Sankt-Peterburg, St. Petersburg, Russian Federation
Sankt-Peterburg, St. Petersburg, Russian Federation
Sankt-Peterburg, St. Petersburg, Russian Federation
Sankt-Peterburg, St. Petersburg, Russian Federation
Subject. In the practice of a dentist there are patients with complications after dental interventions in the form of post-filling pains and overestimation of fillings, accompanied by intense and constant pain, discomfort and violation of occlusion. Patients turn to the dentist again with complaints of pain in a recently filled tooth, patients note a violation of mastication, loose closing of the jaws, pain in the temporomandibular joint. The subject of this article was the research of the influence of the most common iatrogenic complications in the treatment of caries on the quality of life of patients. Goal — improving the effectiveness of therapeutic treatment of tooth decay, taking into account the dynamics of indicators of quality of life for patients. Methodology. A survey was conducted of 25 patients aged 20 to 40 years who came to the dental clinic complaining of post-filling pains, pain in the temporomandibular joint and incomplete closure of the jaw using the SF-36 questionnaire and the Russian-adapted OHRQoL questionnaire. Clinical examination methods included questioning, examination, palpation and percussion of teeth. Results. After analyzing the results of the adapted OHRQoL questionnaire, it was found that the state of oral health “greatly affects” the quality of life of patients. The average results in a survey of 25 patients amounted to 11.12 points; according to the results of this questionnaire, oral health did not play an insignificant role for any patient. According to the results of the SF-36 questionnaire, quality of life declined on most scales. The largest negative dynamics was noted on a scale of role functioning (RP) of 46 ± 0.03 points out of 100 and vital activity indicators (VT) - 27 ± 0.06 points out of 50. A decrease in the quality of life is caused by a feeling of constant discomfort and pain in the jaw facial area, anxious state of the patient and psychological maladaptation. Findings. Dental health plays a significant role in maintaining the high quality of life of any person. Dentists need to timely diagnose pathologists, choose the right treatment tactics, avoiding mistakes, and prevent complications.
quality of life, dental treatment, dental fillings, errors, complications, post-filling pain, violation of occlusion, pain in the maxillofacial region, oral health
1. Bennadi, D., Reddy, C. V. (2013). Oral health related quality of life. J Int Soc Prev Community Dent, 1, 3, 1-6.
2. Nuca, C., Amariei, C., Rusu, D. L., Arendt, C. (2007). Oral health-related quality of life evaluation. OHDMBSC, 1, 3-8.
3. Borisova, E. G., Komova, A. A., Nikitina, E. A., Pendyurina, M. K. (2018). Otsenka kachestva zhizni u patsiyentov s bolevymi i paresteticheskim simptomami slizistoy obolochki polosti rta [Assessment of the quality of life in patients with pain and paresthetic symptoms of the oral mucosa]. Zhurnal nauchnykh statey Zdorov'ye i obrazovaniye v XXI veke [Journal of scientific articles Health and Education in the 21st Century], 20, 9, 57-61. (In Russ.)
4. Borisova, E. G. (2012). Klinicheskiye rezul'taty izucheniya kachestva zhizni bol'nykh s glossalgiyey [Clinical results of a study of the quality of life of patients with glossalgia]. Klinicheskaya stomatologiya [Clinical Dentistry], 1, 20-21. (In Russ.)
5. Zablotskaya, N. V., Ulyanova, T. V., Pritchina, I. A. (2008). Kachestvo zhizni - pokazatel' kachestva raboty [Quality of life - an indicator of the quality of work]. Institut Stomatologii [Institute of Dentistry], 2, 64-65. (In Russ.)
6. Nikolovska, J., Kenig, N. (2014). Oral health related quality of life (OHRQoL) in patients wearing fixed partial dentures. Collegium antropologicum, 38, 3, 987-992.
7. Ulmanov, A. T., Sarybaeva, G. K. (2018). Analiz urovnya ozhidaniy i udovletvorennosti patsiyentov chastnoy stomatologicheskoy kliniki [Analysis of the level of expectations and patient satisfaction of a private dental clinic]. Nauka i zdravookhraneniye [Science and Health], 2, 78-89. (In Russ.)
8. Carlson, C. R., Miller, C. S., Reid, K. I. (2000). Psychosocial profiles of patients with burning mouth syndrome. J. Orofac. Pain, 14, 1, 59-64.
9. Borisova, E. G. (2012). Okazaniye spetsializirovannoy pomoshchi bol'nym s bolevymi sindromami litsa i polosti rta [The provision of specialized care to patients with pain syndromes of the face and oral cavity]. Rossiyskiy zhurnal boli [Russian Journal of Pain], 1, 9-10. (In Russ.)
10. Borisova, E. G., Yagmurov, H. O., Griga, E. S. (2018). Vliyaniye nevrologicheskikh oslozhneniy, voznikshikh posle stomatologicheskikh vmeshatel'stv, na kachestvo zhizni patsiyentov [The influence of neurological complications arising after dental interventions on the quality of life of patients]. Vestnik Rossiyskoy voyenno-meditsinskoy akademii [Bulletin of the Russian Military Medical Academy], 61, 1, 95-97. (In Russ.)
11. Montero, J., Albaladejo, A., Zalba, J. I. (2014). Influence of the usual motivation for dental attendance on dental status and oral health-related quality of life. Med Oral Patol Oral Cir Bucal, 3, 19, 225-231.
12. Yurkevich, A. V., Suvyrina, M. B., Chaban, A. B., Kruglov, T. E. (2018). Analiz prichin vozniknoveniya postplombirovochnoy boli pri lechenii neoslozhnonnogo kariyesa [Analysis of the causes of post-filling pain in the treatment of uncomplicated caries]. Kazanskiy meditsinskiy zhurnal [Kazan Medical Journal], 3, 380-385. (In Russ.)
13. Knyazeva, M. A. (2012). Profilaktika oslozhneniy pri rabote s fotopolimerizuyushchimi ustroystvami v stomatologii [Prevention of complications when working with photopolymerizing devices in dentistry]. Sovremennaya stomatologiya [Modern dentistry], 55, 2, 19-21. (In Russ.)
14. Chukhrai, I. G., Novak, N. V., Marchenko, E. I. (2014). Oshibki i oslozhneniya, voznikayushchiye pri izgotovlenii restavratsiy iz kompozitsionnykh materialov [Errors and complications arising in the manufacture of restorations from composite materials]. Sovremennaya stomatologiya [Modern Dentistry], 1, 20-25. (In Russ.)
15. Horev, O. Yu., Mayboroda, Yu. N. (2017). Okklyuzionnyye interferentsii i neyromyshechnaya disfunktsiya [Occlusive interference and neuromuscular dysfunction]. Kubanskiy nauchnyy meditsinskiy vestnik [Kuban Scientific Medical Bulletin], 6, 161-167. (In Russ.)
16. Sukhonos, S. I., Mikhailov, D. M., Vovk, D. N., Panasenko, A. V. (2005). Temperatura tvordykh tkaney zuba v protsesse ikh preparirovaniya almaznymi borami [The temperature of hard tooth tissues during their preparation with diamond burs]. Stomatologiya dlya vsekh [Dentistry for all], 2, 24-27. (In Russ.)
17. Dahl, J. E., Stenhagen, I. S. (2018). Optimizing quality and safety of dental materials. Eur J Oral Sci, 1, 102-105.
18. Beschastny, D. S., Vyazmin, A. Ya., Klyushnikov, O. V., Podkorytov, Yu. M. (2010). Patogenez disfunktsii visochno-nizhnechelyustnogo sustava [Pathogenesis of temporomandibular joint dysfunction]. Acta Biomedica Scientifica [Acta Biomedica Scientifica], 5, 25-28. (In Russ.)
19. Kirsch, J., Tchorz, J., Hellwig, E., Tauböck, T. T., Attin, T., Hannig, C. (2016). Decision criteria for replacement of fillings: a retrospective study. Clin Exp Dent Res, 2, 2, 121-128.
20. Wassel, R., Naru, A., Nohl, F., Steele, J. (2012). Okluzja w praktyce. Warszawa : Kwintesencja, 169.
21. Lapina, N. V., Olesov, E. E., Khavkina, E. Yu. (2011). Dinamika pokazateley «kachestvo zhizni» po oprosniku MOS SF-36 v sub"yektivnoy otsenke effektivnosti lecheniya bol'nykh s deformatsiyami zubnykh ryadov [Dynamics of “quality of life” indicators according to the MOS SF-36 questionnaire in a subjective assessment of the effectiveness of treatment of patients with dentition deformities]. Rossiyskiy stomatologicheskiy zhurnal [Russian Dental Journal], 6, 42-44. (In Russ.)
22. Ware, J. E., Snow, K. K., Kosinski, V. et al. (2000). SF-36 Health Survey. Manuel and Interpretation Guide. Lincoln, RI : QualityMetric Incorporated, 150.
23. Neustroeva, T. G. (2011). Otsenka urovnya kachestva zhizni stomatologicheskikh patsiyentov s opistorkhoznoy invaziyey [Ocenka urovnya kachestva zhizni stomatologicheskih pacientov s opistorhoznoj invaziej]. Problemy stomatologii [The problems of dentistry], 1, 46-50. (In Russ.)
24. Locker, D., Allen, F. (2007). What do measures of ‗oral health-related quality of life measure? Community Dentistry and Oral Epidemiology, 35, 401-411.
25. Skaret, E., Nordrehang Åstrøm, A., Hangejorden, O. (2003). Oral Health Related Quality of Life: Review of existing instruments and suggestions for use in oral health research in Europe. European Global Oral Health Indicators Development Project.