Shatov P. Justification of comprehensive prevention of oral diseases in individuals with intraoral piercings

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0426U000092

Applicant for

Specialization

  • 14.01.22 - Стоматологія

14-04-2026

Specialized Academic Board

Д 64.600.02

Kharkiv National Medical University

Essay

The dissertation is devoted to improving the effectiveness of preventive measures to avoid complications caused by intraoral piercing. The aim of the study was to comprehensively investigate the effect of dental materials used for intraoral piercing on the clinical, microbiological and morphological condition of the oral cavity and adjacent tissues. Patients who sought therapeutic dental care at the University Dental Center of Kharkiv National Medical University were involved in the study. The total sample consisted of a main group of 68 people with orofacial piercings and a comparison group of 27 patients without piercings. The main group was divided into four subgroups depending on the dental alloy from which the jewelry was made: 316L medical steel (alloy "A"), 5850 gold alloy (alloy "B"), titanium alloy ASTM F-136 (alloy "C"), and silver alloy 9250 (alloy "D"). The study showed that the presence of orofacial piercings affects the microflora of the oral cavity and creates conditions for imbalance, which can increase the risk of infections and inflammatory processes. Analysis of the antimicrobial activity of various piercing materials showed significant differences in their effect on the number of both anaerobic and aerobic bacteria. The piercing material significantly affects the adhesion of anaerobic and aerobic microorganisms. The lowest colonization rates were observed on alloys "D" and "B", while alloy "C" showed intermediate values, and alloy "A" showed the highest adhesion. It has been established that the use of various mouthwashes causes a significant temporary decrease in the activity of the main protective factors of oral fluid – superoxide dismutase (SOD), catalase, and lysozyme – 5 minutes after application. The study showed that the use of the proposed mouthwash contributes to a significant reduction in dental plaque and improved hygiene in patients with piercings made of various alloys. Proven that the presence of intraoral piercings made of various dental alloys affects the electrophysiological state of buccal epithelial cells and the acid-base balance of oral fluid. Analysis of the acid-base status of oral fluid showed that in patients with piercings, pH fluctuations with significant changes were recorded in the first days of observation, indicating a temporary disruption of the buffering properties of saliva under the influence of piercings. After starting to use the proposed mouthwash, a tendency toward pH normalization was observed in all study groups: the pH of oral fluid stabilized or gradually increased to physiological values.

Research papers

1. Шатов ПО. Оцінка ефективності зниження антимікробної активності бактерій у біотопі на поверхні пірсингу. Актуальні проблеми сучасної медицини. 2025;3(91):156-160. https://doi.org/10.31718/2077-1096.25.3.156

2. Савєльєва НМ, Шатов ПО. Порівняльна оцінка уражень тканин щелепно-лицевої ділянки при застосуванні орофаціального пірсингу. Сучасна стоматологія. 2025;5:110-116. https://doi.org/10.33295/1992-576X-2025-5-110

3. Shatov PO. The course of the wound process after intraoral piercing with gold alloy clips in the experiment. Journal of Education, Health and Sport. 2025;84:65419 https://dx.doi.org/10.12775/JEHS.2025.84.65419

4. Савєльєва НМ, Шатов ПО. Визначення електрокінетичної рухливості ядер клітин букального епітелію з орофаціальним пірсингом виготовленим з різних стоматологічних металів. Сучасна стоматологія. 2025;6:55-60. https://doi.org/10.33295/1992-576X-2025-6-55.

5. Shatov PO. Morphological changes in the wound process after implantation of silver alloy piercings in laboratory animals. Інновації у стоматології. 2025;3:44-50. https://doi.org/10.35220/2523-420X/2025.3.7

6. Шатов ПО. Порівняльна оцінка показників ротової рідини у пацієнтів з орофаціальним пірсингом при використанні ополіскувачів для порожнини рота. Актуальні проблеми сучасної медицини. 2025;4(92):173-178. https://dx.doi.org/10.31718/2077-1096.25.173

7. Shatov PO, Savelieva NМ. Analysis of the effect of domestic rinsing on microbial contamination of oral piercings made from various dental materials. Science, technology and global challenges. Proceedings of the 4th International scientific and practical conference. CPN Publishing Group. Tokyo, Japan. 2025. Pp. 56-60.

8. Shatov PO, Savelieva NМ. The effect of dental metals for piercing on the electrokinetic motion of nuclei of cells in the bucal epithelium. European science and innovation congress. Proceedings of the 1st International scientific and practical conference. Barca Academy Publishing. Barcelona, Spain. 2025. Pp. 73-78.

9. Савєльєва НМ, Шатов ПО. Зміни показників індексу гігієни порожнини рота у пацієнтів, які мають пірсинг. Медицина сьогодення і майбутнього: тенденції, виклики та перспективи розвитку системи охорони здоров’я : міжнародний науково-практичний форум, 05 грудня 2025 року, м. Одеса. Львів – Торунь : Liha-Pres, 2025. Сс. 66-68.

10. Савєльєва НМ, Шатов ПО. Оцінка впливу різних ополіскувачів порожнини рота на активність каталази у ротовій рідині пацієнтів з орофаціальним пірсингом. European science and innovation congress. Proceedings of the 2nd International scientific and practical conference. Barca Academy Publishing. Barcelona, Spain. 2026. Сс. 114-119.

11. Savelieva N, Shatov P. PREDICTING A DECLINE IN ORAL CARE QUALITY IN PATIENTS WITH INTRAORAL PIERCINGS. Modern science: trends, challenges, solutions. Proceedings of the 6th International scientific and practical conference. Cognum Publishing House. Liverpool, United Kingdom. 2026. Pp. 65-70.

12. Savelieva N, Shatov P. EVALUATION OF THE RESULTS OF A SURVEY OF PATIENTS WITH INTRAORAL PIERCINGS. Scientific development in a changing world. Proceedings of the 1st International scientific and practical conference. SPC “Sci-conf.com.ua”. Lviv, Ukraine. 2026. Pp. 67-70.

13. Авторське свідоцтво на науковий твір «Анкета-опитувальник стоматологічних пацієнтів з інтраоральним пірсингом» (№142519).

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