Study of biometric parameters and functional state of patients before surgical dental interventions

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Authors

  • S.Yu. Ivanov 1, 2, Associate Member of the Russian Academy of Sciences, PhD in Medical Sciences, full professor of the Maxillofacial surgery Department; full professor of the Maxillofacial surgery Department
    ORCID ID: 0000-0001-5458-0192
  • S.Yu. Kalinchenko 1, PhD in Medical Sciences, full professor of the Endocrinology and holistic medicine Department
    ORCID ID: 0000-0002-4873-667X
  • A.N. Nizhnik 3, head of the scientific chemical laboratory
    ORCID ID: 0000-0003-2137-053X
  • K.S. Hrytsenko 1, resident at the Oral and maxillofacial surgery Department
    ORCID ID: 0000-0002-6244-7145
  • R.A. Terushkin 1, resident at the Endocrinology and holistic medicine Department
    ORCID ID: 0000-0002-3103-5287
  • M.H. Hammouri 1, postgraduate at the Oral and maxillofacial surgery Department
    ORCID ID: 0000-0002-0886-9160
  • A.R. Shurdumov 4, assistant at the Maxillofacial surgery Department
    ORCID ID: 0000-0002-6150-323X
  • 1 RUDN University, 117198, Moscow, Russia
  • 2 Sechenov University, 119991, Moscow, Russia
  • 3 “ArchiMed” Innovative Medical Technologies Clinic, 119261, Moscow, Russia
  • 4 Sechenov University, 119435, Moscow, Russia

Abstract

It is well known from the results of prospective multicenter studies that the effectiveness of surgical interventions directly depends on the correct assessment of bioimpedance analysis and hormonal profile. However, the results of these studies have not yet been taken into account in clinical practice. In order to develop an applied value, it seems appropriate to study the biometric parameters and hormonal profile in patients in outpatient dental practice before undergoing surgery.
Materials and methods.
All patients underwent bioimpedance measurement, the level of salivary hormones was investigated: cortisol, dehydroepiandrosterone, estradiol, progesterone, testosterone, cortisone, as well as the level of 25-hydroxy-vitamin D3 in the blood serum, the omega-3 index of unsaturated fatty acids in the membranes , the concentration of vitamin B12 and ferritin. During bioimpedance analysis there following body parameters were assessed: musculoskeletal mass, fat mass, specific basal metabolism, extracellular fluid, phase angle of bioimpedance analysis, body mass index, weight, waist volume.
Results.
A decrease in the phase angle of bioimpedance analysis in patients aged 18—44 years is observed in 50% of cases, in the analyzes of the steroid profile of saliva, ferritin, 25-OH vitamin D3, omega-3, vitamin B12, the indicators were reduced in most patients. We believe that these changes are a consequence of a decrease in functional activity, the correction of which will optimize the postoperative period and avoid possible complications in the postoperative period.
Conclusion.
The proposed complex of examination makes it possible to reveal hidden limiting factors of a functional state of patient’s body before planned surgical intervention. It is expedient to develop drug therapy schemes and, thereby, eliminate possible causes of complications in the postoperative period, which is especially important in a dental clinic with a day hospital.

Key words:

vitamin D, vitamin D deficiency, omega-3 index, bioimpedance analysis, surgical dentistry, iron deficiency, dental implantation

For Citation

[1]
Ivanov S.Yu., Kalinchenko S.Yu., Nizhnik A.N., Hrytsenko K.S., Terushkin R.A., Hammouri M.H., Shurdumov A.R. Study of biometric parameters and functional state of patients before surgical dental interventions. Clinical Dentistry (Russia).  2021; 24 (2): 60—64

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Received

March 7, 2021

Accepted

April 7, 2021

Published on

June 1, 2021