Nowadays, the problem of prosthetic with non-removable orthopedic structures is quite common and is widely described in domestic and foreign literature. Prosthetics of non-removable structures of prosthetics has a number of advantages: complete rehabilitation of biting function, chewing efficiency, aesthetic norm of a smile. Invisible prosthesis designs, usually small in size, have a short period of psychological and physiological adaptation, which has a good reflection on their long-term use by the patient.
The examination of dental patients in the clinic of orthopedic dentistry with unsatisfactory results of prosthetic dentures after 5 years with orthopedic treatment allowed to highlight the main indicators of inapplicability regarding the further use of dentures in terms of biocompatibility, mechanical strength and aesthetic properties.
The main aim of the study was to improve the quality of patients’ treatment by identifying the causes of treatment complications by an orthopedist using the method of comparative analysis during the examination of patients with unsatisfactory results of dentures using permanent dentures.
To identify the causes of complications of orthopedic treatment, a clinical examination of patients with unsatisfactory results of treatment with permanent constructions of dentures on a cast base was performed. The criteria for evaluation were the following indicators: bad breath, gums pain and bleeding, pain and mobility of the supporting teeth, pain under the intermediate part, metallic taste, pain in the blood vessel, darkening of the lining, chipping the lining, obscuring gums, excessive abrasion, and cleavage. From anamnesis and records in the history of the disease, the period of difficulty was determined.
Our research results indicate that a significant part of ineffective treatment is due to the wrong choice of auxiliary and structural materials. Given that the choice of materials is performed arbitrarily, in almost half of cases, taking into account the wishes of patients and their financial capabilities, including the physical, mechanical and clinical and technological characteristics of dental materials, in our opinion, it is necessary to create a computer model of rational choice of material, therapeutic and prophylactic measures to improve the effectiveness of orthopedic treatment for patients with defects in hard tissues of teeth and dentition with non-removable structures.
The complex of the following studies will allow the orthopedic dentist to continue improving the quality of patients’ treatment at the clinical stages of treatment with non-removable dentures.
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