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Home / Journals / Actual problems in dentistry / Volume 18 Issue 2 / SCREENING DEVELOPMENT OF THE APPROACH TO THE ORAL CAVITY PREPARATION FOR DENTAL IMPLANT PROSTHETICS IN ELDERLY PATIENTS
SCREENING DEVELOPMENT OF THE APPROACH TO THE ORAL CAVITY PREPARATION FOR DENTAL IMPLANT PROSTHETICS IN ELDERLY PATIENTS
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SCREENING DEVELOPMENT OF THE APPROACH TO THE ORAL CAVITY PREPARATION FOR DENTAL IMPLANT PROSTHETICS IN ELDERLY PATIENTS
Mishnev Maksim 1
Trezubov Vladimir 2
Tkacheva Olga 3
Veber Viktor 4
Rozov Roman 5
Frolova Elena 6
Arutyunov Sergey 7
Kabanov Maksim 8
Spitsyna Olga 9
Authors:
1.  Institute of Medical Education of the Novgorod State University. Yaroslav the Wise (Department of Additional Education in Dental Specialties, Assistant of the department)

Velikiy Novgorod, Veliky Novgorod, Russian Federation
2.  First Saint Petersburg State Medical University named after I.I. acad. I.P. Pavlova (Department of Prosthetic Dentistry and Materials Science, Head of the Department)

Saint Petersburg, St. Petersburg, Russian Federation
3.  Russian National Research Medical University. N.I. Pirogov (Russian Gerontological Research and Clinical Center, Direktor)
employee

Moscow, Moscow, Russian Federation
4.  Yaroslav-the-Wise Novgorod State University (Institute of Medical Education, Direktor)

Velikiy Novgorod, Veliky Novgorod, Russian Federation
5.  First Saint Petersburg State Medical University named after I.I. acad. I.P. Pavlova (Department of Prosthetic Dentistry and Dental Materials Science, Associate professor)

Saint Petersburg, St. Petersburg, Russian Federation
6.  North-Western State Medical University named after N.N. I. I. Mechnikova (Department of Family Medicine, Professor of Department)

Saint Petersburg, St. Petersburg, Russian Federation
7.  A.I. Yevdokimov Moscow State University of Medicine and Dentistry (Department of Propaedeutics of Dental Diseases, Head of the Department)

Moscow, Moscow, Russian Federation
8.  St. Petersburg State Budgetary Health Care Institution “Hospital for war veterans”

Saint Petersburg, St. Petersburg, Russian Federation
9.  Institute of Medical Education, Novgorod State University. Yaroslav the Wise (Department of Additional Education in Dental Specialties, Head of the Department)

Velikiy Novgorod, Veliky Novgorod, Russian Federation
Type:
Article
DOI:
https://doi.org/10.18481/2077-7566-2022-18-2-148-151
Pages:
from 148 to 151
Status:
Published
Received:
12.08.2022
Accepted:
23.08.2022
Published:
18.08.2022
Subject area:
VAC 3.1 Клиническая медицина
UDK 616 Патология. Клиническая медицина
GRNTI 76.29 Клиническая медицина
OKSO 31.05.03 Стоматология
BBK 566 Стоматология
Language:
Russian
Keywords:
gerodontology, oral cavity, dental implant, prosthetic dentistry, oral sanation
Abstract and keywords
Abstract (English):
Currently, there are two dental approaches to the oral rehabilitation of elderly patients before implant prosthetics. One of them is conservative, based on a purely sparing approach, inspired by the classical dental prosthetics canons with commonplace replacement structures, the other is radical, empirically confirmed by unfavourable long–term prosthetic results, taking into account chronic diffuse periodontitis being a relative contraindication for implantation due to the abundance of periodontogenic and anaerobic flora in the oral cavity and in the periapical foci, as well as – polymorbidity of the elderly. This increases the risk of mucositis, peri-implantitis, leading to failure of implants, replacement of prostheses within warranty periods, and repeated prosthetics. The purpose of this work was to create a measuring instrument for a target preliminary choice of an alternative from two available approaches to oral health improvement in elderly patients before implant prosthetics. The object of the study was 10 expert software programs for assessing the quality of various dental and jaw prosthesis designs, including extended implant restorations with a few artificial supports. The methods and criteria used in these systems were studied. A portable computer program has been created that allows making a target choice between conservative, radical and moderately radical approaches to preparing the oral cavity of elderly patients for immediate implant prosthetics.The program is used to assess the morphofunctional state of those teeth whose prognosis is doubtful, and the indications for extraction are not absolute. The program implements a scoring system for evaluating the answers received according to a questionnaire of 20 criteria with the possibility of automatic summation and the issuance of a final conclusion.

Keywords:
gerodontology, oral cavity, dental implant, prosthetic dentistry, oral sanation
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