Izhevsk, Izhevsk, Russian Federation
Izhevsk, Izhevsk, Russian Federation
Izhevsk, Izhevsk, Russian Federation
Izhevsk, Izhevsk, Russian Federation
Predmet. U lic s polnym otsutstviem zubov atrofiya tkaney proteznogo lozha uvelichivaetsya s techeniem vremeni, chto sozdaet negativnye usloviya dlya povtornogo protezirovaniya. Celi. Sovershenstvovanie metodiki lecheniya povtorno proteziruemyh pacientov polnymi s'emnymi plastinochnymi protezami na nizhney chelyusti. Metodologiya. Byli obsledovany 80 pacientov s polnym otsutstviem zubov, iz nih 50 chelovek obratilis' za povtornym protezirovaniem. Pacienty, proteziruemye povtorno, byli podeleny na dve gruppy, pervuyu gruppu sostavili 25 chelovek, kotorym lechenie provodilos' po standartnomu metodu, a pacientam vtoroy gruppy (n=25) primenyalsya usovershenstvovannyy metod lokal'nogo differencirovannogo funkcional'nogo ottiska. V processe obsledovaniya bylo provedeno issledovanie podatlivosti i funkcional'noy tolerantnosti k nagruzke slizistoy obolochki proteznogo lozha, izmerenie shiriny yazyka v oblasti 3.3–4.3 zubov, ocenka funkcii glotaniya i zhevaniya, skorost' sekrecii slyuny, vyazkost' slyuny. Takzhe ocenivali fiksaciyu i stabilizaciyu novyh polnyh s'emnyh protezov. Rezul'taty. V rezul'tate issledovaniya polucheny dostovernye dannye, podtverzhdayuschie, chto u pacientov pri povtornom obraschenii za protezirovaniem polnymi s'emnymi plastinochnymi protezami usilivaetsya atrofiya al'veolyarnoy chasti nizhney chelyusti, slizistoy obolochki proteznogo lozha, uvelichivaetsya v razmere yazyk, no, nesmotrya na suschestvennuyu atrofiyu, slizistaya obolochka proteznogo lozha v 2 raza ustoychivee k nagruzke po sravneniyu s pacientami, proteziruemymi vpervye. Vyvody. Poluchennye dannye pozvolyayut effektivno primenyat' metodiku lokal'nogo differencirovannogo funkcional'nogo ottiska i tem samym uluchshat' fiksaciyu i stabilizaciyu polnyh s'emnyh protezov v 1,5 raza. Primenenie dannogo metoda pozvolyaet sokraschat' sroki adaptacii k novym polnym s'emnym plastinochnym protezam po bolee bystromu vosstanovleniyu funkcii zhevaniya, glotaniya, skorosti sekrecii i vyazkosti slyuny.
polnoe otsutstvie zubov, polnye s'emnye protezy, atrofiya, proteznoe lozhe
1. Borovsky E.V., Leus P.A., Kuzmina E.M. Sostav i svoistva slyuny v norme i pri kariese zubov (Saliva composition and properties of normal and carious teeth), Moscow, 1980, 36 p.
2. Voronov A.P., Lebedenko I.Yu., Voronov I.A. Ortopedicheskoe lechenie bolnykh s polnym otsutsviem zubov (Orthopedic treatment of fully edentulous patients), Moscow, 2006, 316 p.
3. Zholudev S.E. Adgezivnye sredstva v ortopedicheskoy stomatologii (Adhesive agents in orthopedic dentistry), Moscow, Stomatologiya, 2007, 112 p.
4. Zagorsky V.A. Chastichnye semnye i perekryvayuschie protezy (Partial dentures and overdentures), Moscow, Meditsina, 2007, 346 p.
5. Lebedenko I.Yu., Kalivradzhiyan E.S., Ibragimov T.I., Bragin E.M. Mezhdunarodnyi zhurnal eksperimentalnogo obrazobaniya – International journal of experimental education, 2011, no.9, pp.17-18.
6. Piskur V.V. Meditsinsky zhurnal – Medical Journal, 2013, no. 2, pp. 144–146.
7. Redinov I.S. Podgotovka tkaney proteznogo polya pri ortopedicheskom lechenii bolnykh s bezzuboy nizhney chelyustyu pri rezko vyrazhennoy atrofii alveolyarnoy chasti (Prosthetic bed tissue preparation for orthopedic treatment of patients with fully edentulous lower mandible and pronounced alveolar part atrophy), author’s abstract of MD Thesis, Izhevsk, 2000, 34 p.
8. Redinova T.L., Pozdeev A.R. Klinicheskie metody issledovaniya slyuny pri kariese zubov (Clinical methods of investigation of dental caries saliva), Izhevsk, 1994, 24 p.
9. Rubinov I.S. Fiziologicheskie osnovy stomatologii (Physiological principles of dentistry), Moscow, Meditsina, 1970, 334 p.
10. Sadykov M.I., Shumsky A.V., Nesterov A.V., Nesterov G.M. Sovremennye problem nauki i obrazovaniya – Modern issues of science and education, 2015, no. 6-0, p. 150.
11. Svirin B.V. Kliniko-funktsionalnoe obosnovanie ortopedicheskogo lecheniya bolnykh posle polnoy utraty zubov na nizhney chelyusti s rezko vyrazhennoy atrofii alveolyarnoy chasti (Clinical-functional substantiation of orthopedic treatment of patients after the complete loss of lower mandible teeth with pronounced alveolar part atrophy), author’s abstract of MD Thesis, Moscow, 1998, 38 p.
12. Yamashev I.G. Anatomicheskie i funktsionalnye osobennocti yazyka cheloveka (Anatomic and functional characteristics of a human tongue), Kazan, 2000, 29 p.
13. Berg E. J. Dent, 1988, Vol. 16, no. 6, pp. 269-276.
14. Marxkors R. Novoe v stomatologii – New in dentistry, 2005, no. 1, pp. 45.
15. De Freitas Malachias H. Braz. Dent. J., 2005, Vol. 16, no. 2, pp. 56-64.
