Improvement of adaptation to structures removable dentures in patients with ischemic heart disease

За результатами проведеного анкетування пацієнтів з ішемічною хворобою серця до і після застосування лікувально-профілактичного комплексу ми дійшли висновку, що покращуються загальні відчуття пацієнтів, слабшають відчуття сухості в порожнині рота (на 40,9%) і дискомфорту при застосуванні зубних протезів (на 29,2%), отже, покращується адаптація до знімних конструкцій зубних протезів; По результатам проведенного анкетирования пациентов с ишемической болезнью сердца до и после применения лечебно-профилактического комплекса мы пришли к выводу, что улучшаются общие ощущения пациентов, ослабевают ощущение сухости в полости рта (на 40,9%) и дискомфорта при применении зубных протезов (на 29 2%), следовательно, улучшается адаптация к съемным конструкциям зубных протезов; The aim - to improve the process of adaptation to removable designs of dentures in patients with coronary heart disease. To achieve this goal, we examined 81 patients aged 42 to 67 years. I (basic) group consisted of 53 patients who underwent structures removable dentures (partial removable dentures (PRD) and who had a history of major diseases - coronary heart disease, stable tensional angina FC II - III FC. II group - 31 patients who received the combinED treatment together with a cardiologist (antiplatelet therapy and dental treatment) and who were administered health care complex. The control group was involved 28 people aged 42 to 60 who belonged to the second group of health by the WHO classification. Patients of the main group after treatment of the underlying disease and the appointment of conservative treatment in 7-20 days time held dental treatment (partial removable dentures with appointment of health-care complex). The proposed health care complex had such algorithm of use: softener oral "Corsodyl" - 3-5 times a day after meals; clean teeth and dentures 2 times a day (morning and bedtime) toothpaste "Parodontax" and the bath of solution Ringer 3-5 times a day, with dryness in the mouth For the functional assessment made dentures were designed by us and proposed to use two methods of assessing patients to adapt designs removable dentures: - Objective evaluation - "Method of determining the degree of adaptation to the designs of removable dentures," Ukraine patent for utility model №101852 of 12.10.15; - Subjective evaluation - "Method of accelerated determination adaptation of patients to removable dentures designs using screening test" certificate of registration of copyright Ukraine №59280 15.04.2015. The first questionnaire includes only clinical data fills a dentist and does not reflect the subjective feelings of the patient. The second profile is completely based on the coverage of their own feelings patient and filled only patient. According to these questionnaires, we determined the degree of adaptation of patients to removable designs of dentures and compared its components. Questioning was conducted immediately after the prosthesis after 30 days and after 80-100 days of treatment. The results of the survey of patients with coronary heart disease before and after the use of health-care complex, we have concluded that improving the general feeling of patients diminish dryness of the mouth (40.9%) and discomfort when using dentures (29, 2%), thus improving adaptation to removable designs of dentures

Orthodontic and orthopedic rehabilitation of patients with cleft of upper lip, alveolar surgery, hard and soft palate

Мета реабілітації пацієнтів із незрощеннями – відновлення анатомічної цілісності тканин твердого і м’якого піднебінь, функції артикуляційного та жувального апаратів, естетики. Для протезування в таких пацієнтів після ортодонтичної підготовки ми пропонуємо використовувати фрезеровані капи цифрового моделювання, виготовлені з «Multistratum flexible» – біосумісного еластичного композитного матеріалу з низьким показником утворення нальоту і високими естетичними характеристиками. Фрезеровані капи дозволяють забезпечити захищену оклюзію зі стабільним положенням нижньої щелепи, максимальну ретенцію; відновити повноцінну функцію жування; значно покращити естетику посмішки й обличчя; створити оптимальні умови для подальшого постійного протезування; Целью реабилитации пациентов с несращениями является восстановление анатомической целостности тканей твердого и мягкого неба, функции артикуляционного и жевательного аппаратов, эстетики лица. Для протезирования у таких пациентов после ортодонтической подготовки мы предлагаем использовать фрезерованные капы цифрового моделирования, изготовленные из «Multistratum flexible» – биосовместимого эластического композитного материала с низким показателем образования налета и высокими эстетическими характеристиками. Фрезерованные капы позволяют обеспечить защищенную окклюзию со стабильным положением нижней челюсти, максимальную ретенцию с сохранением ширины верхнего зубного ряда; восстановить полноценную функцию жевания; значительно улучшить эстетику улыбки и лица; создать оптимальные условия для дальнейшего постоянного протезирования; The problem of children’s rehabilitation with cleft palate is multi edged and complex. The ultimate goal of rehabilitation measures is to restore the anatomical integrity of the tissues of the hard and soft palate, the function of the articulatory and mastication systems, create conditions for correct speech and maximum aesthetic rehabilitation. Orofacial cleft leads to the appearance of functional changes in breathing, sucking, chewing and swallowing. In the process of development of masticatory system, the formation of complex dentoalveolar anomalies in parallel with a significant decrease in masticatory efficiency, weakens the process of sound production, which leads to the formation of stable speech disorders. Such children from childhood form a sense of inferiority, they have reduced social adaptation due to the presence of a cosmetic defect and speech disorders. Optimization of orthodontic and orthopedic rehabilitation of patients with non-incision of the upper lip, alveolar process, hard and soft palate is actual clinical problem of modern dentistry. Typical orthodontic pathology in such patients is the development of the upper jaw with a significant narrowing of the upper dentition (due to cicatricial changes) and, as a result, the formation of a prognosis, often deep, bite. Possibilities for orthodontic treatment of such patients are significantly limited due to postoperative cicatricial changes, skeletal malformation of the upper jaw, partial upper teeth adentia, small alveolar bone volume, low dentoalveolar compensation capacity, high tendency to relapse, therefore, the completion of orthodontic treatment often requires a double denture. We propose to use milled caps and present a clinical case of their application. The stages of manufacturing milled cap are the following: making prints and the manufacture of models; superposition of the facial arch to determine the position of the upper jaw; determination of the central position of the lower jaw (by facial features, with functional tests and subsequent check of the state of the chewing muscles by EMG and the position of the joints with the help of CCPT), plastering the models in the articulator, 3D scanning and digitizing models and digital modeling of the cap with ZIRKONZAHN Scan. To make the cap, Multistratum flexible was used, which is a biocompatible elastic composite material with a low plaque build-up and high aesthetic characteristics, designed for the manufacture of cynoanatomical structures. Caps are recommended to be used day and night, even during meals. Caps are removed only for daily hygiene procedures. Thus, the milled cap allows solving practical problems in non-stunted patients with non-incision of the upper lip, alveolar process, hard and soft palate such as: to provide multiple occlusions without contacts and protected occlusion with stable position of the lower jaw; restore the full function of chewing; ensure maximum retention while maintaining the width of the upper dentition; significantly improve the aesthetics of the smile (the appearance of "white aesthetics") and the face (raising the height of the bite, improving the profile, the step of the lips, reducing the second chin, rotation of the lower jaw clockwise); create optimal conditions for further permanent prosthetics, since digital models can be used as reference points for future permanent non-removable structures. So, removable milled caps are the modern optimal method of temporary long-term prosthetics, which greatly improve the functional and aesthetic status of the patient

Mathematical modeling of bicortical implantation in the distal mandible in cases of bone deficiency at the different prosthetic variants.

Метою даного дослідження стало визначення основних умов використання одноетапних імплантатів малого діаметру в бокових відділах нижньої щелепи за умови дефіциту кісткової тканини. В результаті дослідження було визначено оптимальну кількість, розташування бікортикально фіксованих імплантатів в залежності від щільності губчастої кістки при різних варіантах протезування; The purpose of this study was to identify the main conditions of use of small diameter single-stage implants in the lateral atrophic mandible by using mathematical modeling and finite element analysis. As a result of the study was determined the number and location of small diameter single-stage implants fixed bicortically depending on the density of cancellous bone in the distal mandible in cases of bone deficiency at the different prosthetic variants