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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">57145</article-id>
   <article-id pub-id-type="doi">10.18481/2077-7566-2022-18-4-17-23</article-id>
   <article-categories>
    <subj-group subj-group-type="toc-heading" xml:lang="ru">
     <subject>ТЕРАПЕВТИЧЕСКАЯ СТОМАТОЛОГИЯ</subject>
    </subj-group>
    <subj-group subj-group-type="toc-heading" xml:lang="en">
     <subject>THERAPEUTIC  DENTISTRY</subject>
    </subj-group>
    <subj-group>
     <subject>ТЕРАПЕВТИЧЕСКАЯ СТОМАТОЛОГИЯ</subject>
    </subj-group>
   </article-categories>
   <title-group>
    <article-title xml:lang="en">SJOGREN'S SYNDROME AND OSTEOPOROSIS IN PRACTICE OFA DENTAL PRACTITIONER: CLINICAL CASE STUDY</article-title>
    <trans-title-group xml:lang="ru">
     <trans-title>БОЛЕЗНЬ ШЕГРЕНА И ОСТЕОПОРОЗ В ПРАКТИКЕ ВРАЧА-СТОМАТОЛОГА: КЛИНИЧЕСКИЙ СЛУЧАЙ</trans-title>
    </trans-title-group>
   </title-group>
   <contrib-group content-type="authors">
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Еловикова</surname>
       <given-names>Татьяна Михайловна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Elovicova</surname>
       <given-names>Tat'yana Mihaylovna</given-names>
      </name>
     </name-alternatives>
     <email>ugma-elovik@yandex.ru</email>
     <bio xml:lang="ru">
      <p>доктор медицинских наук;</p>
     </bio>
     <bio xml:lang="en">
      <p>doctor 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/0000-0002-1838-3535</contrib-id>
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Саблина</surname>
       <given-names>Светлана Николаевна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Sablina</surname>
       <given-names>Svetlana Nikolaevna</given-names>
      </name>
     </name-alternatives>
     <email>9122541494@mail.ru</email>
     <xref ref-type="aff" rid="aff-1"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Григорьев</surname>
       <given-names>Сергей Сергеевич</given-names>
      </name>
      <name xml:lang="en">
       <surname>Griroriev</surname>
       <given-names>Sergey Sergeevich</given-names>
      </name>
     </name-alternatives>
     <email>sergeygrig28@gmail.com</email>
     <bio xml:lang="ru">
      <p>доктор медицинских наук;</p>
     </bio>
     <bio xml:lang="en">
      <p>doctor of medical sciences;</p>
     </bio>
     <xref ref-type="aff" rid="aff-1"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Фоминых</surname>
       <given-names>Мария Игоревна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Dominykh</surname>
       <given-names>Maria Igorevna</given-names>
      </name>
     </name-alternatives>
     <email>therapy.fominykh@gmail.com</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-2"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Закроева</surname>
       <given-names>Алла Геннадьевна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Zakroeva</surname>
       <given-names>Alla Gennadievna</given-names>
      </name>
     </name-alternatives>
     <email>zakroeva.alla@mail.ru</email>
     <bio xml:lang="ru">
      <p>доктор медицинских наук;</p>
     </bio>
     <bio xml:lang="en">
      <p>doctor of medical sciences;</p>
     </bio>
     <xref ref-type="aff" rid="aff-3"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Шимова</surname>
       <given-names>Маргарита Ефимовна</given-names>
      </name>
      <name xml:lang="en">
       <surname>Shimova</surname>
       <given-names>Margarita Efimovna</given-names>
      </name>
     </name-alternatives>
     <email>fake@neicon.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-group>
   <aff-alternatives id="aff-1">
    <aff>
     <institution xml:lang="ru">Уральский государственный медицинский университет</institution>
    </aff>
    <aff>
     <institution xml:lang="en">Ural State Medical University</institution>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-2">
    <aff>
     <institution xml:lang="ru">Уральский государственный медицинский университет</institution>
     <city>Екатеринбург</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Ural State Medical University</institution>
     <city>Yekaterinburg</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-3">
    <aff>
     <institution xml:lang="ru">Уральский государственный медицинский университет</institution>
     <city>Екатеринбург</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Ural State Medical University</institution>
     <city>Ekaterinburg</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <pub-date publication-format="print" date-type="pub" iso-8601-date="2022-12-28T12:06:08+03:00">
    <day>28</day>
    <month>12</month>
    <year>2022</year>
   </pub-date>
   <pub-date publication-format="electronic" date-type="pub" iso-8601-date="2022-12-28T12:06:08+03:00">
    <day>28</day>
    <month>12</month>
    <year>2022</year>
   </pub-date>
   <volume>18</volume>
   <issue>4</issue>
   <fpage>17</fpage>
   <lpage>23</lpage>
   <history>
    <date date-type="received" iso-8601-date="2022-12-03T12:06:08+03:00">
     <day>03</day>
     <month>12</month>
     <year>2022</year>
    </date>
    <date date-type="accepted" iso-8601-date="2022-12-10T12:06:08+03:00">
     <day>10</day>
     <month>12</month>
     <year>2022</year>
    </date>
   </history>
   <self-uri xlink:href="https://dental-press.ru/en/nauka/article/57145/view">https://dental-press.ru/en/nauka/article/57145/view</self-uri>
   <abstract xml:lang="ru">
    <p>Предмет исследования — болезнь Шегрена.&#13;
Цель исследования — рассмотрение клинического случая болезни Шегрена на фоне остеопороза в амбулаторно-поликлинических условиях на приеме у стоматолога-терапевта.&#13;
Методология.  Работа проведена в дизайне описания одного клинического случая и выполнена на кафедре терапевтической стоматологии и пропедевтики стоматологических заболеваний, кафедре факультетской терапии и гериатрии Уральского государственного медицинского университета. В статье представлены клинические описания пациента с развитием главных симптомов болезни Шегрена, раскрыт соматический и стоматологический статус женщины, описаны особенности сопровождения при динамическом наблюдении.&#13;
Выводы. Рассмотренный в статье клинический пример дает возможность ознакомиться с одним из многих вариантов развития болезни Шегрена хронического течения. Данное заболевание осложняется на фоне менопаузального состояния и при возникшем у пациентки остеопорозе. Клинические проявления болезни Шегрена имеют высокую вариабельность, усложняющую диагностический процесс. Это создает риск несвоевременного начала лечения, что провоцирует развитие тяжелых осложнений, особенно на фоне остеопороза. Особое значение имеет адекватная рациональная современная терапия (активная базисная лекарственная терапия) и динамическое наблюдение у ревматолога. Однако болезнь Шегрена как междисциплинарная проблема нуждается в обязательном профессиональном участии врача-стоматолога, проведении курсов профессиональной гигиены полости рта как первичного этапа комплексной поддерживающей терапии (согласно клиническим рекомендациям)  и динамическому наблюдению пациентов, а также в контроле других специалистов, в зависимости от системных проявлений, — ревматолога, гастроэнтеролога, эндокринолога, офтальмолога.</p>
   </abstract>
   <trans-abstract xml:lang="en">
    <p>Subject. The subject of this research is Sjogren's syndrome.&#13;
Objective. The objective of this research is to report a clinical case of Sjogren's syndrome associated with osteoporosis under hospital outpatient care provided by a dental therapist.&#13;
Methodology. The research design includes description of one clinical case. The study is conducted by the Department of Preventive Dentistry and Propedeutics of Dental Disease, and the Department of Intermediate Level Therapy and Geriatrics of Ural State Medical University. This paper presents clinical observations of the patient developing main symptoms of Sjogren's syndrome, as well it explores somatic/dental status and describes the framework for supervision during dynamic observation.&#13;
Conclusion. The case study allows to explore one of the multiple cases leading to development of chronic Sjogren's syndrome. The patient experiences a worsening of symptoms associated with menopausal transition and with new signs brought on by osteoporosis shows specific symptoms. Clinical manifestations of Sjogren's disease are highly variable, complicating the diagnostic process. This creates a risk of delayed treatment and provokes the development of severe complications, especially against the background of osteoporosis. Rational selection of appropriate modern medical treatment (active general drug therapy) and dynamic observation of a reumatologyst are specially important. However, being an interdisciplinary problem Sjogren's syndrome requires involvement of dental professionals, training in professional oral hygiene procedure which is the initial step of comprehensive maintenance treatment (based on clinical recommendations)  and dynamic observation of patients; based on systemic manifestations, other specialists such as a reumatologyst, a gastroenterologist, an endocrinologist, an ophthalmologist may be involved.</p>
   </trans-abstract>
   <kwd-group xml:lang="ru">
    <kwd>болезнь Шегрена</kwd>
    <kwd>минеральная плотность кости</kwd>
    <kwd>недостаточность витамина D</kwd>
    <kwd>хронический генерализованный пародонтит средней степени</kwd>
    <kwd>остеоденситометрия</kwd>
    <kwd>пародонтальный статус женщин с остеопенией</kwd>
   </kwd-group>
   <kwd-group xml:lang="en">
    <kwd>Sjogren's syndrome</kwd>
    <kwd>bone mineral density</kwd>
    <kwd>vitamin D deficiency</kwd>
    <kwd>chronic mild generalized periodontitis</kwd>
    <kwd>osteodensimetry</kwd>
    <kwd>periodontal status of women with osteopenia</kwd>
   </kwd-group>
  </article-meta>
 </front>
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