???

1
??????????? ???????-??????????????????
???????????? ? ???????????? ? ?????? ? ??
???????
XII ????????????? ???????? ??? ????????
???????????????????? ???????????? ??????????????
, ????????, ?????????????
?????? 3 ?????????? ???????????????? ?
???????????????????? 16 ??????? 2009 ?.

• ?.?. ?????, ?.?. ??????,
• ?.?. ??????????, ?.?.???????,
• ??????? ????????????? ?????????????? ????????????
  ?????

2
2001- 2002 ???? ?????? ???????? ????????
????????????? ????????????

• ? 2002 ?. ?????? ??????????? ??????????????
  ??????? ????-?????? ?????? ?? ????????????? ?
  ???????????? 15 ??????? ????????????????? ??????.
  
• ???????????? ????????, ??? ????????????? ?
  ???????????? ???????? ?????? ??? ?????????????
  ???????, ???????????? ??????, ????????????????
  ???????????.
• ?? ?????????????? ??????? ????????????? ??????
  ???????????.
• ? ???? ??????? ?????? ?? ?????????????
  ????????????, ?? ???? ????????? ??? ????????? ??
  ???????? ???????? ( ? ??? ?????,
  ????????????????? ??????? ???????)

2
3
????????? ?????????? ??????????? ???????????? ?
????????????

• ????????????
• ??????????????? ??????
• ?????? ???????? ? ?.?.
• ????????? ???? ????????????? ???????-???????????
  ??????? ????????????, ????-???????? ?
  ??????????????? ???????

4
???????-?????????????????? ????????????

• ???????????????? ????? ????????? ? ????????
  ????????? ????????
• ?????????? ????????? ????????????
• ??????????? ??????? ?????????? ??? ??????????
  ????????? ?????????
• ??????????????? ??????? ?????? ???????????? ?
  ???????
• ?????????????? ?????????? ??????? (?? 500 ?? 30
  ???. ?????????-??????????)

4
5
????????? ????? ?? ????????????? ????????????
?????? ?????? ???????????
6
????? ?? EBD
Dental Epidemiology Resources

• Oral and Dental Health
• (Data are for the U.S.)
•  
• Morbidity
• Percent of children ages 2-5 with untreated
  dental caries 19.5 (2001-2004)
• Percent of children ages 6-19 years with
  untreated dental caries 22.9 (2001-2004)
• Percent of adults ages 20-64 years with untreated
  dental caries 26.8 (2001-2004)
• Source Health, United States  2008, table 77 
• Health care use
• Percent of children ages 2-17 with a dental visit
  in the past year 77 (2007)
• Percent of adults ages 18-64 with a dental visit
  in the past year 63 (2007)
• Percent of adults ages 65 and over with a dental
  visit in the past year 58 (2007)
• Source Health, United States  2008, table 96 

7
????????????????? ?????????????? ???????????? ??
???????????? (????? 21 ??)(???????? ?????? 20
000 ??????????, ??????????? Cochrane Oral Health
Group, 2007)
7
8
???????? ??????????????? ???????Cochrain Oral
Health Group(?? ????????? ?? ?????? 2007 ?.,
????? 62 ??????)
???????? ?????????????? ???????
!!!
1 ????? ?? ?????? ??????? ????????
8
???????? Turp J.C., Antes G. // DZZ.-2007- ? 2.
72-74.
9
CED (??????????? ???????? ?? ????????????)
???????????? ??????? ???????? ???????? ??
????????? ????????? ??????????? ?? ??????????
??????? ???????????? ??????? ? ???????????
0,1-6 ???????? ????????. ??? ?????? ????
????????? ??? ???????? (??????????????) ??????? ?
????? ??????????? ?????? ?? ?????????
????????. ??????? ??????? ?? ?????????
??????????? ???????-???????????????????
???????????? ???????????? ????????????????
?????????? ???????????? ???????. ???????????????
???????????? ???????? ?????????????.
????????? ??????????????? ????? Hasson H.,
Ismail A., Nevia G. Home-based
chemically-inducted whitening of teeth in
Adults.// Cochrane library, 2006 (?????? 416
??????. ?? ??? 25 ???????? ? ???? ??????).
9
10

• ???????????? ????????? ? ???????? ??
  ??????????? ?????????? ??????????? ?
• ?????????? ???????????? ??????? ??????
  ?????????, ??????????? ????????????? ?
• 1998 ?., ??? ???????????? ??? ? FDI.
• CED ??????? ???? ?????????, ???
  ?????????????, ???????? ?? ??????????
• ??????? ?????????????, ? ????? 2006 ?. ????????
  ????????? ?????????? ??????????
• ?????????.
• ? ?? ?? ????? CED ????????? ? ?????????
  ???????? ??????? ?????????? ???????
• ??? ?????????? ????????? ? ??????? ??
  ???????????? ? ????????????.
• ?? ?????? ??????? ????????? ????????
  ?????? ??????????????
• ?????????? ????????? ???????? ? ?????? ? ???,
  ??????????? ?????
• ??????????? ???????? ? ????????? ?????????.

10
11
11
12
??? ???????? ? ?????????????? ?????????????EVIDEN
TISTAPan American Centers for Evidence based
Dentistry
??????????, ??????????????? ? ????????? ? ??????
?? ??????????

??????? ??????????????? Ib
12
???????? Jokstad A.// Evidence based Dentistry.-
2004.- ? 3
13
??? ???????? ? ?????????????? ?????????????EVIDEN
TISTAPan American Centers for Evidence based
Dentistry

• ?????????? ??????????? ????? ?? ????????????????
  ?????????? ???????????? ?????????? ???????????
  ??????? ? ?????? 3 ???? ???????????. ?
  ??????????? ??????? ????????. (???????
  ??????????????? II).
• (B.Basrani, D. Matthews. Survival rates similar
  with full cast crowns and direct composite
  restorations Evidence-Based Dentistry (2004) 5,
  45)
• ????????? ??????? ? ?????? ?? ??????????
  ???????????? ?????????? ? ??????????? ??????????
  ??????, ??? ??????? ???????. ???????? ?? ?????
  SIQ ? 3,7 ???? (??????? ??????????????? I)
• (Heydecke G, Thomason JM, Lund JP, Feine JS. The
  impact of conventional and implant supported
  prostheses on social and sexual activities in
  edentulous adults. Results from a randomized
  trial 2 months after treatment. J Dent 2005
  33649657)

13
14
??? ???????? ? ??????????????????????
???????????? ??????????????? ??????????? ???????
??? ??????????? ????? ??????? ???????????? ??????????? (????)
???????????? ?????? ????????? 10
???????????? ?????? ??????? 8
??????????? ?????? ????????? 7
??????????? ?????? ??????? 4
??????? ??????? ????????? 22
??????? ??????? ??????? 14
???????? Kerschbaum Th., 1997. ???????
??????????????? III
15
??? ???????? ? ?????????????? ??????????????????
??????? ? ?????????????? ???????????????
????????? ??????????? ???????? ? ????? ??????? ??
???? ? ????? ???????? ? ?????????? ?????????? ?
??????? ??????? ?????

???????? Troeger F., 2007. ???????
??????????????? III.
15
16
???????? ? ???????-??????????????????
????????????? ?? ??????? ? ? ??????
?????? ???? ?? ????????????? ????????????? ???? ?? ????????????? (?????????????? ????????)
??????????????? ???????-?????????????????? ???????????? (? ??? ????? ???????????? ????????? ???????? ?? ???????-?????? ????????? ??????????????? ? ????????????? ??????????) ?????? ???? ?? ??? ???????????? ????????????
17
? 2003-2005 ??. ???? ???? ?????????
???????-?????????????????? ????????????
??????????? ??????????????? ??????? ?????????
(n832) ? ????????? ??????????? ????? ??????????
???????????? ?????????????

• ?????????? ??????? ????? ??????????? ??????????
  ?????? ????????????????? ????????.
• ???????? ???????? ???? ?????????? ? ????????,
  ????????????? ????? ??????? ??????????
  ?????????????,
• ???????? ??????? ???????? ??????????

17
18
??????? ??????? ?????????? ? ???????? () ???
????????? ????? ????????? ??????????? ????????
?????????? ?????? ????????????? ???????????? ?
????????????? ??????? ??????????? ?????????????
????????
18
19
?????????

• ?? ????????? ?????????? ?????? ??????? ?????????
  ??????? ?????? ? ?????? ?????????? ?????????
  ????????? ??????????? ????????.
• ??? ???????? ???????-????????????? ??????.

19
20
????? ????? ??????? ??? ???????? ?????? ?
?????? ?????????? ????????? ???????????
???????????-?????? ????????
21
????????? ????????? ??????? ?????????? ??????
????????? ??????????? ???????? ? ??????
??????????? ??????????
???. ?? ??????? ?.?., 2005
22

• ?????? ??????????????? ???????-??????????????????
  ???????????? ?? ????????????
• ?????????? ???????????? ? ??????? ??????? ?????
  ? ???????? (????-I)
• ?????? ? ??????? 2004 ?.
• ???????????? ???????????? ????? ? ????

22
23
???????????? ??? ???????
??????????????????
????????????????????????
23
24
????????? ????????????? ?????
24
25
??????? ?????????? ????????? ? ?????-???????????
?? ?????? ???????????? ????
25
26
??????? ???????? ????? ????? ?????????????
!
??????? ????? ??????????
26
27
???? ?? ?????? ???????
??? ???????/????????? ?????? ????? ??????????
????????????? ??????????? ????????????? ??
????????? ? ????? ? ?????? ????????
??????????. ? ???? ??????? ?????????????
????????? ?????????????? ?????????.
28

• ???????-?????????????????? ????????????
  ??????????? ??????????????? ??????? ??????? ?
  ????????? ??????????? ?????
• ( ?????? -1),
• ?????????? ? 2005 ?. ? 30 ????????????????? ???,
  ? 12 ???????? ??????
• (?????, ????)

28
29
????? ????????????? ????????? ?? ???????? (n1264)

• ?????????? ?????
• ?????????? ????????????
• ??????????????? ???????
• ???????????? ????
• ?.??????
• ????????? ???????

• ???????????? ???????
• ?????????? ???????? ??????-??????
• ?????????? ???????
• ???????? ???????
• ??????????? ???????
• ????????? ??????????

29
30
???? ? ??????? ????????????? ????????? ????????
?? ???????? ??????

?????????? ?.?., 2008
30
31
???? ? ??????? ????????????? ??????? ???????? ??
???????? ??????
31
?????????? ?.?., 2008
32
????????? ?????? ??????
? ????? ?????? ??-???????? ?????? ???????????
???? ????????, ????????????? ? ??????? ??????
??????????. ???????, ?????? ?????????? ? ???????
??????? ??????? ?? ???? ??????????? ? ?? ????????
????????? ? ?????? ??????????????.
33
????????? ?? ????????!