Introduction.The article presents an overview of innovative technologies based on methods sensomotor retraining of the patient using neuromuscular electrical stimulation (NFES) and biofeedback (BFB) as the most promising in the medical rehabilitation (MR) of motor impairment in patients with brain stroke (BS). The results of our own study are also presented.

The aim of the study - an assessment of the effectiveness of a comprehensive rehabilitation program with the inclusion of NFES and stabilometric postural control using the BFB method in patients with after-stroke motor disfunction in the chronic ischemic stroke (IS).

Material and methods. We examined 87 patients (41 women and 46 men) in the chronic IS, mean age 58.4±6.4 years. The stroke duration was 228.59±31.9 days. The main group included 52 patients who, along with the standard treatment regimen, underwent NFES and BFB-stabilometric training. The comparison group consisted of 35 patients whose rehabilitation complex did not include the above methods.

Results and conclusion. Due to comlex rehabilitation with NFES and BFB stabilometric postural training it has been improved the function of walking. The clinical effect was noted 3 weeks after the start of rehabilitation, reaching a maximum by the 5th week. The inclusion of BFB-based methods in the medical rehabilitation leads to earlier motor and social adaptation of the after-stroke patient, restoration of the impairment balance function, which is associated with an increase in neuroplasticity.

The article shows the role of extreme influences on the development of pathological changes in the dentomandibular system. The possibility of developing a system of preventive measures non-biocidal action, mainly using probiotics, in particular autoprobiotics is considered.

Angular and trans-zygomatic implantation is an alternative to most maxillary augmentations with severe deformations and extreme atrophy. The usage of the frontal section of the maxilla for implantation surgery after tooth extraction provides effective stability for implants and prostheses. This is the most frequently used protocol for intraoperative direct replacement with traditional and trans-zygomatic implants after extraction of the frontal teeth. Immediate functional loading with provisional restorations is always guaranteed. This saves a considerable amount of treatment time. Augmentations on the maxilla are not necessary. We present a clinical case of implant prosthetic rehabilitation using conventional and trans-zygomatic implants in extreme atrophy and deformations of the maxillary frontal region.

Angular and trans-zygomatic implants are an alternative to most augmentation procedures on the upper jaw. Priority application of trans-zygomatic, pterygoid and traditional implants on the upper jaw in different techniques and combinations. Extensive possibilities for rehabilitation of patients with severe and extreme atrophy and post-traumatic changes of the upper jaw. Trans-zygomatic implants provide immediate functional loading with prosthetic constructions according to the protocol of intraoperative direct prosthetics. Treatment time, cost and the need for augmentation procedures are reduced. Specialists strive to reduce the risks and invasiveness of techniques by optimising surgical access techniques.

This article presents a new method of reconstruction of the atrophied distal alveolar process of the maxilla in patients with chronic polyposis sinusitis that we have developed and introduced into clinical practice. The method provides for bone grafting using open sinus inlay technique with simultaneous removal of polyps from the maxillary sinus and immediate or delayed placement of dental implants. Previously, the presence of extranasal sinus polyps was a contraindication to sinus lifting surgery. Treatment required an additional stage of the sinus sanation, which is possible only in the in-patient department, prolongs the rehabilitation time for patients with tooth loss, and extends the prosthetics period for dental implants. Moreover, it is not always possible to predict the exact time of the in-patient stage of treatment because of the individual characteristics of the body and the risk of possible complications, which in turn can increase the total period of surgical treatment. The developed method makes it possible to exclude the stage of in-patient treatment involving sanation of the maxillary sinus in this category of patients and thus reduces the duration of surgical treatment by 3–4 months.