Tasks of the final phase of rehabilitation of the oral cavity in adult patients with mesioclusion by orthopedic and orthodontic methods considering dental status.
Abstract and keywords
Abstract (English):
Predmet. Dlya racional'nogo protezirovaniya i polnoy stomatologicheskoy reabilitacii vzroslogo pacienta pri sostavlenii plana lecheniya neobhodima tschatel'naya diagnostika osnovnogo zabolevaniya, ego oslozhneniy i soputstvuyuschih zabolevaniy. Cel'. Izuchenie stomatologicheskogo statusa vzroslyh pacientov s defektami zubnyh ryadov, obrativshihsya v kliniku dlya zubnogo protezirovaniya, a takzhe ortodonticheskogo lecheniya zubochelyustnyh anomaliy. Metodologiya. Proveli obsledovanie zubochelyustnoy sistemy u 478 pacientov ot 25 do 45 let, obrativshihsya s cel'yu zubnogo protezirovaniya, i 249 pacientov, obrativshihsya s cel'yu lecheniya zubochelyustnyh anomaliy. Opredelyali indeks KPU i ego sostavnye chasti. Rezul'taty. Opredelen vysokiy uroven' indeksa KPU – do 8,7±1,4 u pervyh i 7,1±1,1 u poslednih, opredeleny oslozhneniya. Iz indeksa KPU pokazatel' kariesa sostavil 2,1±1,0 u pacientov, obrativshihsya s cel'yu protezirovaniya, a v gruppe ortodonticheskih bol'nyh karies vstrechalsya v srednem u 0,2>0,2, chto svidetel'stvuet o luchshey podgotovke pacientov k ortodonticheskomu lecheniyu, chem k zubnomu protezirovaniyu. Eto obstoyatel'stvo usugublyaet ortopedicheskoe lechenie, trebuet tschatel'noy diagnostiki oslozhneniy, soputstvuyuschih zabolevaniy dlya dostizheniya ustoychivyh, funkcional'no i esteticheski polnocennyh rezul'tatov. Razrabotan algoritm diagnostiki, lecheniya dlya zaklyuchitel'nogo etapa polnoy sanacii polosti rta – slozhnogo zuboprotezirovaniya s vklyucheniem podgotovitel'nogo etapa. Provedena ocenka dostignutyh rezul'tatov, kotorye otrazhayut finishnye meropriyatiya po reabilitacii slozhnyh ortopedicheskih i ortodonticheskih bol'nyh. Vyvody. Slozhnoe zuboprotezirovanie, vklyuchayuschee polnuyu perestroyku zubochelyustnoy sistemy s izmeneniem polozheniya nizhney chelyusti v treh vzaimoperpendikulyarnyh ploskostyah, izmeneniya usloviy funkcionirovaniya dlya visochnonizhnechelyustnogo sustava i zhevatel'nyh myshc, myagkih tkaney, yazyka, udaetsya provesti s optimal'nym rezul'tatom pri tesnom vzaimodeystvii smezhnyh specialistov, pri dostatochnom urovne vzaimoponimaniya i ih kompetencii.

Keywords:
stomatologicheskiy status, pacienty s defektami zubnyh ryadov, sanaciya polosti rta, zubochelyustnye deformacii, zubnoe protezirovanie
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References

1. Trezubov, V.N. Enciklopediya ortopedicheskoy stomatologii / V.N. Trezubov, L.M. Mishnev, O.N. Sapronova; pod red. zasl.deyat. nauki Rossii prof. V.N. Trezubova. – Sankt-Peterburg: Foliant, 2007. – 664 s.

2. Al'-Saggaf, Sami. Ortopedicheskaya podgotovka pered protezirovaniem pri generalizovannoy povyshennoy stiraemosti zubov dekompensirovannoy formy / Sami Al'-Saggaf, F.F. Mannanova [i dr.] // Problemy stomatologii. – 2013. – №4. – S. 42‑47.

3. Mannanova, F.F. Osobennosti lecheniya vzroslyh s meziokklyuziey, sochetannoy defektami zubnyh ryadov i zubochelyustnymi deformaciyami / F.F. Mannanova, M.A. Galiullina, G.A. Timerbulatova // Problemy stomatologii. – 2016. – №4. – S. 40‑44.


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