In dental practice, the most common outpatient operation is tooth extraction. As a result, dentition defects are formed with a corresponding violation of the chewing function [1]. Traditionally, chewing function has been restored by removable or non-removable dentures. In the modern world, due to the availability of medical dental services and the development of voluntary medical insurance, an increasing number of people choose dental intraosseous implantation as a method of secondary adentia rehabilitation. It is now generally accepted that dental implants represent the most physiological design for replacing dentition defects, in contrast to traditional removable and fixed dentures. The key to a successful treatment is a high-quality preliminary joint planning of surgeon and prostodontist, choice of the position and number of implants, and design of the final restorative structure. Today, the global trend in dentistry tends to be minimally invasive, atraumatic, accurate and solving the assigned medical problems in the shortest possible time. In recent years, digital dentistry and navigational surgery techniques have been successfully introduced into everyday dental practice. When choosing a treatment with the use of digital technologies, specialists use a surgical template and a digital prototype of the future orthopedic construction for strict adherence to the preliminary treatment plan.
Abstract. Regardless of the reason for the extraction of teeth, complications of caries, severe periodontitis or traumatic extraction, the result is always the same - the formation of a defect in the dentition, requiring its replacement. Situations when it is necessary to replace an included defect with the absence of one tooth have long been included in daily dental practice and do not cause discussions, however, situations when it is necessary to fill in the entire dentition require a lot of clinical experience and training. Given the fact that such rehabilitation cannot exclude a financial factor, removable dentures still remain, although not ideal, but a rather relevant method of treating complete adentia. The term "adaptation" (from Latin adaptation - adaptation) - within the framework of orthopedic dentistry means the patient's getting used to the use of prostheses. Any replacement prostheses in the oral cavity at first are perceived as a foreign body being an irritant. The time of adaptation to the prosthesis depends on many factors: the design of the prosthesis, the quality of fixation, the nature of the transfer of pressure on the mucous membrane, the psycho-emotional lability of the patient, the duration of the use of the prosthesis. Over the past few decades, the main vector of development of dental treatment has been aimed at improving the aesthetics and functional features of the dentoalveolar system of patients. This fact is confirmed by the standard complaints of patients. In total dental rehabilitation, as a rule, the phonetic adaptation of patients to orthopedic structures with various types of fixations at the stage of prosthesis manufacturing is not taken into account either by dentists or dental technicians. Situations when diction and phonetics are not restored after the treatment are quite rare in everyday practice, but the ways of adaptation of patients to new orthopedic structures are not predictable both in clinical course and in terms of timing.
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