Subject. An interdisciplinary approach in the science and practice of the dental industry has long become an established reality. The direct and indirect effect of a huge number of somatic diseases on the dental health of patients, the tactics of their treatment and subsequent follow-up observation was studied. One of these diseases is diabetes. On the other hand, the number of lawsuits against orthopedic dentists is growing every year and they are often associated with an insufficient, in the patient's opinion, period of comfortable use of the manufactured construction. When analyzing the causes of patients re-seeking dental orthopedic care, we revealed a significant discrepancy in their occurrence in patients with and without diabetes. In this article, we tried to describe the causes and consequences of such a phenomenon and propose ways to solve the discovered problem. The goal is to reduce the number of complications of dental orthopedic treatment in patients with diabetes mellitus. Methodology. We analyzed data from 304 patients who applied to dental clinics for the purpose of repeated prosthetics of teeth and dentitions. One of the research methods was a specially designed questionnaire, which included a number of questions for the reasons for replacing the prosthesis. Clinical and paraclinical methods for examining patients that meet the standards of care for established diagnoses were also used. Results. A clear dependence of the life of dentures on the presence of a history of diabetes was revealed. The main complaints of patients with repeated visits to the orthopedic dentist are formulated. The most common causes of early abandonment of the use of dentures were identified and the peculiarities of adaptation to them in patients with the pathology under consideration were determined. Findings. The obtained data can be applied in predicting the immediate and long-term results of prosthetics of teeth and dentitions, and on the basis of them, the period of clinical observation of patients with diabetes can be changed.
Subject. The increase in the number of works devoted to the influence of somatic diseases on dental health is steadily growing in the specialized literature. On the other hand, the requirements of the work of orthopedic dentists are dictated by the need for a clear assessment of the possible long-term results of prosthetics of teeth and dentitions, taking into account a number of factors, one of which is the presence and severity of general somatic pathology and associated diseases. The goal is to analyze the effect of hypertension on the life of some types of dentures. Methodology. As research methods, standard clinical and paraclinical methods for examining patients were used, recommended for use in the considered nosologies of the dental spectrum. A specially designed questionnaire was used that included the issues under consideration. As a study material, data from three hundred and ten patients are presented, who for various reasons needed repeated prosthetics and were divided into groups according to several criteria. Statistical data processing was carried out in accordance with the requirements for research of this type. Results. A correlation was found between the terms of comfortable use of dentures and the presence of a history of hypertension in patients. The main complaints of patients when applying for repeated prosthetics are identified and the reasons are structured that lead to a decrease in the service life of removable and non-removable prostheses for the somatic pathology under consideration. Conclusions. The data obtained can be used by orthopedic dentists in the clinical appointment of patients with partial and complete loss of teeth at the stage of planning the expected result when dentures are prosthetized and serve as the basis for further scientific work in the indicated direction.
The lack of personalized dispensary registration after prosthetics of dentition is the cause of many complications and a decrease in the quality of life of patients. Purpose: To develop and justify the timing of dispensary follow-up among patients with partial and complete loss of teeth, prosthetics with removable and bridge dentures. Material and methods. A three-year prospective study was conducted of 364 patients with missing teeth who received appropriate treatment. According to the existing scheme, the control group included 199 patients who underwent dispensary follow-up after prosthetics. The study group included 165 patients observed according to the newly proposed terms. Face-to-face and telephone interviews using the SF-36 quality of life questionnaire were used as research methods, complications of the treatment were taken into account and analyzed. Results: Based on the conducted studies, such factors as the presence of vital teeth as prosthesis supports, the presence of periodontitis in the anamnesis, the presence of supporting teeth restored with fillings, many somatic diseases in the anamnesis, the factor of repeated/primary prosthetics were statistically significant for the correction of the terms of dispensary observation. Each of the factors is assigned a certain number of points. Considering the above reasons, we have identified three dispensary groups for patients after dental, orthopaedic treatment of partial and complete loss of teeth. When comparing the study group and the control group, it was found that in the near and distant periods, there was an increase in the quality of life of patients on the scales of “mental health”, “role functioning due to physical condition”, “social functioning” and “vital activity” in the study group. Conclusion: The introduction into practice of orthopaedic dentists of the proposed terms of dispensary observation of patients after prosthetics of dentition will improve patients’ quality of life according to the indicator “mental health” and reduce the risk of conflict situations.
Background. Predicting the immediate and long-term results of treatment is an urgent problem of modern medicine. The prognosis of complex dental treatment is influenced by many factors. Among the main ones: features of the individual's anatomy and physiology, the type and method of the chosen treatment, the doctor's qualification, features of the patient's psychological profile, the presence of concomitant pathology, and so on. Each of the factors must be considered separately to understand the mechanism and the strength of its impact. Relevance. Finding out the influence of diseases of the hepatobiliary system on the prognosis of dental orthopedic treatment. Objectives. We studied the indicators of patients who re-applied for replacement of an existing dental prosthesis. The study group consisted of patients with liver and biliary tract diseases, and the control group consisted of patients without concomitant General somatic pathology. The terms of use of the prosthesis, the number and severity of treatment complications, and the state of the prosthetic bed were evaluated. Standard clinical and paraclinical diagnostic methods, corresponding pathology, cone-beam computed tomography and statistical analysis methods were used as research methods. Results. The correlation of the terms of use of various types of dentures with the presence of liver and biliary tract diseases in the anamnesis was determined. The dependence of the structure of bone tissue and its density on the presence of the considered pathology was revealed. Conclusion. The obtained data can be applied by orthopedic dentists in the near and long-term prognosis of the result of treatment of patients with partial loss of teeth and concomitant diseases of the hepatobiliary system.
The aim of the study is to study the possibilities of comparing digital diagnostic models of patients obtained at different periods after prosthetics of dentition, using a specialized computer program. Materials and methods. As a material, diagnostic digital models of the jaws of a patient who was first prostheticized with temporary full removable prostheses were used. The models were obtained on the day of application, 3 and 6 months after the completion of treatment. The research method was the specialized computer program ExoCad DentalCAD 2.3 Matera, which is quite common in the professional circle of orthopedic dentists and dental technicians. Results. The article describes two detailed algorithms for assessing the dynamic state of the prosthetic bed of patients who have undergone dental orthopedic treatment, based on a comparative analysis of digital models of the jaws. The first algorithm is quite indicative, capable of fully demonstrating the changes in the tissues of the prosthetic bed, and is suitable for demonstrating the detected changes to the patient or interested persons to justify further therapeutic manipulations. The second algorithm for assessing atrophy makes it possible to assess the degree of changes in numerical terms, which can make it possible to develop measures to prevent possible complications and is more interesting to the attending physician, dental technician or medical researchers. Based on the considered example, specific clinical recommendations for the management of the patient are proposed, which reduce the risk of complications of the treatment. Conclusion. The proposed methods can be useful in assessing the quality of dental orthopedic treatment, at various stages of the examination. The use of the described algorithms in complex clinical situations can prevent the development of a number of complications after prosthetics of dentition. The use of the described algorithms for evaluating prosthetic bed tissues gives the attending physician the opportunity to individualize the calendar of medical examination of a single patient in accordance with the identified changes in the prosthetic bed and the dynamics of their progression. The digital evaluation algorithm can become an indicative tool in research to assess changes in the prosthetic bed depending on various individual factors.
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