, 350063, Russian Federation
Phone: (861) 262-5592
E-mail: yurii-59@mail.ru
ORCID: 0000-0001-7257-0991
The article was received 03.01.2021, accepted for publication 29.04.2021
For correspondence:
Юрий Анатольевич Васильев, ассистент кафедры общественного здоровья,
здравоохранения и истории медицины Кубанского государственного
медицинского университета
Адрес: 350063, Краснодар, ул М.Седина, 4
Телефон: (861) 262-5592
E-mail: yurii-59@mail.ru
ORCID: 0000-0001-7257-0991
Статья поступила 03.01.2021 г., принята к печати 29.04.2021 г.
81
Междисциплинарный подход к комплексной диагностике и реабилитации детей с врожденными пороками развития лица и зубочелюст-
ными аномалиями
An interdisciplinary approach to the comprehensive diagnosis and rehabilitation of children with congenital facial malformations and
dentoalveolar anomalies
The human population can be characterized from a genetic
and demographic point of view. Demographic characteris-
tics of the population include population size, birth rate, mortality,
age structure, occupation, economic status, geographical and
climatic conditions of life, and other parameters [1, 2]. Numerous
studies show that the demographic situation in certain territories
of Russia with large industrial production is deteriorating. The
progressive deterioration in the health of residents of industrial
cities is associated with an increase in anthropogenic loads, with
ecological and industrial genotoxicity of the environment. It is
believed that such conditions lead to the deterioration in the
health of children with congenital craniofacial abnormalities
CFA [3–5]. At present, well-known and improved methods of
diagnosis [6–10], treatment [11–14] are used, the tactics of their
use in children with congenital malformations of the maxillofacial
region are discussed [15, 16].
However, the parametric characteristics of the face and neck
areas are often determined empirically, by accumulating profes-
sional experience of a doctor, or using outdated measurement,
visualization, and diagnostic tools. In particular, they use diag-
nostic methods that are implemented with the help of electrical
measuring instruments [17, 18]. Such measuring instruments are
often not reliable and safe for patients, since an electrical failure
of the measuring system is possible, and an electromagnetic
impact produced by the measuring instrument on the patient's
body, a child, is not excluded.
In this regard, the search for new diagnostic tools [19, 20–23]
is relevant based on non-invasive determination of the values of
microsensory changes in the parametric characteristics of pres-
sure, deformation, temperature, linear and angular micro dis pla-
cement and deviations, etc. due to the development of pathologi-
cal condition of some areas of the face in various diseases.
The aim of this work is to increase the efficiency of diagnosis
and treatment of patients with cleft lip and palate on the basis of
the interdisciplinary approach using non-invasive technologies.
Materials and methods
The results of complex rehabilitation of children with CFA (the
main group – 15 people) and with dentoalveolar anomalies com-
plicated by dental row defects (the comparison group – 15 peo-
ple) were observed. The traditional basic (clinical) and additional
(instrumental) research methods were applied. The data of com-
plaints, anamnesis, examination of the face and oral cavity, func-
tional tests were included into the dental record of the patient.
Photos of the face in frontal (30) and lateral (30) projections,
48 diagnostic models of jaws, 30 orthopantomograms, 12 CT
scans with 3D reconstruction were obtained.
The final diagnosis and treatment plan were drawn up on the
basis of the results of photometric facial analysis, measurements
of diagnostic models of jaws, orthopantomography, lateral telera-
diography of the head. When formulating the final diagnosis, the
classification of dentoalveolar anomalies by L.S.Persina (2020),
L.E.Frolova (1974) was used [7].
Fiber-optic sensors of the tongue pressure on the palate were
used to measure microsensory changes in the parameters of the
head and neck regions [19–23]. 30 measurements in the test mode
of these microsensor parametric characteristics were carried out.
Results and discussion
It was found that the clinical picture of the tongue dysfunctions
in children with dentoalveolar anomalies, dental defects and CFA
may be different.
In most children with reduced facial expression and low lip
muscle activity, the lips were not closed, and the mouth was
slightly open, the tongue at rest and during swallowing was laid
between the teeth, especially in those areas of the dentition
where there were no teeth. The root of the tongue was in good
shape. When the tongue was out of the mouth, tension and lim-
ited movement of the lower jaw and lips were noticeable.
In children with distal occlusion, deep incisal disocclusion, and
vestibular inclination of the upper incisors, narrowing of the upper
jaw (“Gothic palate”), the lower jaw was underdeveloped.
An evenly narrowed V-shaped upper arch and a vestibular incli-
nation of the upper incisors were revealed, which prevented a
complete and proper close of the lips. Swallowing was accompa-
nied by active contraction of the facial muscles, neck muscles,
the lower lip was compressed and exerted pressure on the ante-
rior part of the lower dentoalveolar arch. When trying to close the
lips, the child pulled the upper lip down, but the correct closing of
the lips was difficult (Fig. 1).
In our opinion, with such clinical manifestations, violations of
the myodynamic balance of the muscles prevented the physio-
logical growth of jaws and the formation of correct occlusion.
Narrowing of the upper jaw and flattening of the palatine arch
in mesial occlusion contributed to the position of the tongue at the
bottom of the oral cavity, laying between tooth rows at rest and
during function (Fig. 2).
Communication with others was hampered by dysarthria, es-
pecially pronounced in children with clefts of the alveolar ridge
and palate. Children with delayed cheiloplasty are admitted to
hospital, which leads to facial changes in cleft lip, alveolar ridge
and palate, and non-compliance with the rehabilitation regula-
tions. This results in anatomical alterations of the upper jaw and
the middle third of the children’s face, namely, the diastasis be-
tween the segments of the upper jaw increases, the nasal septum
is deviated, the external nose is flattened, and the ala of the nose
is deformed. (Fig. 3, 4).
In accordance with the identified CFAs, dentoalveolar anoma-
lies and congenital malformations of the face, the final diagnosis
was formulated, the rehabilitation tactics were determined, the
treatment plan and the algorithm for its implementation were
drawn up.
Orthodontic devices contributed to the mechanical stimulation
of the growth of the underdeveloped parts of dentitions and jaws
and to the correction of orofacial myofunctional disorders.
We used the well-known [11, 13] and improved by us removable
and non-removable orthodontic devices [12, 13]. The results
of orthodontic correction of the dentition’s shape and size were
determined in comparison with the individual norm [7].
According to the physical therapy plan, exercises were per-
formed to correct the children's posture and to train the respira-
tory function. The complex of therapeutic and prophylactic effects
involved relieving the tension of the muscles of the dento-maxil-
lofacial region and the neck using the techniques of myofascial
and segmental reflex massage of the neck and collar area of the
82
Т.В.Гайворонская и др. / Вопросы практической педиатрии, 2021, том 16, №2, с. 80–85
T.V.Gaivoronskaya et al. / Clinical Practice in Pediatrics, 2021, volume 16, No 2, p. 80–85
Fig. 1. Patient A., 6 years old: a – malocclusion, b – distal occlusion, c – the tongue at rest and during swallowing was laid between the teeth.
Рис. 1. Пациентка А., 6 лет: а – направильное смыкание губ, b – дистальная окклюзия, c – язык в покое и во время глотания прокладывал-
ся между зубами.
a b c
Fig. 2. Patient M., 6 years old: a – tilt of the head, b – mesial occlusion, c – laying the tongue between tooth rows at rest and during function.
Рис. 2. Пациент М., 6 лет: а – наклон головы в сторону, b – мезиальная окклюзия, c – прокладывание языка между зубными рядами в покое
и во время функции.
ab c
Fig. 3. Change in the position of the bones of the upper jaw of the dentoalveolar arch segments in bilateral through cleft of the upper lip
and palate (in the absence of the surgical rehabilitation stage – “cheiloplasty”): a – at birth; b – age of 6 months; c – age of 1 year).
Рис. 3. Изменение положения костей верхней челюсти сегментов зубоальвеолярной дуги при двухсторонней сквозной расщелине
верхней губы и нёба (при отсутствии этапа хирургической реабилитации «хейлопластики»): a – при рождении; b – возраст 6 мес.;
c – возраст один год).
83
Междисциплинарный подход к комплексной диагностике и реабилитации детей с врожденными пороками развития лица и зубочелюст-
ными аномалиями
An interdisciplinary approach to the comprehensive diagnosis and rehabilitation of children with congenital facial malformations and
dentoalveolar anomalies
palate. Considering that the tongue is an important element of the
entire biomechanical system in the oral cavity, it is necessary to
correct muscle tone of the tongue. Children were taught the so-
matic type of swallowing.
On the recommendation of the speech therapist, gymnastics
was performed to correct the speech articulation. To develop
automaticity in the pronunciation of sounds, sound combina-
tions, words and sentences, rhymes and tongue twisters were
used.
Prevention of unwanted anatomical and functional changes in
the child's face is an important task for parents, neonatologists,
pediatricians, pediatric dentists and healthcare organizers. In the
course of implementing rehabilitation measures, we became con-
vinced of the need to develop new technologies [19–23].
Conclusions
Practical healthcare requires the development and applica-
tion of domestic nano-, micro- and fiber-optic technologies in
the outpatient dental practice. In this regard, we recommend, in
addition to traditional methods for diagnosing pathological ab-
normalities, to use modern methods and measuring instruments
created on the basis of domestic nano-, micro- and fiber-optic
technologies. The proposed devices are safe to use and allow
to reliably assess myofunctional disorders and improve the ef-
fectiveness of rehabilitation of children with dentoalveolar
anomalies and CFA.
The introduction of high-tech, import-substituting nano-micro-
technologies in the comprehensive rehabilitation plan for children
with dentoalveolar anomalies and CFA will improve their quality
of life.
Информация о финансировании
Исследование выполнено при финансовой поддержке
РФФИ в рамках научного проекта №18-38-20045
Financial support
The research was carried out with the financial support of
RFBR within the framework of scientific project No. 18-38-20045
Конфликт интересов
Авторы заявляют об отсутствии конфликта интересов.
Conflict of interests
The authors declare that there is no conflict of interest.
Информированное согласие
При проведении исследования было получено информи-
рованное согласие пациентов или их родителей либо закон-
ных представителей.
Informed consent
In carrying out the study, written informed consent was
obtained from all patients or their parents or legal representatives.
References
1. Shiltsova TA, Pilshchikova VV, Vasiliev YuA. Assessment of demographic indicators
characterizing reproduction of the population of the Krasnodar Territory. Novye
Tehnologii. 2020;2(52):116-124. DOI: 10.24411/2072-0920-2020-10212 (In Russian).
2. Kobrinsky BA. Modern view on the problem of registers creation for disease
monitoring. Clinical Informatics and Telemedicine. 2012;8(9):7-9. (In Russian).
3. Kasimovskaya NA, Shatova EA. Congenital Cleft Lip and Palate in Children:
Prevalence Rate in Russia and Worldwide, Risk Factors. Current Pediatrics.
2020;19(2):142-145.. DOI: 10.15690/vsp.v19i2.2107 (In Russian).
4. Bochkov NP, Durnev AD. [Evident and incredible ideas about mutation process in
humans]. Gig Sanit. 2011 Sep-Oct;(5):9-10. Russian.
5. Degtyarev YuG. Risk factors of congenital malformations. Medical Journal.
2014;2(48):4-10. (In Russian).
6. Zhuchenko LA, Andreeva EN, Voskoboeva EYu, Davydova ON, Kalashnikova EA,
Kokarovtseva SN, et al. Implementation of measures of the national project "Prenatal
diagnosis of developmental abnormalities in the baby" in the Moscow region.
Russian Bulletin of Obstetrician-Gynecologist. 2013;13(4):6-12. (In Russian).
7. Persin LS. Orthodontics. National leadership. In 2 volumes. Vol. 1. Diagnosis of
dentoalveolar anomalies. Moscow: GEOTAR-Media Publ; 2020. DOI:10.33029/9704-
5408-4-1-ONRD-2020-1-304 (In Russian).
8. Grabowski R, Kundt G, Stahl F. Interrelation between occlusal findings and
orofacial myofunctional status in primary and mixed dentition: Part III: Interrelation
between malocclusions and orofacial dysfunctions. J Orofac Orthop. 2007 Nov;
68(6):462-76. English, German. DOI: 10.1007/s00056-007-0717-y.
Fig. 4. Change in the position of the bones of the upper jaw of the dentoalveolar arch segments in left-sided cleft of the upper lip and palate
(in the absence of the surgical rehabilitation stage – “cheiloplasty”): a – at birth; b – age of 6 months; c – age of 1 year).
Рис. 4. Изменение положения костей верхней челюсти сегментов зубоальвеолярной дуги при левосторонней сквозной расщелине
верхней губы и нёба (при отсутствии этапа хирургической реабилитации «хейлопластики»): a – при рождении; b – возраст 6 мес.;
c – возраст один год.
84
Т.В.Гайворонская и др. / Вопросы практической педиатрии, 2021, том 16, №2, с. 80–85
T.V.Gaivoronskaya et al. / Clinical Practice in Pediatrics, 2021, volume 16, No 2, p. 80–85
9. Ayupova FS. Method for detecting deviations from the norm of the upper dental
arch and its segments. Kazan Medical Journal. 2013;94(1):131-133. (In Russian).
10. Dudnik ОV, Mamedov AdA, Volkov YuO, Odzhaggulieva GE, Аkhmetkhanov SMА,
Gorlova NV, et al. Analysis of methods of diagnostic and treatment of children with
bilateral cleft lip and palate during the newborn period. Vopr. prakt. pediatr.
(Clinical Practice in Pediatrics). 2020;15(3):65-70. (In Russian). DOI: 10.20953/
1817-7646-2020-3-65-70 (In Russian).
11. Persin LS. Orthodontics. National leadership. In 2 volumes. Vol. 2. Diagnosis of
dentoalveolar anomalies. Moscow: GEOTAR-Media Publ; 2020. DOI:10.33029/9704-
5408-4-1-ONRD-2020-1-304 (In Russian).
12. Ayupova FS, Gubaidullin AA. Device for orthodontic correction of the upper
dentition. RF patent for invention 2219868. Bulletin 36. Dec. 27, 2003. (In Russian).
13. Khoroshilkina FYa. Orthodontics. Defects of teeth, dentition, occlusion anomalies,
morpho-functional disorders in the maxillofacial region and their complex
treatment. 2nd ed., rev. and add. M.: Med. inform. Agency Publ: 2010. (In Russian).
14. Ayupova FS. The results of medical rehabilitation of children with multisystem
occlusion anomalies and complicated adentia of temporary teeth. Kursk scientific
and practical bulletin Man and his health. 2014;3:42-46. (In Russian).
15. Stepina SV, Lavrikov VG, Zernov AV. Volume and types of orthodontic care at the
stages of rehabilitation of patients with congenital facial clefts. Ortodent-info.
2001;2:58-59. (In Russian).
16. Espeland LV, Stenvik A. Perception of personal dental appearance in young adults:
relationship between occlusion, awareness, and satisfaction. Am J Orthod Dento-
fa cial Orthop. 1991 Sep;100(3):234-41. DOI: 10.1016/0889-5406(91)70060-A
17. Prokhonchukov AA, Loginova NK, Zhizhina NA. Functional diagnostics in dental
practice. M.: Medicine Publ; 1980. (In Russian).
18. Shashel VA, Kholopov AP, Dobryakova NE. Guide to children's balneology.
Krasnodar. Diapason-V Publ: 2011. (In Russian).
19. Arutyunov AV, Badeeva EA, Volobuev VV, Murashkina TI, Plotnikova EYu.,
Tereshchenko LF, et al. Tensometry as an alternative method for diagnosing
changes in the maxillofacial region. In the collection: Innovations in education.
Materials of the conference. 2020. (In Russian).
20. Badeeva EA, Murashkina TI, Vasiliev YuA, Serebryakov DI, Brostilova TYu,
Khasanshina NA, et al. Fiber-optic sensor of force (pressure) of muscles language.
Models, systems, and networks in economics, technology, nature, and society.
2019;3(31):83-93. (In Russian).
21. Badeeva EA, Murashkina TI, Vasiliev YuA, Serebryakov DI, Brostilova TYu,
Khasanshina NA, et al. Fiber-optic sensor of force (pressure) of muscles
language – force of muscles language on the palate and the method of its
assembly. RF patent for invention 2741274. Bulletin 3. Jan.22, 2021. (In Russian).
22. Udina IG, Uchaeva VS, Gracheva AS, Volobuyev VV, Vasiliev YA. Molecular Genetic
Study of Association of the MTRR Gene A66G SNP with Dental Caries in Children
with Congenital Cleft Lip and/or Palate and without Pathology. Russian Journal of
Genetics. 2019;55(12):1577-1581. DOI: 10.1134/S1022795419120111
(In Russian).
23. Badeeva E, Murashkina T, Vasiliev Y, Tereschenko L, Istomina T. Fiber-Optic
Pressure Sensor System for Diagnosing Anomalies of the Oral Cavity. Conference:
2020 Moscow Workshop Electronic and Networking Technologies (MWENT).
March 2020. DOI: 10.1109/MWENT47943.2020.9067437 (In Russian).
Литература
1. Шильцова ТА, Пильщикова ВВ, Васильев ЮА. Оценка демографических пока-
зателей, характеризующих воспроизводство населения Краснодарского края.
Новые технологии. 2020;2(52):116-124. DOI: 10.24411/2072-0920-2020-10212
2. Кобринский БА. Современный взгляд на проблему построения регистров
мониторинга заболеваний. Клиническая информатика и телемедицина.
2012;8(9):7-9.
3. Касимовская НА, Шатова ЕА. Врожденная расщелина губы и нёба у детей:
распространенность в России и в мире, группы факторов риска. Вопросы
современной педиатрии. 2020;19(2):142-145. DOI: 10.15690/vsp.v19i2.2107
4. Bochkov NP, Durnev AD. [Evident and incredible ideas about mutation process in
humans]. Gig Sanit. 2011 Sep-Oct;(5):9-10. Russian.
5. Дегтярев ЮГ. Факторы риска в возникновении врожденных пороков разви-
тия. Медицинский журнал. 2014;2(48):4-10.
6. Жученко ЛА, Андреева ЕН, Воскобоева ЕЮ, Давыдова ОН, Калашникова ЕА,
Кокаров цева СН, и др. Реализация мероприятий национального проекта "Пре-
натальная (дородовая) диагностика нарушений развития ребенка" в Москов-
ской области. Российский вестник акушера-гинеколога. 2013;13(4):6-12.
7. Персин ЛС. Ортодонтия. Национальное руководство. В 2 т. Т. 1. Диагностика
зубочелюстных аномалий. Москва: ГЭОТАР-Медиа; 2020. DOI:10.33029/9704-
5408-4-1-ONRD-2020-1-304
8. Grabowski R, Kundt G, Stahl F. Interrelation between occlusal findings and
orofacial myofunctional status in primary and mixed dentition: Part III: Interrelation
between malocclusions and orofacial dysfunctions. J Orofac Orthop. 2007 Nov;
68(6):462-76. English, German. DOI: 10.1007/s00056-007-0717-y.
9. Аюпова ФС. Способ выявления отклонений от нормы верхней зубной дуги и
ее сегментов. Казанский медицинский журнал. 2013;94(1):131-133.
10. Дудник ОВ, Мамедов АдА, Волков ЮО, Оджаггулиева ГЭ, Ахметханов СМА,
Горлова НВ, и др. Анализ методов диагностики и лечения детей с двусторон-
ней расщелиной губы и нёба в период новорожденности. Вопросы практиче-
ской педиатрии. 2020;15(3):65-70. DOI: 10.20953/1817-7646-2020-3-65-70
11. Персин ЛС. Ортодонтия. Национальное руководство. В 2 т. Т. 2. Диагностика
зубочелюстных аномалий. Москва: ГЭОТАР-Медиа; 2020. DOI:10.33029/9704-
5408-4-1-ONRD-2020-1-304
12. Аюпова ФС, Губайдуллин АА. Устройство для ортодонтической коррекции
верхнего зубного ряда. RU2219868C2. Российский патент 2003 года по МПК
A61C7/00
13. Хорошилкина ФЯ. Ортодонтия. Дефекты зубов, зубных рядов, аномалии при-
куса, морфофункциональные нарушения в челюстно-лицевой области и их
комплексное лечение. 2-е изд., испр. и доп. М.: Медицинское информацион-
ное агентство, 2010.
14. Аюпова ФС. Результаты восстановительного лечения детей с сочетанными
аномалиями окклюзии, осложненными множественной адентией временных
зубов. Курский научно-практический вестник Человек и его здоровье.
2014;3:42-46.
15. Степина СВ, Лавриков ВГ, Зернов АВ. Объем и виды ортодонтической помо-
щи на этапах реабилитации больных с врожденными расщелинами лица.
Ортодент-инфо. 2001;2:58-59.
16. Espeland LV, Stenvik A. Perception of personal dental appearance in young adults:
relationship between occlusion, awareness, and satisfaction. Am J Orthod Dento-
facial Orthop. 1991 Sep;100(3):234-41. DOI: 10.1016/0889-5406(91)70060-A
17. Прохончуков АА; Логинова НК, Жижина НА. Функциональная диагностика в
стоматологической практике. М.: Медицина; 1980.
18. Шашель ВА, Холопов АП, Добрякова НЕ. Руководство по детской курортоло-
гии. Краснодар: Диапазон-В; 2011.
19. Арутюнов АВ, Бадеева ЕА, Волобуев ВВ, Мурашкина ТИ, Плотникова ЕЮ,
Терещенко ЛФ, и др. Тензометрия – как альтернативный метод диагностики
изменений челюстно-лицевой области. В сборнике: Инновации в образова-
нии Материалы конференции. 2020.
20. Бадеева ЕА, Мурашкина ТИ, Васильев ЮА, Серебряков ДИ, Бростилова ТЮ,
Хасаншина НА, и др. Волоконно-оптический датчик силы (давления) мышц
языка. Модели, системы, сети в экономике, технике, природе и обществе.
2019;3(31):83-93.
21. Бадеева ЕА, Мурашкина ТИ, Васильев ЮА, Серебряков ДИ, Арутюнов АВ,
Бростилова ТЮ, и др. Волоконно-оптический датчик силы мышц языка - дав-
85
Междисциплинарный подход к комплексной диагностике и реабилитации детей с врожденными пороками развития лица и зубочелюст-
ными аномалиями
An interdisciplinary approach to the comprehensive diagnosis and rehabilitation of children with congenital facial malformations and
dentoalveolar anomalies
ления языка на небо и способ его сборки. RU2741274. Российский патент
2021 года по МПК G01L13/00 A61C19/04
22. Удина ИГ, Учаева ВС, Волобуев ВВ, Грачева АС, Васильев ЮА. Молекулярно-
генетическое изучение ассоциации SNP A66G гена MTRR c кариесом зубов у
детей с врожденными расщелинами губы и/или неба и у детей без патологии.
Генетика. 2019;55(12):1491-1496. DOI: 10.1134/S1022795419120111
23. Бадеева Е, Мурашкина Т, Васильев Ю, Терещенко Л, Истомина Т. Система
оптоволоконного датчика давления для диагностики аномалий полости рта.
Конференция: Московский семинар по электронным и сетевым технологиям.
(MWENT). Март 2020. DOI: 10.1109/MWENT47943.2020.9067437
Информация об авторах:
Татьяна Владимировна Гайворонская, доктор медицинских наук,
профессор, проректор по учебной и воспитательной работе,
заведующий кафедрой хирургической стоматологии и челюстно-лицевой
хирургии Кубанского государственного медицинского университета
Адрес: 350063, Краснодар, ул. Седина, 4
Телефон: (861) 268-5483
E-mail: T.Gaivoronskaya@rambler.ru
ORCID: 0000-0002-8509-2156
Елена Александровна Бадеева, доктор технических наук, доцент,
доцент кафедры бухгалтерский учет, налогообложение и аудит
Пензенского государственного университета
Адрес: 440026, Пенза, ул. Чкалова, 68
E-mail: badeeva_elena@mail.ru
ORCID: orcid.org/0000-0001-8364-8918
Татьяна Ивановна Мурашкина, доктор технических наук, профессор,
профессор кафедры приборостроение Пензенского государственного
университета
Адрес: 440026, Пенза, ул. Чкалова, 68
Телефон: (8412) 208-444
E-mail: timurashkina@mail.ru
ORCID: 0000-0003-3977-994X
Арменак Валерьевич Арутюнов, док тор медицинских наук, доцент,
заведующий кафедрой пропедевтики и профилактики стоматологических
заболеваний Кубанского государственного медицинского университета
Адрес: 350063, Краснодар, ул М.Седина, д. 4
Телефон: (861) 262-5592
E-mail: prst_23@mail.ru
ORCID: 0000-0001-8823-1409
Фарида Сагитовна Аюпова, кандидат медицинских наук, доцент
кафедры детской стоматологии, ортодонтии и челюстно-лицевой хирургии
Кубанского государственного медицинского университета
Адрес: 350063, Краснодар, ул Седина, д. 4
Телефон: (861) 268-0210
E-mail: farida.sag@mail.ru
ORCID: 0000-0002-4194-664X
Information about authors:
Tatyana V. Gaivoronskaya, MD, PhD, DSc, Professor, Vice-Rector for Academic
and Educational Work, Head of the Department of Surgical Dentistr y
and Maxillofacial Surgery, Kuban State Medical University of the Ministry
of Health of Russian Federation
Address: 4 M. Sedina st., Krasnodar, 350063, Russian Federation
Phone: (861) 268-54-83
E-mail: T.Gaivoronskaya@rambler.ru
ORCID: 0000-0002-8509-2156
Elena A. Badeeva, DSc in Technical Sciences, Associate Professor,
Department of Accounting, Taxation and Audit, Penza State University
of the Ministry of Science and Higher Education of the Russian Federation
Address: 68 Chkalov str., Penza, 440026, Russian Federation
Phone: (8412) 208-444
E-mail: badeeva_elena@mail.ru
ORCID: 0000-0001-8364-8918
Tatyana I. Murashkina, DSc in Technical Sciences, Professor,
Department of Instrumentation Engineering, Penza State University
Address: 68 Chkalov str., Penza, 440026, Russian Federation
Phone: (8412) 208-444
E-mail: timurashkina@mail.ru
ORCID: 0000-0003-3977-994X
Armenar V. Arutyunov, MD, PhD, DSc, Associate Professor,
Head of the Department of Propedeutics and Prevention of Dental Diseases,
Kuban State Medical University
Address: 4 Sedin str., Krasnodar, 350063, Russian Federation
Phone: (861) 262-5592
E-mail: prst_23@mail.ru
ORCID: 0000-0001-8823-1409
Farida S. Ayupova, MD, PhD, Associate Professor, Department of Pediatric
Dentistry, Orthodontics and Maxillofacial Surgery, Kuban State Medical University
Address: 4 Sedin str., Krasnodar, 350063, Russian Federation
Phone: (861) 268-0210
E-mail: farida.sag@mail.ru
ORCID: 0000-0002-4194-664X
