Department of Therapeutic Stomatology
Teaching Staff:
| Head of the department: | Halyna F. Biloklytska, Doctor of Medical Sciences, Professor. |
| Teaching Staff Members: | Professor Anatoliy P. Hroholsky, Doctor of Medical
Sciences; Assistant Professors Alla P. Prudnikova, Candidate of Medical Sciences; Tetiana D. Tsentilo, Candidate of Medical Sciences; Liudmyla M. Zanozdra, Candidate of Medical Sciences; Assistants Olga P. Tolochyna, Candidate of Medical Sciences; Hryhoriy K. Sydorchuk, Candidate of Medical Sciences; Olena L. Kovalenko, Candidate of Medical Sciences; Olga V. Luzina, Candidate of Medical Sciences. |
History Data
The Department of Therapeutic Stomatology of the Kyiv Medical Academy of Postgraduate Education (KMAPGE) – the first in the former USSR Institutes for Advanced Training of Physicians system, it was founded on the 7-th of April 1964 by order No. 15 of the Institute, on the basis of the order of the Ministry of Public Health of the Ukrainian SSR.
The founder of the department and its first Head was M. A. Kodola, Doctor of Medical Sciences, Professor. Preparatory period of 6 years had preceded to the foundation. In 1958, a course of therapeutic stomatology (M.A. Kodola, Assistant Professor) was established under the department of maxillofacial surgery (Head of Department Prof. L. A. Aleksandrova).
Prof. M. A. Kodola, participant of the Great Patriotic war, graduated from Kyiv Medical Stomatological Institute with honors (1950) and was appointed for continuing his education at clinical residency course of the department of therapeutic stomatology of the same institute. Since 1952, he worked as an assistant, deputy dean, and later the dean of the Stomatological faculty.
In 1956, the young scientist successfully defended his thesis for the degree of a Candidate of Medical Sciences on the subject: “Diagnosis of an early caries”, from 1958, he worked as Head of the department of stomatology of Kyiv State Institute for Advanced Training of Physicians, headed it until 1990 before retiring on a pension. In 1969, M. A. Kodola defended his thesis for Doctor’s Degree: “Microelements in processes of caries forming and progressing”.
Prof. M. A. Kodola successfully combined his scientific, pedagogical and organizational work: in 1969- 1973 he headed the faculty of surgery of Kyiv State Institute for Advanced Training of Physicians.
M. A. Kodola, Doctor of Medical Sciences, Professor, is considered to be an original researcher and scientist; he is the author of more than 200 scientific works, including 7 monographs. His monographs are well known to broad stomatological circles: “Clinical picture, diagnosis and treatment of caries”, “Microelements in caries prophylaxis”, “Pulpites: age peculiarities and treatment”, “Parodontosis. Ultrastructure of gums and pulp” etc. 17 disciples defended their Candidate’s theses under the supervision of Prof. M. A. Kodola. In different periods, Prof. M. A. Kodola was a member of Editorial Board of Interdepartmental collection of scientific works “Stomatology”, member of the Presidium of Republican Scientific Society of Stomatologists, deputy head of Kyiv Municipal Society of Stomatologists. Owing to his scientific advances, pedagogical talent, organizational capacities Prof. M. A. Kodola merited a profound esteem of stomatologic society and of a great number of his thankful disciples. He was an example for his co- workers, postgraduate students, clinical residents in faithful service to his noble cause, he proved to be a kind, considerate, sensitive person to other people. His long-term medical, pedagogical activity excites a profound respect, gratitude of numerous doctors-stomatologists.
Academic base for providing a course of therapeutic stomatology included one consulting room for 3 dental armchairs, in 1962, 2 consulting rooms for 6 dental armchairs attached to maxillofacial inpatient department. In addition, stomatological departments of Shevchenkivsky and Leningradsky districts of Kyiv were used for this purpose.
In 1963, a municipal stomatological polyclinic (leading doctor I. N. Kurchynsky) as an academic base of Kyiv Institute for Advanced Training of Physicians for holding practical training of a course of therapeutic stomatology was established in the premises of Pokrovsky monastery refectory after its reconstruction on the initiative, and with direct participation of the leading stomatologist of Kyiv, Associate Professor M. A. Kodola.
In 1964, the Ministry of Health of Ukraine, on the solicitation of Rector M. N. Umovist of Kyiv Institute for Advanced Training of Physicians, put at its disposal the premises of the academic base of Kyiv Medical Institute in view of their relocation to the newly built Stomatological building at 3, Zoolohichna str. Since then, the academic base of the department has been Stomatological Polyclinic located at No. 1, T. H. Shevchenko blvd. O. L. Belsky was its leading doctor. Owing to reconstruction, in the process of capital repairs, currently, the base has at its disposal 24 armchairs, X-ray room, clinical and biochemical laboratories, the department of specialized physiotherapy, a classroom, and orthopedic department for 5 armchairs. All co-workers of the department and polyclinic took part in the repairs and reconstruction of the premises.
The main directions of the staff’ teaching activities are: teaching- methodological work on advanced training of physicians, educational, clinical work as well as patronizing, educative and social work.
In the first years of its activities the department had facilities for providing advanced training for 80-100 doctors per year. At present, the department carries out the following courses every year: pre-certification training, topical advanced training, internship, specialized training in “Therapeutic Stomatology”. Associated training courses ─ those of pre-certification “Stomatology”, specialized training “Stomatology”, “Orthopedic stomatology”, “General practice ─ family medicine”. Annually, over 400 doctors-stomatologists from different regions of Ukraine take advanced training. During all the period of its existence the department has trained approximately 11 thousand doctors.
Initially, the scientific activity of the
department was devoted to two basic stomatological problems:
1). Caries and its complications;
2). Pathogenesis and treatment of periodontitis.
Investigating the problem “Caries and its complications” the teaching staff members paid a special attention to research of microelements and enzymes in dental development, etiology and pathogenesis of caries, effectiveness of using microelements in preventing and treating caries. The results of scientific work on this problem are described in 5 textbooks, 4 medical recommendations, 2 information letters, 15 reports at different Congresses, conferences, societies, 99 articles and implemented in numerous medical institutions of this country.
Besides, the teaching staff members of the department, in cooperation with the Institute of Gerontology, researched the problems of periodontitis, taking into account the age of patients; they studied its pathogenesis and treatment.
After working over the problem of periodontitis for 15 years, the scientists of the department published 3 textbooks, wrote 3 methodological recommendations, published an informational letter and 60 articles.
At the same time, the scientific workers of the department were engaged in studying the problems of efficacy of plant medications in treatment of stomatological diseases (the materials were described in the book “Phytotherapy in Stomatology”), researching and developing new filling materials; developing new objective methods of diagnosing and using acupuncture for anesthesia and treatment of periodontal diseases.
For about 40 years of their work, the teaching staff members of the department published over 500 scientific works, among them: 8 books, 5 manuals, 4 methodological recommendations, 3 information letters, they were given 25 Copyright Certificates of authorship, 103 certificates for innovations.
The Department was conferred on the title “Collective of high Culture” and “Exemplary Collective”.
In 1990, in accordance with the order of the Ministry of Higher and Secondary Special Education of the USSR No. 500 as of 10.07.82 “About filling the vacations of the teaching staff” and according to resolution of the Academic Board of the Academy (Prof. V.N.Gyrin), Prof. A.P. Hroholsky was elected a Head of the Department of Therapeutic Stomatology of Kyiv Medical Academy of Postgraduate Education named after P.L.Shupyk.
Prof. A.P. Hroholsky graduated from Kyiv Medical Institute with honors in 1962. He was recorded in the “Golden Book of Honour” of the Institute.
He worked as a medical resident, postgraduate, assistant, associate professor of the Department of Therapeutic Stomatology of Kyiv Medical Institute. In 1965 he defended his Candidate’s Thesis “Dental scurf and its influence on periodontal tissue”. In 1982, he defended his Doctoral Thesis “The use of low temperature in treating the diseases of periodontal and mucous membrane of the oral cavity (clinical-experimental research)”.
The formation of A.P Hrokholsky as a specialist and professional was accomplished under the guidance of Professors I.O.Novyk and N.F.Danylevsky.
The most important accomplishments in practical and scientific activities of Prof. A.P.Hrokholsky are: over 220 scientific works, 12 Certificates for inventions, 4 declaration patents. His main scientific interests lie in periodontal diseases and diseases of mucous membrane of oral cavity. He is the founder of a scientific school – the low temperature in stomatology. 6 Candidate’s Theses were defended under his supervision.
His most important publications are: “Dental scurf in periodontal diseases” – Tashkent, 1982 (with coauthors), “Manual of practical training in therapeutic stomatology (Diseases of periodont)” – Kyiv, 1990 (with coauthors); “Practical training in therapeutic stomatology (phantom course) – L’viv: “Svitoch”, 1993 (with coauthors); “Medical errors in stomatology” – Kyiv, “Zdorovye”, 1994 (with coauthors); “Non-traditional methods of treatment in stomatology” – Kyiv, “Zdorovja”, 1995 (with coauthors); “Dental scurf and its influence on teeth, periodontal tissues and organism” – Kyiv, “Zdorovja”, 2000 (with coauthors); “Restoration of destroyed dental crowns by using modern filling materials” – Kyiv, 2001 (with coauthors) etc.
Prof. A.P. Hroholsky has been delivering his lectures on all aspects of therapeutic stomatology to students and doctors for 20 years. He provides consultations and treatment for patients with diseases of mucous membrane of the oral cavity; actively uses new methods of treatment – cryotherapy, cryosurgery, hypo- and hyperthermia. Prof A.P. Hroholsky together with the teaching staff of the department continued good traditions of the department of therapeutic stomatology, founded by Prof. N.A. Kodola.
The main pre-certification computer program, 1007 computer tests for certifying doctors-stomatologists for higher, the first and second qualifying categories were elaborated by the teaching staff members of the department under the supervision of Prof. A.P. Hroholsky. Computer tests were approved by the Ministry of Public Health of Ukraine.
In 1991-2002, the teaching staff members continued elaborating the scientific subject: improvement of methods of diagnosis and treatment of periodontal tissues diseases.
The second direction of scientific activities was: development and implementation into practical stomatology new forms of medical preparations in treatment of periodontal tissues diseases, and the methods of their application. Experimental clinical investigation and approbation of numerous medical preparations, immobilized on sorbents: aerosyl, polisorb, “Silard-P” were carried out in cooperation with the institute of chemistry of surface of the NAS of Ukraine. The main purposes of sorbent using were: their ability to prolong pharmacologic effect of medical preparations, active absorption of microorganisms, as well as of the products of their vital functions and of the decay of tissues, of toxins. Medical preparations of synthetic and vegetable origin are used for immobilization. Compounding of biological toothpastes on the basis of microelements and antibiotics were elaborated for treating hard cases of caries. Various ways and methods of using medicinal preparations of vegetable and synthetic origin, immobilized on sorbents, were worked out and approbated for the treatment of generalized periodontitis. Different concentrations of well known and used in clinical work medical preparations (sweetflag, calendula, salvia, decamethoxin, chlorphilipt etc, were used for immobilization.
Clinical and laboratory investigations showed their high effectiveness аnd their reasonable price, which is very important nowadays. Methods of treatment, suggested by the department, are widely used at the clinical base and many other medical establishments.
Recently, the scientific developments of the department have been aimed at studying introduction of some physical factors into medical practice (cryotherapy, magnetotherapy etc.), which will give the opportunity to increase the efficacy of treatment of dental diseases.
The teaching staff members received a Copyright Certificate for invention (a method of periodontitis treatment No. 1683748), they published methodological recommendations (1993), informative letters, 2 monographs, 78 articles and abstracts, 16 reports. They prepared and published (typographical version) methodological instructions comprised of 3 chapters on therapeutic stomatology (in Russian and Ukrainian): “Caries and its complications, Non-caries lesions of teeth” (1993), “Periodontal diseases” (1993), “Diseases of mucous membrane of the oral cavity» (1994). The results of scientific investigations are implemented in public health practice and educational process.
Material facilities of the department are constantly broadening and improving. For instance, in the last 3-5 years, the base of the Department of Stomatology (1, T. H. Shevchenka blvd.) was considerably extended, joining 4 rooms of the third floor of the building (100 m2). It enabled establishing a consulting office with 1 workplace, orthopedic office with 3 dental armchairs, a dental prosthodontic laboratory with 3 working tables, a computer classroom with 8 working places, a room for assistant professors and assistants with 10 working places, a room for laboratory assistants for 4 working places.
Currently (since January 2003) the department has been headed by H.F. Biloklytska, Doctor of Medical Sciences, Professor, according to the order of Rector of KMAPE Yu.V. Voronenko.
H.F. Biloklytska graduated from Odesa Medical Institute named after M.I. Pyrohov (stomatological faculty with honors) in June 1974. She began working at Odesa Research Institute, where during 1974─1996 she worked her way up from senior laboratory assistant, junior researcher to leading scientist worker, chief of the department of periodontal diseases. In September 1997 she was taken on the staff and in June 1998 she was elected according to a competition for the position of a Professor of the Department of Therapeutic Stomatology of KMAPE. In April 2001 she was elected according to a competition for the position of a professor of the Department of Stomatology of KMAPE. She is Doctor of Medical Sciences since 1996.
H.F. Biloklytska defended her Doctoral thesis on the subject: “Clinicopathogenetic substantiation of differentiated pharmacotherapy of generalized periodontitis” at Specialized Council of National Medical University named after O.O. Bogomolets (the Ministry of Public Health of Ukraine). She was conferred the title of a Professor according to the resolution of the Higher Certifying Committee of the Ministry of Education and Science of Ukraine in December 2001. She has a higher qualification category in “therapeutic stomatology” and “stomatology”.
During her work at KMAPE she proved to be a competent, highly qualified specialist, actively taking part in pedagogical, consultative, clinical and scientific work of the department. She is a kind, considerate person, enjoying merited authority with co-workers of the department, doctors of the polyclinic, doctors-probationers and patients.
3 Candidate’s Theses have being accomplished under the supervision of Professor H.F. Biloklytska.
Professor H.F. Biloklytska headed initiative scientific research work at the Department of Therapeutic Stomatology (1997-1999), scheduled scientific research work at the Department of Stomatology (2000-2002), currently she is the head of scientific research work at the Department of Therapeutic Stomatology.
Professor H.F. Biloklytska is the author of 121 publications, including 110 scientific and 11 educational-methodical works, coauthor of a textbook; she has 2 Copyright Certificates for inventions, 4 patents, 4 positive resolutions on patents’ delivery. She takes part in certification of research and educational staff as a reviewer of dissertations and an official opponent. Since 2000, she has been a member of a Specialized Academic Board in “Stomatology” at National Medical University named after O.O. Bogomolets. Member of the Central Certifying Committee of the Ministry of Public Health of Ukraine and Certifying Commission of General Administration of Public Health Protection of Ukraine, leading specialist at polyclinic No.1 of the State Administration of the President of Ukraine, member of Scientific-Methodological Commission of the Academic Board of Surgical Faculty of KMAPE named after P.Y. Shupyk, member of the Editorial Board of the journal “Modern Stomatology”. She is constantly improving her qualification and exchanges her experience at scientific-practical conferences (Kyiv, 2000, 2001, 2002; St.-Petersburg, 2001; Germany, 2001; Russia, 2003) and teaching seminars of the Association of Stomatologists of Ukraine (Kyiv, 1997-2002)
She has made reports at the first Ukrainian Congress of Stomatologists (1999), 1 National Congress of Ukraine in immunology, allergology and immunorehabilitation (1998), scientific-practical conferences (Kyiv, 1997, 1998,2001; Yevpatoria, 2000;L’viv, 2001; Odesa, 2001, 2002; Kharkiv, 2002; Moscow, 2003)
The basic objectives of the teaching staff of the department correspond to all main directions of the activity of KMAPE named after P.Y. Shupyk. They are: realization of plans of completion of topical pre-certification training courses, improvement of teaching methods according to Unified Programs and those of pre-certification training courses, carrying out scientific investigations, improvement of the quality of clinical work at the clinical base of the department, patronage assistance to public health services, ideological and educational work among doctors-probationers, co-workers, aesthetic decoration and broadening of the base of the department.
Teaching and Methodological Work:
The following training courses are held at the department:
Specialization: specialized training ─ according to individual curricula
Pre-certification: Pre-certification training course in therapeutic stomatology;
Topical Advanced “Modern Methods of treatment in Therapeutic Stomatology”; Interns of the 1st year of education (Graduates of 2002); Interns of Associated departments (Family Physicians)-2; Interns of Associated departments (Family Physicians) -1
The training of doctors-stomatologists and doctors-interns can be provided on a self-financing basis.
Training of clinical residents and postgraduate students can be provided both on a state budget basis and self-financing basis.
Scientific Research Activities:
The leading scientific direction of the department is the investigation of etiology, pathogenesis, peculiarities of clinical course of periodontal inflammatory diseases, taking into account different changes in a human organism;
Elaboration of original treatment methods by using osteotrophic, antiacidotic pharmaceutical preparations, antibacterial remedies, immobilized on sorbents; immunomodulators, new pharmaceutical means (periodontal bandages and films) as well as associated cryodestruction with phototherapy.
Clinical work:
Methods of diagnostics of stomatological diseases
Information for specialists
Diagnostics of periodontal tissue diseases and mucous membrane of the oral cavity
Clinical methods:
1. Shiller-Pysarev, Parma, Kerke’s tests.
2. Determination of capillary stability by means of dosed vacuum according to V.I.Kulazhenko.
3. Index estimation of periodontal tissue condition (index PMD, PI, hygienic indexes).
4. X-ray examinations.
Laboratory investigation
1. Leukocyte emigration according to Yasynovsky.
2. Dental-gingival pocket condition examination.
3. Local leucocytosis.
4. Blood analysis. Monocytogram.
5. Biochemical investigations (determination of hemoglobin of saliva, fucose, neuraminic acid.
6. Blood and saliva immunological investigations for evaluating immune status of patients with generalized periodontitis.
7. Cytological investigations in diseases of the oral mucous cavity.
8. Candida fungus determination.
Dental diseases.
1. Inflamed pulp electroodontodiagnostics.
2. Diagnosis of non-carious lesions of dental solid tissues.
Methods of treatment:
1. Restoration of blasted teeth by light-hardening materials.
2. Teeth filling by composites of chemical induration and CIC. Complex treatment of non-carious damages (cervinal hyperesthesia, wedge-shaped defects, pathological abrasion, enamel erosion etс.)
3. Single-session method of pulpitis treatment by using modern analgesics.
4. Modern means and techniques of passage and dilatation of dental root canals.
5. Materials and techniques of dental root canal obturation.
6. Technologies of generalized periodontitis treatment with pharmaceutical preparations based on “Silard-P” sorbent.
7. Mobile teeth splinting in periodontitis.
8. Removal of dental scurf by ultrasound method.
9. Bleaching of teeth.
Surgical methods of treatment:
1. Dental extraction. Athymic extractions.
2. Cystectomy.
3. Extraction of benign tumors.
4. Resection of the apex of the root.
5. Abscess opening.
6. Generalized periodontitis treatment by surgical methods (curettage, gingivotomy, “shred” operation).
Information for patients.
Methods of diagnosis of stomatological diseases.
1. Generalized periodontitis. Objective clinical diagnosis of periodontal tissues (presence of dental calculus, imperfect filling, dental prostheses, maxillodental deformations, occlusion anomalies, gingival condition, depth of periodontal pockets, degree of dental mobility and other special clinical examinations). Laboratory diagnostics (blood analysis, biochemical and immunological investigations etc.)
2. Diseases of mucous membrane of the oral cavity on a background of diseases of gastro-intestinal tract, nervous and endocrine system, blood diseases (cytological investigations, fungus inoculation on a special medium for detecting fungous diseases of the oral cavity, hemogram).
3. Caries and its complications (X-ray examinations, electroodontodiagnosis).
Treatment of stomatological diseases.
1. Restoration of decayed teeth by using photopolymers and chemical composites.
2. Dental filling with glassionomers.
3. Modern analgesic methods in tooth treating.
4. Accelerated therapeutic methods of teeth diseases.
5. Methods of elimination of high dental sensibility.
6. Dental bleaching.
7. Management of generalized periodontitis of various severity degrees (conservative and surgical treatment).
8. Mobile teeth splinting.
9. Training in hygienic oral cavity examination.
10. Removal of dental scurf via ultra-sound method.
11. Physiotherapeutic treatment methods of periodontitis, diseases of mucous membrane of the oral cavity, dental diseases. International cooperation is absent.
