THE RESULT OF THE STUDY OF THE DEGREE OF ATROPHIC PROCESSES OF PROSTHETIC BED TISSUES UNDER THE BASES OF PROSTHESES OF VARIOUS DESIGNS IN PATIENTS WITH TYPE 2 DIABETES MELLITUS AGAINST THE BACKGROUND OF THE USE OF A BIO-SOLUBLE ADHESIVE FILM AND A VITAMIN-MINERAL COMPLEX

Литературные данные за последнее десятилетие свидетельствуют о неуклонном росте количества больных, нуждающихся в съемных конструкциях зубных протезов. Адаптация пациентов к съемным пластиночным протезам, в особенности изготовленным из акриловой пластмассы, несомненно, является актуальной проблемой. Известно, что базис протеза изготовлен из материалов, не являющихся полностью биологически инертным веществом, а, следовательно, возможно их местное и общее воздействие на организм. В целях профилактики негативного действия съемных пластиночных протезов и улучшения качества протезирования многими исследователями были предложены различные способы, такие как уменьшение концентрации примесей, путем кипячения, применение СВЧ-полимеризации. Широкое применение получили эластичные материалы для изготовления базисов съемных протезов. Недостатком данных методов является то, что требуются наличие специального оборудования и материальных затрат как со стороны пациентов, так и стоматологических учреждений. В последние годы клиницистов привлекает возможность применения лекарственных препаратов для лечения и профилактики осложнений со стороны тканей протезного ложа. Идет постоянный поиск фармакологических средств, позволяющих оказывать противовоспалительное, противомикробное, антиаллергическое и иммуномодулирующeе действие. Перспективным направлением в профилактике осложнений является использование биорастворимых лекарственных пленок. Биорастворимая адгезивная плёнка имеет отличную особенность значительным противовоспалительным эффектом, подтверждаемым микробиологическими и клиническими показателями. Комплексное лечение заболеваний пародонта с применением рекомендуемой биорастворимой адгезивной плёнки позволит увеличить период ремиссии у пациентов с сахарным диабетом. Согласно последним данным доказано, что они нетоксичны, инертны для организма, пролонгируют действие биологически активных веществ, входящих в их состав. Таким образом, разработка биорастворимой адгезивной плёнки для профилактики и лечения местных осложнений со стороны слизистой оболочки протезного ложа у пациентов с сахарным диабетом 2-го типа, является на наш взгляд актуальным Iterature data over the past decade indicate a steady increase in the number of patients in need of removable denture structures. The adaptation of patients to removable plate prostheses, especially those made of acrylic plastic, is undoubtedly an urgent problem. It is known that the basis of the prosthesis is made of materials that are not completely biologically inert, and, therefore, their local and general effects on the body are possible. In order to prevent the negative effects of removable plate prostheses and improve the quality of prosthetics, many researchers have proposed various methods, such as reducing the concentration of impurities by boiling, the use of microwave polymerization. Elastic materials have been widely used for the manufacture of removable prosthesis bases. The disadvantage of these methods is that special equipment and material costs are required both from patients and dental institutions. In recent years, clinicians have been attracted by the possibility of using medications for the treatment and prevention of complications from the tissues of the prosthetic bed. There is a constant search for pharmacological agents that can provide anti-inflammatory, antimicrobial, antiallergic and immunomodulatory effects. A promising direction in the prevention of complications is the use of bio-soluble medicinal films. The bio-soluble adhesive film has an excellent feature of a significant anti-inflammatory effect, confirmed by microbiological and clinical indicators. Complex treatment of periodontal diseases with the use of the recommended bio-soluble adhesive film will increase the remission period in patients with diabetes mellitus. According to the latest data, it has been proven that they are non-toxic, inert to the body, prolong the action of biologically active substances that make up their composition. Thus, the development of a bio-soluble adhesive film for the prevention and treatment of local complications from the mucous membrane of the prosthetic bed in patients with type 2 diabetes mellitus is, in our opinion, relevant

Construction of a Removable Partial Denture (RPD): Comparison between the Analog Procedure and the Selective Laser Melting Procedure

A partial removable denture is a device that allows the patient to recover from a partial edentulism. This case report describes the realization of a chrome–cobalt partial removable denture by using two different realization methods: (1) analogic framework and (2) hybrid framework. This allowed us to compare the stability, retention as well as clasp quality of both the products and to highlight their respective advantages, disadvantages, and limitations.

SUBSTANTIATION OF THE EFFECTIVENESS OF A COMPREHENSIVE ALGORITHM OF ORTHOPEDIC REHABILITATION FOR THE PREVENTION OF PATHOLOGY OF THE ORAL MUCOSA

Актуальность : известно, что съемные ортопедические конструкции зубных протезов на протяжении долгого времени являются сложными раздражителями слизистой оболочки полости рта (СОПР). Грамотное выполнение технологических этапов изготовления, своевременная коррекция, рекомендации по профессиональной и индивидуальной гигиене полости рта и самих зубных протезов не всегда гарантируют отсутствие микробной колонизации на поверхности базисов условно-патогенными и патогенными представителями и воспалительной реакции со стороны тканей протезного ложа. При выборе базисного материала в качестве замещающей и восстанавливающей конструкции и при ортопедическом лечении в целом перед врачом-стоматологом встает вопрос о профилактике осложнений дисбиотического и воспалительного характера. Целью настоящего исследования является изучение влияния базисного материала съемных ортопедических конструкций на состояние тканей протезного ложа и доказательство эффективности предложенного авторами комплексного метода профилактики дисбиоза полости рта, влияющего на успех всего протезирования и качество стоматологического здоровья. Методика исследования: в клинике ортопедической стоматологии пациенты, нуждающиеся в съемном протезировании, были сформированы на 3 равноценные группы исследования, каждой из которых был предложен определенный алгоритм лечебно - профилактических мероприятий. Для решения поставленной задачи на предмет эффективности авторской методики далее использовали методику макрогистохимической реакции, что позволило оценить состояние слизистой оболочки под базисами съёмных протезов из акрилового полимера через сутки, 7 и 14 дней наложения съемного зубного протеза, также изучали количественный и качественный состав микробиоциноза слизистой оболочки полости рта. Результаты исследования: результаты клинико-микробиологического исследования слизистой оболочки протезного ложа указывают на целесообразность применения предложенной авторами методики ортопедической реабилитации для профилактики дисбиоза полости рта. Заключение : исследования, направленные на изучение данных проблем, особенно важны для повышения эффективности ортопедической реабилитации для снижения стоматологических осложнений у пациентов воспалительного и дисбиотического характера Relevance: it is known that removable orthopedic structures of dentures for a long time are complex irritants of the oral mucosa (SOPR). Competent implementation of the technological stages of manufacturing, timely correction, recommendations for professional and individual hygiene of the oral cavity and the dentures themselves do not always guarantee the absence of microbial colonization on the surface of the bases by conditionally pathogenic and pathogenic representatives and an inflammatory reaction from the tissues of the prosthetic bed. When choosing a basic material as a replacement and restoring structure and during orthopedic treatment in general, the dentist faces the question of preventing complications of a dysbiotic and inflammatory nature. The purpose of this study is to study the influence of the basic material of removable orthopedic structures on the state of the prosthetic bed tissues and to prove the effectiveness of the complex method of prevention of oral dysbiosis proposed by the authors, which affects the success of all prosthetics and the quality of dental health. Research methodology: in the clinic of orthopedic dentistry, patients in need of removable prosthetics were formed into 3 equivalent study groups, each of which was offered a certain algorithm of therapeutic and preventive measures. To solve the problem for the effectiveness of the author's technique, the method of macrohistochemical reaction was further used, which made it possible to assess the state of the mucous membrane under the bases of removable dentures made of acrylic polymer after a day, 7 and 14 days of applying a removable denture, and the quantitative and qualitative composition of microbiocinosis of the oral mucosa was also studied. Results of the study : the results of clinical and microbiological examination of the mucous membrane of the prosthetic bed indicate the expediency of using the method of orthopedic rehabilitation proposed by the authors for the prevention of oral dysbiosis. Conclusion: studies aimed at studying these problems are especially important for improving the effectiveness of orthopedic rehabilitation to reduce dental complications in patients of an inflammatory and dysbiotic nature

DEVELOPMENT AND PRESCRIPTION OF THE FUNCTIONAL FOOD DIET TO THE PATIENTS WITH DENTAL PROSTHESIS

Till present times nutritiology and dietology in dental practice are at rudimentary level. At the same time it is a well-known fact the chewing efficiency is much higher in case of having fixed prosthesis comparing with their removable denture counterpart. As for elderly population nourishment it is important to take into consideration the complexity of receiving of all the necessary nutrients. Quantity and quality of the food diet will directly affect their quality of life. Aim. Development of the functional food diet ration for specific groups of dental patients Materials and Methods. We surveyed 244 patients (84 males, 160 females) in the age range from 60 to 85 years (mean value 75.4+/-2.4) with different types of implant supported prostheses. We used clinical, sociological, nutritiological evaluation methods. Besides that we used GOHAI questionnaire and modified Wolfart questionnaire. Results. We defined basic groups of dental patients who have indications for prescribing functional food diet: a) patients utilizing removable dentures, especially full dentures, in the situation where antagonists would be intact dentition or dental arches with conventional or implant supported fixed bridges; b) patients treated with immediate removable dentures, fixed implant supported prostheses, especially in case of big span bridges with limited amount of fixtures; c) patients using removable implant supported overdentures; d) Patients older than 70 years of age. We established food rations based on intaking soft low viscosity liquid meal. High GOHAI scores (56.1+/-1.49) were the prove of the high efficiency and efficacy of the rehabilitation per se and also of the functional diet regimen recommended to the examined patients. Conclusions. We developed functional food diet taking into consideration the short and long term period after finishing the implant supported or conventional, immediate or delayed prosthetic rehabilitation with the use of total prosthesis predominately for edentulous patients. Incorporation of these types of diet regimen in the rehabilitation plan oriented towards increasing the efficiency of the main treatment arrangements.

Strategic Implants under Existing Partial Removable Dentures, Why, How Many, and Which Type?

Inserting strategic implants under existing removable partial dentures requires a comprehensive understanding of removable prosthodontic basics and possible designs, as well as a thorough understanding of implant therapy. Prior to the widespread adoption of implants as standard prosthetic therapy, remaining roots were preserved and used to minimize bone resorption under the removable denture. Root-supported overdentures become less common after the overwhelming clinical studies that emphasize dental implants’ reliability and high success and survival rate. Fixed prostheses cannot be used to treat a severely decreased dentition unless a significant number of implants can be inserted, sufficient bone quantity and quality are available, and the patients can afford the treatment. On the other hand, using strategic implants under existing RPD upgrades the design to a more favorable support type. It improves patient satisfaction with the RPD in speaking, chewing, retention, stability, and RPD support. This improvement could be reached earlier if the patient received immediate loading. Strategic implants can also improve chewing ability, stabilize the occlusion, increase bite force and improve patient oral health-related quality of life. Moreover, better distribution of occlusal forces that may reduce bone resorption may be gained. Furthermore, strategic implants can improve comfort, confidence, and esthetics by reducing the RPD size and removing the retainers from the esthetic zone.

Determination of the Occlusal Plane in Complete Denture: About the Paterson Technic

The rehabilitation by complete removable denture is commonly used for edentulous patients. The respect of operating procedures represents the main condition for therapeutic success.Among these procedures, the determination and the orientation of occlusal plane remain an important step to respect minutelyIndeed, it is one of the most stages for obtaining an optimal smile esthetic, a facial harmony and improve the oral functions.Various technics were reported by many authors: anatomical, radiographic, and physiologic methods such as piezography and Paterson technic.This later consists on the determination of the individualized occlusal plane according to the registration of physiological movements.In this context, we will describe Paterson method via a case report and discuss its feasibility, clinical effectiveness as well as its advantages compared to others technics.

Factors affecting the oral health of inpatients with advanced cancer in palliative care

Purpose Patients with terminal cancer undergoing multidisciplinary palliative care often have oral health problems, but these details are still unclear. This cross-sectional study aimed to elucidate the oral health of patients with terminal-stage cancer who are inpatient recipients of acute-phase palliative care, and to unveil the factors affecting their oral health. Methods Participants were 121 patients with terminal-stage cancer (68 males, 53 females, mean age: 73.6 ± 11.1 years) and oral health complaints. They received palliative care at Tokyo Medical and Dental University Medical Hospital between April 2017 and August 2019. Their demographic and medical details were extracted, retrospectively, from their medical records, and their oral health status, such as the number of natural teeth, removable denture usage, Oral Health Assessment Tool (OHAT), and Dysphagia Severity Scale, were evaluated. All outcomes were assessed by a dentist from the palliative care team. Results The problems with soft tissue, saliva, and oral cleanliness were observed. The absence of posterior occlusal support was common, and the use of removable dentures was often inadequate. In contrast, swallowing function was relatively well-conserved and 46.3% of the participants were capable of nutrition intake solely by mouth. Multiple regression analysis revealed a significant association between total OHAT score and age, consciousness level, prognostic level, and method of nutritional intake. Conclusion The results revealed that the oral health of terminal cancer patients under palliative care declined despite receiving routine oral care from nurses, and suggest the importance of including dental professionals in multidisciplinary palliative care.

Pemeliharaan Kebersihan Gigi Tiruan Lepasan Pada Ibu-Ibu Yang Berkunjung Di Posyandu Nenas Di Wilayah Kerja Puskesmas Tambang Kabupaten Kampar

Tooth loss is one of the changes in the oral cavity tissue. If the missing tooth is not replaced immediately, it can cause difficulties for the patient himself, such as chewing food, the presence of supra-erupted, tilted, or shifted teeth. The replacement of missing teeth can be done by making a removable denture or fixed denture. Clinical examination and oral care are very important and are the keys to successful removable dental treatment. Oral health is important for everyone. An efficient and regular procedure is needed to clean the GTL and maintain oral and dental health, in order to avoid the occurrence of denture stomatitis. The method used in community service is to provide materials on the maintenance of removable dental hygiene to mothers who visit the Nenas Posyandu in the Working Area of ​​the Tambang Health Center, Kampar Regency. The results showed that after the service, the knowledge of the mothers increased, initially some of the mothers were still confused or did not know the maintenance of denture hygiene and the importance of using dentures in people who had lost teeth. This activity increases the knowledge of mothers in maintaining oral health. ABSTRAK Kehilangan gigi merupakan salah satu perubahan jaringan rongga mulut. Jika gigi yang hilang tidak segera diganti dapat menimbulkan kesulitan bagi pasien sendiri, seperti mengunyah makanan, adanya gigi yang supra erupsi, miring atau bergeser. Penggantian gigi yang hilang dapat dilakukan dengan pembuatan gigi tiruan lepasan atau gigi tiruan cekat. Pemeriksaan klinis dan pemeliharaan kebersihan mulut sangat penting serta merupakan kunci keberhasilan perawatan gigi tiruan lepasan. Kesehatan mulut merupakan hal yang penting bagi semua orang. Diperlukan prosedur efisien dan teratur untuk membersihkan GTL serta menjaga kesehatan gigi dan mulut yang baik, agar dapat meminimalisir terjadinya denture stomatitis. Metode yang digunakan dalam pengabdian kepada masyarakat adalah dengan memberikan materi tentang pemeliharaan kebersihan gigi tiruan lepasan kepada ibu-ibu yang berkunjung di Posyandu Nenas Di Wilayah Kerja Puskesmas Tambang Kabupaten Kampar. Hasil menunjukkan setelah dilakukan pengabdian, pengetahuan ibu-ibu meningkat, yang awalnya ibu-ibu masih bingung atau sebagian belum mengetahui pemeliharaan kebersihan gigi tiruan dan pentingnya penggunaan gigi tiruan pada masyarakat yang telah kehilangan gigi aslinya. Dengan adanya kegiatan meningkatkan pengetahuan ibu dalam memelihara kesehatan gigi dan mulut nya.