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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">sibmed</journal-id><journal-title-group><journal-title xml:lang="ru">Сибирский научный медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Сибирский научный медицинский журнал</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2410-2512</issn><issn pub-type="epub">2410-2520</issn><publisher><publisher-name>ИЦиГ СО РАН</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18699/SSMJ20230502</article-id><article-id custom-type="elpub" pub-id-type="custom">sibmed-1234</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Минимально-инвазивная стоматология: история, теория и перспективы</article-title><trans-title-group xml:lang="en"><trans-title>Minimally invasive dentistry: history, theory and perspectives</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4731-1853</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Яргин</surname><given-names>С. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Jargin</surname><given-names>S. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н.</p><p>117198, г. Москва, ул. Миклухо-Маклая, 6</p></bio><bio xml:lang="en"><p>candidate of medical sciences</p><p>117198, Moscow, Miklukho-Maklaya st., 6</p></bio><email xlink:type="simple">sjargin@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Российский университет дружбы народов</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Peoples’ Friendship University of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>27</day><month>10</month><year>2023</year></pub-date><volume>43</volume><issue>5</issue><fpage>14</fpage><lpage>24</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Яргин С.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Яргин С.В.</copyright-holder><copyright-holder xml:lang="en">Jargin S.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://sibmed.elpub.ru/jour/article/view/1234">https://sibmed.elpub.ru/jour/article/view/1234</self-uri><abstract><p>Представлен обзор литературы, касающийся некоторых аспектов истории отечественной стоматологии. В этой связи обсуждаются методы минимального вмешательства (минимально-инвазивные), которые включают воздушно-абразивное, лазерное, звуковое и ультразвуковое препарирование, а также атравматическое восстановительное лечение без механического препарирования. Обсуждаются показания к минимально-инвазивным методам, оценка активности кариеса, причины и механизмы ускоренного реставрационного цикла. Необходимость экономить зубную ткань в прошлом недооценивалась. Неселективное препарирование до твердого дентина в настоящее время рассматривается как избыточная терапия. Концепция минимально-инвазивной стоматологии используется также в эндодонтии и пародонтологии. При рецессии десны большое значение имеет предохранение тканей в состоянии атрофии от дальнейшего повреждения. При экстракции зубов следует воздерживаться от избыточного кюретажа лунки. Необходимо обеспечить независимость научных исследований в области стоматологии от конфликтов интересов. Пациентов нужно объективно информировать о возможных вариантах лечения и давать рекомендации с учетом медицинских показаний, пожеланий и возможностей. Требуется также разработка экономических мер с целью переориентации частных стоматологических клиник на прием пациентов с обязательным медицинским страхованием и использование минимально-инвазивных методов.</p></abstract><trans-abstract xml:lang="en"><p>The article is a literature review concerning certain aspects of the history of Russian dentistry. In this regard, minimally invasive methods are discussed, including air-abrasive, laser, sonic and ultrasonic preparation, as well as atraumatic restorative treatment without mechanical preparation. Indications for minimally invasive methods, assessment of caries activity and prognosis, causes and mechanisms of the accelerated restoration cycle are discussed. The need to preserve dental tissues has been undervalued in the past. Non-selective preparation to hard dentin is currently considered hypertherapy. The concept of minimally invasive dentistry is also applied in endodontics and periodontology. In patients with gingival recession, it is important to protect atrophic tissues from further damage. After a tooth extraction, excessive socket curettage should be avoided. The research in dentistry should be protected from conflicts of interest. Patients should be objectively informed about treatment options, given recommendations based on clinical indications, wishes and possibilities. It is also necessary to develop economic measures in order to reorient private dental clinics to receive patients with compulsory medical insurance and the use of minimally invasive methods.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>кариес</kwd><kwd>рецессия десны</kwd><kwd>атрофия</kwd><kwd>минимально-инвазивная стоматология</kwd></kwd-group><kwd-group xml:lang="en"><kwd>caries</kwd><kwd>gingival recession</kwd><kwd>atrophy</kwd><kwd>minimally invasive dentistry</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Бритова А.А. Кариесология и заболевания твердых тканей зубов. М.: Юрайт, 2019. 249 с.</mixed-citation><mixed-citation xml:lang="en">Britova A.A. Cariesology and diseases of hard tissues of teeth. Moscow: Yurait; 2019. 249 p. 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