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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">94471</article-id>
   <article-id pub-id-type="doi">10.18481/2077-7566-2024-20-4-128-133</article-id>
   <article-categories>
    <subj-group subj-group-type="toc-heading" xml:lang="ru">
     <subject>ХИРУРГИЧЕСКАЯ СТОМАТОЛОГИЯ И  ИМПЛАНТОЛОГИЯ</subject>
    </subj-group>
    <subj-group subj-group-type="toc-heading" xml:lang="en">
     <subject>SURGICAL DENTISTRY AND IMPLANTOLOGY</subject>
    </subj-group>
    <subj-group>
     <subject>ХИРУРГИЧЕСКАЯ СТОМАТОЛОГИЯ И  ИМПЛАНТОЛОГИЯ</subject>
    </subj-group>
   </article-categories>
   <title-group>
    <article-title xml:lang="en">“YELLOW NAIL” SYNDROME IN PATIENTS WITH TITANIUM IMPLANTS AS A RESULT OF TITANIUM ION ACCUMULATION IN THE BODY AND ITS OUTCOMES</article-title>
    <trans-title-group xml:lang="ru">
     <trans-title>СИНДРОМ «ЖЕЛТОГО НОГТЯ» У ПАЦИЕНТОВ С ТИТАНОВЫМИ ИМПЛАНТАТАМИ КАК РЕЗУЛЬТАТ НАКОПЛЕНИЯ ИОНОВ ТИТАНА В ОРГАНИЗМЕ И ЕГО ИСХОДЫ</trans-title>
    </trans-title-group>
   </title-group>
   <contrib-group content-type="authors">
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Довгерд</surname>
       <given-names>Александр Александрович</given-names>
      </name>
      <name xml:lang="en">
       <surname>Dovgerd</surname>
       <given-names>Aleksandr Aleksandrovich</given-names>
      </name>
     </name-alternatives>
     <email>Vitadent421@mail.ru</email>
     <xref ref-type="aff" rid="aff-1"/>
     <xref ref-type="aff" rid="aff-2"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Сиволапов</surname>
       <given-names>Константин Анатольевич</given-names>
      </name>
      <name xml:lang="en">
       <surname>Sivolapov</surname>
       <given-names>Konstantin A.</given-names>
      </name>
     </name-alternatives>
     <email>K.A.Sivolapov@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"/>
     <xref ref-type="aff" rid="aff-4"/>
    </contrib>
   </contrib-group>
   <aff-alternatives id="aff-1">
    <aff>
     <institution xml:lang="ru">Новокузнецкий государственный институт усовершенствования врачей — филиал Российской медицинской академии непрерывного профессионального образования</institution>
     <city>Новокузнецк</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Novokuznetsk State Institute for Postgraduate Medical Education - branch of the Russian Medical Academy of Continuous Professional Education</institution>
     <city>Novokuznetsk</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-2">
    <aff>
     <institution xml:lang="ru">ООО «Стома»</institution>
     <city>Кемерово</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Stoma</institution>
     <city>Kemerovo</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-3">
    <aff>
     <institution xml:lang="ru">, Новокузнецкий государственный институт усовершенствования врачей — филиал Российской медицинской академии непрерывного профессионального образования</institution>
     <city>Новокузнецк</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Novokuznetsk State Institute for Postgraduate Medical Education - branch of the Russian Medical Academy of Continuous Professional Education</institution>
     <city>Novokuznetsk</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-4">
    <aff>
     <institution xml:lang="ru">Региональное общество челюстно-лицевых хирургов</institution>
     <city>Новокузнецк</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">Regional Society of Maxillofacial Surgeons</institution>
     <city>Novokuznetsk</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <pub-date publication-format="print" date-type="pub" iso-8601-date="2024-12-28T14:59:13+03:00">
    <day>28</day>
    <month>12</month>
    <year>2024</year>
   </pub-date>
   <pub-date publication-format="electronic" date-type="pub" iso-8601-date="2024-12-28T14:59:13+03:00">
    <day>28</day>
    <month>12</month>
    <year>2024</year>
   </pub-date>
   <volume>20</volume>
   <issue>4</issue>
   <fpage>128</fpage>
   <lpage>133</lpage>
   <history>
    <date date-type="received" iso-8601-date="2024-12-10T14:59:13+03:00">
     <day>10</day>
     <month>12</month>
     <year>2024</year>
    </date>
   </history>
   <self-uri xlink:href="https://dental-press.ru/en/nauka/article/94471/view">https://dental-press.ru/en/nauka/article/94471/view</self-uri>
   <abstract xml:lang="ru">
    <p>Синдром «желтого ногтя» (СЖН) — патологическое состояние, в основе которого лежит длительный патологический процесс, характеризующийся изменениями ногтей, лимфедемой и респираторными проблемами. В последние годы выявлена возможная связь между СЖН и накоплением ионов титана в организме у пациентов с титановыми имплантатами, что требует дополнительного изучения. &#13;
Целью данной статьи является изучение связи между титановыми имплантатами и развитием СЖН, а также исследование механизмов накопления ионов титана и их влияние на здоровье пациентов. В статье использованы следующие материалы и методы: проведен систематический обзор литературных источников, описывающих случаи СЖН у пациентов с титановыми имплантатами; проанализированы клинические данные, результаты измерения уровней титана в биологических жидкостях и ткани, а также описаны методы диагностики и лечения. &#13;
По результатам исследования у пациентов с титановыми имплантатами выявлен повышенный уровень ионов титана в организме, который может приводить к развитию СЖН. Клинические проявления включают изменение цвета ногтей, утолщение ногтевых пластин, лимфедему и респираторные заболевания. Предполагается, что ионы титана вызывают воспалительные реакции, нарушающие лимфатическую систему и метаболизм кератиноцитов, что приводит к развитию СЖН. В заключение сделаны выводы о том, что СЖН у пациентов с титановыми имплантатами представляет собой важную клиническую проблему, связанную с накоплением ионов титана. Необходимы дальнейшие исследования для понимания патофизиологических механизмов и разработки методов профилактики и лечения. Врачи должны учитывать эту возможную связь при ведении пациентов с титановыми имплантатами, особенно при наличии сопутствующих заболеваний.</p>
   </abstract>
   <trans-abstract xml:lang="en">
    <p>Yellow nail syndrome (YNS) is a rare disorder characterized by nail changes, lymphedema, and respiratory problems. In recent years, a possible link has been identified between YNS and titanium ion accumulation in the body of patients with titanium implants, which requires further study. In this regard, the aim of this article is to study the relationship between titanium implants and the development of YNS, as well as to investigate the mechanisms of titanium ion accumulation and their impact on patients' health. The article uses the following materials and methods: a systematic review of literature describing YNS cases in patients with titanium implants was conducted; clinical data, results of titanium level measurements in biological fluids and tissue were analyzed, and diagnostic and treatment methods were described. According to the study results, patients with titanium implants were found to have elevated levels of titanium ions in the body, which can lead to the development of YNS. Clinical manifestations include nail discoloration, thickening of the nail plates, lymphedema, and respiratory diseases. Titanium is thought to induce inflammatory reactions that disrupt the lymphatic system and eratinocyte metabolism, leading to the development of YNS. In conclusion, YNS in patients with titanium implants is an important clinical problem associated with titanium ion accumulation. Further studies are needed to understand the pathophysiological mechanisms and develop methods for prevention and treatment. Physicians should consider this possible association when managing patients with titanium implants, especially in the presence of comorbidities.</p>
   </trans-abstract>
   <kwd-group xml:lang="ru">
    <kwd>синдром «желтого ногтя»</kwd>
    <kwd>титановые имплантаты</kwd>
    <kwd>ионы титана</kwd>
    <kwd>накопление титана</kwd>
    <kwd>лимфедема</kwd>
    <kwd>респираторные заболевания</kwd>
    <kwd>воспалительная реакция</kwd>
    <kwd>ногтевые патологии</kwd>
   </kwd-group>
   <kwd-group xml:lang="en">
    <kwd>yellow nail syndrome</kwd>
    <kwd>titanium implants</kwd>
    <kwd>titanium ions</kwd>
    <kwd>titanium accumulation</kwd>
    <kwd>lymphedema</kwd>
    <kwd>respiratory diseases</kwd>
    <kwd>inflammatory reaction</kwd>
    <kwd>nail pathologies</kwd>
   </kwd-group>
  </article-meta>
 </front>
 <body>
  <p></p>
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