Objective: to investigate the influence of the aesthetic component of dental health on the anxiety level and quality of life of socially active elderly patients. Patients and methods. A total of 32 patients aged 60 to 67 years who had a poor aesthetic appearance of the hard tissues of the front teeth were followed up. All the patients underwent determination of anxiety levels by the Spielberger–Hanin procedure and assessment of quality of life using an abbreviated 26-item version of the World Health Organization Quality of Life (WHOQOL-BREF-26) questionnaire; the updated Oral Health Impact Profile (OHIP-14) was also used. Aesthetic rehabilitation of vital front teeth was carried out using photo composite materials made in Russian and foreign countries. Results. Before treatment, the state anxiety scores were 54±1.4 scores; the trait anxiety ones were 41±1.2 scores; at 1 week after treatment, these were 42±0.5 and 39±0.6, respectively (p ≤ 0.05 for both indicators), and at 6 months, these were 44±0.5 and 43±0.7, respectively. Conclusion. The aesthetic component of dental health in socially active elderly patients is directly proportional to quality of life and inversely proportional to the level of trait or state anxiety. Russian and foreign photo composite restorative materials showed equal sustained performance.
Aim. To study the impact of the aesthetic component of dental health on the quality of life of young patients. Methods. 83 subjects with violation of the aesthetics of hard tissues of the anterior group of teeth were examined and treated. Assessment of stability of composite restorations with materials of Russian and foreign production was carried out according to Ryge criteria. A brief questionnaire (the world health organization quality of life WHOQOL-BREF) was used to assess the quality of life. Results. With the material Filtek Z550 violation of surface preservation occurred in 6 (15.8%) out of 38 men and only 1 (2.2%) out of 45 women (p=0.026). With Estelux NK material the violation of the seal surface preservation occurred in 5 (13.2%) out of 38 men and 2 (4.4%) out of 45 women, the findings are not statistically significant (p=0.15). The total index of quality of life in men and women significantly improved 6 months after the restoration and amounted to 88.7±5.4 points (p=0.024) and 88.4±7.3 (p=0.034), respectively, compared to test results prior to treatment. Stability of the quality of the restoration according to Ryge criteria of both photocomposite materials (Estelux NK and Filtek Z550) had no significant differences, therefore, the domestic material Estelux NK, taking into account its financial availability, can be recommended for aesthetic dental rehabilitation of young patients. Conclusion. Restoration of the aesthetic optimum of men and women of young age leads to a subjective improvement of psychological comfort and objective increase of self-perception indices.
The aim of the study is to optimize the routine work of a dentist to control the quality of photocomposite restorations of the frontal group of teeth. Materials and methods. 30 people with violation of aesthetics of hard tissues of the anterior group of vital teeth (n = 166) were examined and treated. The quality of the produced restorations was assessed according to the generally accepted Ryge criteria by the classical method and using the “Intraoral optical microscope” [1] immediately after the restoration, 6 and 12 months later. Results and discussion. There were no significant differences in the stability of restorations according to the Ryge criteria when using foreign and domestic composites (p > 0.05). After 6 months, color stability, edge fit and roughness decreased in both cases (p > 0.05). When comparing the restorations immediately after the filling, 6 and 12 months after the Ryge criteria by the classical method of quality assessment and using the “Intraoral optical microscope”, statistically significant (p < 0.05) differences were found in terms of “edge adaptation”, “secondary caries”, “surface roughness”, “change in the color of the edges of the cavity”; at the same time, such criteria as “color matching” and “preservation of anatomical shape” when using both methods had minor differences. Summary. Stability in the quality of the restorations according to the criteria Ryge both photocomposite materials (Estelux NK and Filtek Z550), no significant differences were found. Therefore, the domestic material Estelux NK, taking into account its financial availability can be recommended as a composite of choice in aesthetic dental rehabilitation. To control the results of treatment with the use of restoration photocomposites, it is possible to recommend the generally recognized Ryge criteria with the use of an “Intraoral optical microscope” due to greater objectivity and simplicity in application.
The demand for aesthetic dental rehabilitation, and respectively, for a higher quality of life, is growing each year. This entails a growth in the number of orthodontic corrections employing non-removable appliances. A high risk of developing periodontal issues while undergoing treatment reveals that orthodontist need to have all-round comprehensive knowledge of the tactics, the principles and the methods of hygiene measures. A high level of the doctor’s awareness along with their ability to motivate the patient, would allow them to arrive at successful doctor-patient relationship not only when dealing with orthodontic diseases, yet also in terms of maintaining the periodontium health due to a thorough approach to the issues of preventive oral hygiene during orthodontic treatment
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