TASKS OF THE FINAL PHASE OF REHABILITATION OF THE ORAL CAVITY IN ADULT PATIENTS WITH MESIOCLUSION BY ORTHOPEDIC AND ORTHODONTIC METHODS CONSIDERING DENTAL STATUS.
Rubrics: ORTHOPEDIC DENTISTRY
Authors:
1.
Bashkirskiy gosudarstvennyy medicinskiy universitet
Russian Federation
Russian Federation
2.
Bashkirskiy gosudarstvennyy medicinskiy universitet
(aspirant kafedry ortopedicheskoy stomatologii i chelyustno-licevoy hirurgii s kursami IDPO)
Ufa, Russian Federation
Ufa, Russian Federation
3.
Bashkirskiy gosudarstvennyy medicinskiy universitet
(docent kafedry ortopedicheskoy stomatologii i chelyustno-licevoy hirurgii s kursami IDPO)
Ufa, Russian Federation
Ufa, Russian Federation
Type:
Article
Pages:
from 60
to 63
Status:
Published
Received:
25.05.2017
Accepted:
25.05.2017
Published:
25.05.2017
Subject area:
GRNTI 76.29 Клиническая медицина
Language:
Russian
Keywords:
stomatologicheskiy status, pacienty s defektami zubnyh ryadov, sanaciya polosti rta, zubochelyustnye deformacii, zubnoe protezirovanie
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.
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
stomatologicheskiy status, pacienty s defektami zubnyh ryadov, sanaciya polosti rta, zubochelyustnye deformacii, zubnoe protezirovanie
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