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TYPE
Original Research
PAGE NO.
33-38
DOI
OPEN ACCESS
SUBMITED
25 October 2024
ACCEPTED
27 December 2024
PUBLISHED
17 January 2025
VOLUME
Vol.05 Issue01 2025
COPYRIGHT
© 2025 Original content from this work may be used under the terms
of the creative commons attributes 4.0 License.
Evaluation of the influence
of inhabitable dental
proteses on the state of
the oral cavity
Irgashev Shokhrukh Khasanovich
Assistant, Samarkand State Medical University, Samarkand, Uzbekistan
Abstract:
The relevance and demand for the
dissertation topic. In global dental practice, there is a
high frequency of various orthopedic and orthopedic
defects, including those manifested as different degrees
of adentia. ..."the prevalence of adentitis has
significantly increased and amounts to 35.4-62.9%."
Despite significant progress in the field of materials
science and improving the quality of dental prostheses,
various authors note that patients complain of their
intolerance from 0.6 to 12%. Many researchers note
that patients with removable prostheses have different
levels of adaptive capabilities, the study of which allows
for the prediction of intolerance development. ..."when
diagnosing and predicting tooth prosthesis intolerance,
it allows obtaining objective information about
compensatory-adaptive reactions occurring in the
process of using removable dentures and developing
preventive measures".
Keywords:
orthopedic defects, dental practice,
removable dentures.
Introduction:
The object of the study
was 110 people
who applied for dental orthodontic care at the regional
dental clinic, the control group consisted of 20 healthy
people.
The subject of the study is permanent teeth, roots,
hygiene products, and oral fluid for determining dental
parameters.
METHODS
To achieve the stated goal and solve the tasks, the
following methods were used: clinical-stomatological,
biochemical, microbiological, immunological, and
statistical.
The scientific novelty is as follows:
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Journal of Social Sciences and Humanities Research Fundamentals
for the first time, a comprehensive hygienic
assessment of the impact of various materials on the
chemical composition of saliva, bacteriological
contamination, non-specific salivary protection
factors, and inflammatory processes of the oral
mucosa has been conducted.
the dependence of the change in the qualitative
composition of saliva on prosthetics made of metal
alloys, plastics, and ceramics has been established.
the duration of the period of the greatest impact of
dental prostheses has been established.
Table 2.
The intensity of periodontal tissue damage in individuals depending on age
Sextants
before 35 y
35-54 y
55-64 y
Healthy
1,5
1,0
1,0
Bleeding
2,2
2,7
2,5
Toothstone
2,2
2,5
2,0
4-5 mm periodontal pocket
1,9
1,9
2,5
Periodontal Pocket > 6mm
0,8
1,0
0,8
Excluded
0,9
1,5
1,0
As can be seen from Table 2, the number of sextants
with a healthy periodontium was already 1.5 sextants,
which is lower than the average epidemiological
indicator for this group. Bleeding was observed in 2.2
sextants, and toothstone in 2.2 sextants. Individuals of
this age group exhibited periodontal pockets with a
depth of 4-5 mm (averaging 1.9 sextants) and
periodontal pockets with a depth of more than 6 mm
(averaging 0.8 sextants).
In the age group of 35-54 years, the number of sextants
with healthy periodontium decreased with age and
amounted to 1.0 sextants. Bleeding was observed in 2.7
sextants, toothstone in 2.5. Individuals in this age group
exhibited periodontal pockets with a depth of 4-5 mm
(averaging 1.9 sextants) and periodontal pockets with a
depth of more than 6 mm (averaging 1.0 sextants).
When studying the need for orthodontic dental care, it
was found that in the age group under 35, 47.0% of
those examined already had prostheses, and 32%
needed prosthetics. In the age group of 35-54 years,
52.0% were examined
Age
Needs prosthetics
Have prosthetics
Do not need prosthetics
before 35 y
32,0
47,0
68,0
35-54 y
67,2
52,1
33,0
55-64 y
83,0
57,0
17,0
A high level of caries intensity, untimely treatment of
teeth, a large number of removed and subject to
removal teeth necessitate a significant volume of
necessary dental care, including orthodontic care. In
this regard, it is important to determine the need for
dental prosthetics in the examined patients.
It was established that the number of individuals who
had previously received dental orthodontic care
constituted 81.5% of those examined.
To assess the quality of previously provided orthodontic
dental care to patients seeking orthodontic dental care,
we also analyzed the data obtained during the
examination of patients with dental prostheses.
Table 4.
The number of replacement prostheses depending on the period of use (%)
Usage Periods
Replaceable prostheses (%)
Single crowns
Bridge-shaped
dentures
Partial
removable
prostheses
Full
removable
dentures
1-2 y
5,0
7,1
2,8
5,2
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Journal of Social Sciences and Humanities Research Fundamentals
3-5 y
3,9
12,8
9,1
9,3
6-9 y
17,5
18,1
7,1
10,6
10-15 y
8,1
10,3
6,9
9,1
More 15 y
5,9
4,7
2,0
2,6
Total
40,4
53,0
27,9
36,8
When determining the quality and functional
suitability of orthopedic structures, the duration of
their use and patient complaints were taken into
account. Data on the shelf life of existing prostheses in
the examined individuals are presented in Table 4.
Analysis of the data in Table 4 shows that according to
the terms of use, a significant portion of bridge
prostheses (53%) are subject to replacement, of which
18.1% are used for 6-9 years. Single crowns suffer
significantly - 40.4% are subject to replacement.
Among removable orthodontic structures, removable
prostheses with partial absence of teeth require
replacement less often (27.9%). Compared to them,
the proportion of removable prostheses with complete
absence of replaceable teeth was 36.8%.
Among the reasons for replacing orthodontic
structures were aesthetic disorders (26.5%) and the
patient's subjective desire (17.0%), related to the
desire to replace prostheses with better, modern, and
aesthetic ones. The reason for repeat prosthetics was
also poor prosthetic fixation (18.6%). A prosthesis
fracture requiring replacement was noted in 15.6%.
The need to make an additional prosthesis was noted
in 14.6% and complications from the side of OBSHRA
were observed in 29.2%.
Thus, according to the table data, more than half of all
dental structures examined should be replaced.
Among the patients examined, patients with dental
integrity disorders were identified, forming a risk
group for the development of dentofacial deformities
due to partial tooth loss. Data on the volume and
quality of previously provided dental orthodontic care
allowed us to identify age-related indicators of the
need for dental prosthetics.
CONCLUSION
The use of comprehensive prevention before and
during the first two weeks after prosthetic installation
contributes to a shorter adaptation time to the
prosthesis by 3 days compared to the control (30 (±0.7)
and 33.5 (±0.4) days, respectively).
The use of this method of prevention after OPR
prosthetics in the group of patients with repeated
prosthetics significantly reduces the number of further
corrections - from 2.0 (±0.1) to 0.4 (±0.2), thereby
reducing the likelihood of prosthetic replacement.
The use of darsonvalization and ozone therapy as a
preventive method reduces the frequency of
complications after complete removable maxillary
prosthetics in the form of reflex nausea by more than
two times (from 23.1% to 9.1%).
When comprehensive preventive measures are applied,
the quality of life indicators associated with dental
health improves twofold (according to the OHIP-14
questionnaire).
However, these indicators are comparable to those of
the group with complete absence of complications after
primary prosthetics (p>0.05).
However, these indicators are comparable to those of
the group with complete absence of complications after
primary prosthetics (p>0.05).
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