Thing. A new substantiated method of orthopedic treatment of patients with complete destruction of the crown of the tooth is described, objective results of its use are given, and an economic analysis of its use is carried out in comparison with the traditional method of treatment of such patients.
The goal is to create a device for restoring the missing clinical crown of premolars and its clinical, laboratory and economic justification.
Methodology. During the study, orthopedic treatment of 20 patients with complete destruction of the crown of the tooth was carried out. A clinical assessment of the effectiveness of treatment using targeted radiography, occlusion and quality of life of patients was conducted using the OHIP-14 RU questionnaire. The compressive strength of ceramic coatings was studied for 10 samples of our device and 10 samples with a traditional ceramic-metal crown. The economic effect of our proposed method is analyzed in comparison with the traditional one.
Results. 1 month after the treatment, a favorable outcome was observed in all patients on targeted radiographs; during occlusionography, 10 % of patients showed slight premature contacts in lateral occlusion, which were eliminated by selective grinding. 95 % of patients rated the quality of life as good, 5 % ― unsatisfactory. Safety margin of ceramic coating on samples of our device was 2.4 times higher than on samples of a traditional device. The economic efficiency of the traditional method in comparison with the one we proposed below has a ratio of 1:1.35, respectively. To restore one missing clinical tooth crown, the difference in cost between these methods is 21.2 %, or 1536 rubles.
Conclusions. The results of the study allow us to recommend our proposed device for active use in practical dentistry in the treatment of patients with complete destruction of the clinical crown of premolars.