Abstract: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 opinio… Show more
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. 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.
Type 1 and 2 diabetes are associated with deteriorated bone remodeling due to microangiopathy and acidosis, as well as non-fermentative glycosylation of bone proteins re-sulting in the apoptosis of osteocytes. Another complication of diabetes mellitus is diabetic arthropathy which is common among patients suffering from 1 type diabetes. Degenerative processes in periodontal tissue can be associated with diabetes mellitus and reduce the strength of the tooth joints. The result of insulin deficiency is a reduction in collagen synthesis and alkaline phosphatase, as well as hypocalcemia — these states also lead to bone resorption. Considering the effect of the combination of the processes which take place in the bone tissue, it should be taken into account that the alveolar processes of the upper and lower jaws are dif-ferent from the rest of the skeleton by accelerated metabolism. This specificity makes it nec-essary to investigate changes in the optical density of teeth and alveolar processes of the lower jaw among patients with diabetes mellitus.
The purpose of research is to determine peculiarities of the optical density of bone tissue of the alveolar processes of the jaw using dental computed tomography in patients with diabetes mellitus.
Article describes the analysis of the optical density of the bone tissue of the alveolar processes of the lower jaws. Dental computed tomography allows quantitative and qualitative measure-ment of bone tissue density of the jaw and is an effective method for assessing the state of bone tissue in diabetes mellitus. It was shown that the structure and density of bone tissue de-pends on the severity of diabetes, the presence of complications. Marked decrease in the opti-cal density of bone tissue in the neck of the teeth in individuals with diabetes was noted, less pronounced changes were observed in the middle third of the roots of the teeth. And slight changes or even an increase in optical density were observed in the region of the apices of the teeth.
Diagnosis of bone destruction of the upper and lower jaws in diabetes mellitus is most in-formative using dental computed tomography.
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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