THE RESULTS OF ORTHOPEDIC TREATMENT OF PATIENTS WITH DEFECTS OF HARD TISSUES OF VITAL TEETH

  • Y.I. Zabuha National Medical Academy of Postgraduate Education named after Р.L.Shupyk
  • O.V. Bida National Medical Academy of Postgraduate Education named after Р.L.Shupyk
Keywords: enamel and dentin of the teeth, artificial crowns, portion crowns.

Abstract

Introduction. Aesthetic and hygienic requirements of patients necessitate the use of modern aesthetic orthopedic prosthetics which is associated with deep preparation of hard dental tissues resulting in postoperative dentinal hypersensitivity manifested at the stage of dentoprosthetic rehabilitation as well as pathological changes in the pulp. The development and feasibility study of modern fixed prosthetic dentures the technology of which involves minimal preparation of the dental enamel and dentin are relevant.

The aim of the study is to improve the orthopedic treatment of patients with defects of dental hard tissues through the development and application of advanced fixed prosthetic dentures.

Materials and methods. To achieve the aim there was performed a complex clinical and laboratory examination of 92 individuals using clinical, dentometryc and statistical methods.

Results. A comparative evaluation of clinical outcomes of orthopedic treatment in defects of dental crowns by replacing them using artificial crowns and vestibular portion crowns revealed a significant difference in response of vital teeth tissues to total preparation.

Dentometryc findings show that after preparation for vestibular portion crowns the remained dentinal layer over the pulp is significantly bigger than for jacket crowns involving deep coronal tooth preparation (1,76 ± 0.03 mm and 1.81 ± 0,04 mm 2.47 ± 0.06 mm vs 1.43 ± 0.04 mm, 1.52 ± 0.06 mm, 1.91 ± 0.05 mm, respectively (p <0.05).

Conclusions. A comprehensive analysis of treatment outcomes bring us to the conclusion about advisability of hard tissue defects replacement using vestibular portion crowns which involve minimal preparation of hard tissue and allow avoiding complications in the pulp.

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References

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Published
2018-03-21
How to Cite
Zabuha, Y., & Bida, O. (2018). THE RESULTS OF ORTHOPEDIC TREATMENT OF PATIENTS WITH DEFECTS OF HARD TISSUES OF VITAL TEETH. Ukrainian Dental Almanac, (2), 40-42. Retrieved from https://dental-almanac.org/index.php/journal/article/view/156
Section
ORTHOPEDIC DENTISTRY