Abstract: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 analyz… Show more
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. 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.
Background. The problem of preventing complications of complex dental treatment is one of the main problems in modern dentistry, the solution of which is impossible without a systematic approach, including, among other things, the relationship of these complications with the general somatic status of a particular patient.
The aim of the study. Identification of the features and terms of use of dentures in patients with reduced thyroid function.
Methodology. The data of 304 patients who applied to a dental clinic for re-prosthetics of the dentition were studied. The distribution of patients into groups was carried out in accordance with the type of denture and the presence or absence of thyroid diseases established by the endocrinologist, leading to hypothyroidism. Standard clinical (survey, examination, etc.) and paraclinical (radiological, functional) methods of examination were used for such diagnoses. Edema of the oral mucosa was determined by palpation, and their frequency and severity were recorded.
Results. Statistically significant differences in the reasons for replacement of dentures between patients of different groups were revealed. The difference in the terms of use of dentures in patients of different groups was determined. Clinical differences in the state of the tissues of the prosthetic bed and the supporting teeth of the bridge prostheses in patients, depending on the presence of hypofunction of the thyroid gland, were revealed.
Conclusions. The presence of hypothyroidism in the anamnesis of patients worsens the long-term prognosis of dental orthopedic treatment. The dispensary observation of patients with hypothyroidism should differ from the observation of healthy individuals, in the direction of reducing the inter-examination intervals in order to identify early complications of dental treatment.
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.
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