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 <front>
  <journal-meta>
   <journal-id journal-id-type="publisher-id">Actual problems in dentistry</journal-id>
   <journal-title-group>
    <journal-title xml:lang="en">Actual problems in dentistry</journal-title>
    <trans-title-group xml:lang="ru">
     <trans-title>Проблемы стоматологии</trans-title>
    </trans-title-group>
   </journal-title-group>
   <issn publication-format="print">2077-7566</issn>
   <issn publication-format="online">2412-9461</issn>
  </journal-meta>
  <article-meta>
   <article-id pub-id-type="publisher-id">125405</article-id>
   <article-id pub-id-type="doi">10.18481/2077-7566-2026-22-2-216-222</article-id>
   <article-categories>
    <subj-group subj-group-type="toc-heading" xml:lang="ru">
     <subject>ОРТОПЕДИЧЕСКАЯ И ЦИФРОВАЯ СТОМАТОЛОГИЯ. ОБЗОРЫ ЛИТЕРАТУРЫ</subject>
    </subj-group>
    <subj-group subj-group-type="toc-heading" xml:lang="en">
     <subject>ORTHOPEDIC AND DIGITAL DENTISTRY. REVIEWS</subject>
    </subj-group>
    <subj-group>
     <subject>ОРТОПЕДИЧЕСКАЯ И ЦИФРОВАЯ СТОМАТОЛОГИЯ. ОБЗОРЫ ЛИТЕРАТУРЫ</subject>
    </subj-group>
   </article-categories>
   <title-group>
    <article-title xml:lang="en">THE ROLE OF REMAINING DENTIN THICKNESS DURING VITAL TOOTH PREPARATION FOR AN ARTIFICIAL CROWN AND METHODS FOR ITS EVALUATION (LITERATURE REVIEW)</article-title>
    <trans-title-group xml:lang="ru">
     <trans-title>РОЛЬ ТОЛЩИНЫ ОСТАВШЕГОСЯ ДЕНТИНА ПРИ ПРЕПАРИРОВАНИИ ВИТАЛЬНЫХ ЗУБОВ ПОД ИСКУССТВЕННУЮ КОРОНКУ И МЕТОДЫ ЕЕ ОЦЕНКИ (ОБЗОР ЛИТЕРАТУРЫ)</trans-title>
    </trans-title-group>
   </title-group>
   <contrib-group content-type="authors">
    <contrib contrib-type="author">
     <contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2716-6364</contrib-id>
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Кошелев</surname>
       <given-names>Константин Александрович</given-names>
      </name>
      <name xml:lang="en">
       <surname>Koshelev</surname>
       <given-names>konstantin Aleksandrovich</given-names>
      </name>
     </name-alternatives>
     <email>Koshelev1987@yandex.ru</email>
     <bio xml:lang="ru">
      <p>кандидат медицинских наук;</p>
     </bio>
     <bio xml:lang="en">
      <p>candidate of medical sciences;</p>
     </bio>
     <xref ref-type="aff" rid="aff-1"/>
    </contrib>
    <contrib contrib-type="author">
     <contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4447-9979</contrib-id>
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Герасимов</surname>
       <given-names>Артем Михайлович</given-names>
      </name>
      <name xml:lang="en">
       <surname>Gerasimov</surname>
       <given-names>Artem Mihaylovich</given-names>
      </name>
     </name-alternatives>
     <email>orttma@mail.ru</email>
     <xref ref-type="aff" rid="aff-2"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Орлова</surname>
       <given-names>Ксения Андреевна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Orlova</surname>
       <given-names>Ksenia A.</given-names>
      </name>
     </name-alternatives>
     <email>kaf.ortstom@tvgmu.ru</email>
     <xref ref-type="aff" rid="aff-3"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Иванова</surname>
       <given-names>Светлана Борисовна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Ivanova</surname>
       <given-names>Svetlana B.</given-names>
      </name>
     </name-alternatives>
     <email>kaf.ortstom@tvgmu.ru</email>
     <bio xml:lang="ru">
      <p>кандидат медицинских наук;</p>
     </bio>
     <bio xml:lang="en">
      <p>candidate of medical sciences;</p>
     </bio>
     <xref ref-type="aff" rid="aff-4"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Костин</surname>
       <given-names>Игорь Олегович</given-names>
      </name>
      <name xml:lang="en">
       <surname>Kostin</surname>
       <given-names>Igor O.</given-names>
      </name>
     </name-alternatives>
     <email>stomatologistic@mail.ru</email>
     <bio xml:lang="ru">
      <p>кандидат медицинских наук;</p>
     </bio>
     <bio xml:lang="en">
      <p>candidate of medical sciences;</p>
     </bio>
     <xref ref-type="aff" rid="aff-5"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Соколова</surname>
       <given-names>Ирина Викторовна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Sokolova</surname>
       <given-names>Irina Viktorovna</given-names>
      </name>
     </name-alternatives>
     <email>siv-den95@mail.ru</email>
     <bio xml:lang="ru">
      <p>кандидат медицинских наук;</p>
     </bio>
     <bio xml:lang="en">
      <p>candidate of medical sciences;</p>
     </bio>
     <xref ref-type="aff" rid="aff-6"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Трапезников</surname>
       <given-names>Дмитрий Валерьевич</given-names>
      </name>
      <name xml:lang="en">
       <surname>Trapeznikov</surname>
       <given-names>Dmitriy Valerievich</given-names>
      </name>
     </name-alternatives>
     <email>trapeznikovdv@mail.ru</email>
     <xref ref-type="aff" rid="aff-7"/>
    </contrib>
   </contrib-group>
   <aff-alternatives id="aff-1">
    <aff>
     <institution xml:lang="ru">Тверской государственный медицинский университет</institution>
     <city>Тверь</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Tver state medical universitet</institution>
     <city>Tver</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-2">
    <aff>
     <institution xml:lang="ru">Тверской государственный мединский университет</institution>
     <city>Тверь</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Tver State Medical University</institution>
     <city>Tver</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-3">
    <aff>
     <institution xml:lang="ru">Тверской государственный медицинский университет</institution>
     <city>Тверь</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Tver State Medical University</institution>
     <city>Tver</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-4">
    <aff>
     <institution xml:lang="ru">Тверской государственный медицинский университет</institution>
     <city>Тверь</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Tver State Medical University</institution>
     <city>Tver</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-5">
    <aff>
     <institution xml:lang="ru">Тверской государственный медицинский университет</institution>
     <city>Тверь</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Tver State Medical University</institution>
     <city>Tver</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-6">
    <aff>
     <institution xml:lang="ru">Тверской государственный медицинский университет</institution>
     <city>Тверь</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Tver State Medical Universitet</institution>
     <city>Tver</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-7">
    <aff>
     <institution xml:lang="ru">Тверской государственный медицинский университет</institution>
     <city>Тверь</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Tver State Medical University</institution>
     <city>Tver</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <pub-date publication-format="print" date-type="pub" iso-8601-date="2026-06-29T19:24:06+03:00">
    <day>29</day>
    <month>06</month>
    <year>2026</year>
   </pub-date>
   <pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-06-29T19:24:06+03:00">
    <day>29</day>
    <month>06</month>
    <year>2026</year>
   </pub-date>
   <volume>22</volume>
   <issue>2</issue>
   <fpage>216</fpage>
   <lpage>222</lpage>
   <history>
    <date date-type="received" iso-8601-date="2026-06-06T00:00:00+03:00">
     <day>06</day>
     <month>06</month>
     <year>2026</year>
    </date>
   </history>
   <self-uri xlink:href="https://dental-press.ru/en/nauka/article/125405/view">https://dental-press.ru/en/nauka/article/125405/view</self-uri>
   <abstract xml:lang="ru">
    <p>В современной ортопедической стоматологии, невзирая на темпы цифровизации, работу профилактических программ и популяризацию здорового образа жизни, одной из самых распространенных операций в практике остается препарирование твердых тканей зубов. Наиболее серьезные осложнения данной манипуляции проявляются в случае витальных зубов. На первом месте среди таких осложнений стоит травматический пульпит, ввиду таких повреждающих факторов препарирования как механическое, температурное и вибрационное воздействие. Пульпит может развиваться как в процессе редуцирования твердых тканей зубов, так и через некоторое время после его завершения. В статье представлены данные как современной, так и общепризнанной фундаментальной стоматологической науки о механизмах развития травматического пульпита и факторах, определяющих риск его возникновения. Приведены сведения о предполагаемой безопасной остаточной толщине надпульпарного дентина, как показателе, определяющем риск отдаленного возникновения травматического пульпита. Проанализированы подходы, предлагающие с помощью разных способов оценить толщину оставшегося надпульпарного дентина. Проанализированы возможности рентгенологических методов и компьютерных программ для планирования препарирования твердых тканей зубов. Описаны наиболее эффективные устройства, защищенные патентами, которые способны снизить риск повреждения пульпы зубов при их препарировании. В завершение статьи сформулированы тезисы о всевозрастающей роли конусно-лучевой компьютерной томографии в планировании как комплексного стоматологического лечения, так и конкретных манипуляций и обосновывается перспективность создания специализированной компьютерной программы для определения объема предстоящего препарирования твердых тканей, основанной на автоматизированной дифференциации направленного редуцирования в зависимости от материала будущей искусственной коронки, особенностей анатомии и индивидуальных клинических особенностей.</p>
   </abstract>
   <trans-abstract xml:lang="en">
    <p>In modern prosthodontics, despite the rapid pace of digitalization, the implementation of preventive programs, and the promotion of a healthy lifestyle, the preparation of hard dental tissues remains one of the most common clinical procedures. The most severe complications of this manipulation occur in vital teeth. Traumatic pulpitis ranks first among such complications, driven by damaging factors of preparation such as mechanical, thermal, and vibrational impacts. Pulpitis may develop both during the reduction of hard dental tissues and sometime after the procedure. This article presents data from both modern and widely recognized fundamental dental science regarding the mechanisms of traumatic pulpitis development and the factors determining its risk. Information is provided on the proposed safe remaining dentin thickness (RDT) as a key parameter determining the long-term occurrence of traumatic pulpitis. The paper cites studies proposing various methods to evaluate the thickness of the remaining circumpulpal dentin. The capabilities of radiological methods and computer software for planning hard dental tissue preparation are analyzed. Furthermore, the most effective patented devices capable of reducing the risk of pulp damage during preparation are described. In conclusion, the article highlights the increasing role of cone-beam computed tomography (CBCT) in planning both comprehensive dental treatment and specific manipulations. It emphasizes the need to develop specialized computer software for determining the volume of upcoming hard tissue preparation, based on automated differentiation of targeted reduction depending on the material of the future artificial crown, anatomical features, and individual clinical characteristics.</p>
   </trans-abstract>
   <kwd-group xml:lang="ru">
    <kwd>препарирование твердых тканей зубов</kwd>
    <kwd>надпульпарный дентин</kwd>
    <kwd>редукция эмали и дентина</kwd>
    <kwd>планирование препарирования под искусственные коронки</kwd>
    <kwd>оценка толщины дентина</kwd>
   </kwd-group>
   <kwd-group xml:lang="en">
    <kwd>hard dental tissue preparation</kwd>
    <kwd>circumpulpal dentin</kwd>
    <kwd>enamel and dentin reduction</kwd>
    <kwd>preparation planning for artificial crowns</kwd>
    <kwd>dentin thickness evaluation</kwd>
   </kwd-group>
  </article-meta>
 </front>
 <body>
  <p></p>
 </body>
 <back>
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