Perm, Russian Federation
Perm, Perm, Russian Federation
from 01.01.2015 until now
Perm', Perm, Russian Federation
from 01.01.2015 until now
Perm, Perm, Russian Federation
UDK 61 Медицина. Охрана здоровья
GRNTI 76.29 Клиническая медицина
The relevance of the study is dictated by the need to increase the efficiency of prosthetic treatment of patients with full absence of teeth, through the introduction of new composite materials, the use of which provides high strength of prosthetic structures, as well as the development of methods for the manufacture of full removable plate denture using modern digital technologies, which in general contributes to increase the service life of dentures, especially in the presence of difficult clinical conditions. Purpose of the work: increasing the efficiency of prosthetic dental treatment of patients with full absence of teeth on the basis of the development and implementation of a new design of a full removable plate denture with a base made of acrylic resin and an introduced frame made of composite material based on fiberglass. Materials and methods: taking into account the analysis of data from domestic and foreign literature, a design was developed and a technology for manufacturing a full removable plate denture with a combined basis was proposed, the frame of which was made of composite material Trinia. In the course of the work, the morphology and microstructure of a new combination of polymers were studied, and also, in a comparative aspect, their physical and mechanical properties were evaluated. Results: during the study of the microstructure, we found that the composite material based on glass fiber has a chemical bond with acrylic resin and a high homogeneity of the structure. Physicomechanical tests showed that when the base resin is reinforced with Trinia material, an increase in the strength of the samples under study is noted, which exceeds the existing analogues. Clinical and laboratory stages of manufacturing a new design, combining analog and digital methods, have been developed and tested. Conclusions: the introduction of a composite material into the design of a combined full removable plate denture will improve the strength properties of its base, increase performance and reduce weight. The use of digital technology will enable the use of high-strength composite materials.
fiberglass-reinforced composite materials, acrylic resin, full removable plate denture, CAD/CAM technologies, digital dentistry
1. Arutyunov S.D. Klinicheskoe primenenie usovershenstvovannoy metodiki restavracii s'emnyh plastinochnyh zubnyh protezov posle polomki. Sovremennye problemy nauki i obrazovaniya. 2016;1:26-26. [S.D. Arutyunov. Clinical application of the improved technique of restoration of removable plate dentures after breakage. Modern problems of science and education. 2016;1:26-26. (In Russ.)].
2. Arutyunov S.D., Lebedenko I.Yu. Povyshenie effektivnosti restavracii s'emnyh plastinochnyh zubnyh protezov posle polomki. Rossiyskiy stomatologicheskiy zhurnal. 2014;5:4-6. [S.D. Arutyunov, I.Yu. Lebedenko. Improving the efficiency of restoration of removable plate dentures after breakage. Russian Dental Journal. 2014;5:4-6. (In Russ.)].
3. Astashina N.B. Ocenka osnovnyh harakteristik uglerodnogo volokna i perspektivy ego primeneniya na etapah lecheniya pacientov s generalizovannym parodontitom. Rossiyskiy stomatologicheskiy zhurnal. 2015;19;1. [N.B. Astashina. Evaluation of the main characteristics of carbon fiber and prospects for its use at the stages of treatment of patients with generalized periodontitis. Russian Dental Journal. 2015;19;1. (In Russ.)].
4. Astashina N.B. Eksperimental'noe issledovanie svoystv bazisa novogo kombinirovannogo polnogo s'emnogo plastinochnogo proteza. Rossiyskiy zhurnal biomehaniki. 2020;24;3:330-343. [N.B. Astashina. Experimental investigation of the properties of the basis of a new combined complete removable plate prosthesis. Russian Journal of Biomechanics. 2020;24;3:330-343. (In Russ.)].
5. Astashina N.B., Mitruschenkov Yu.N., Bazhin A.A. Kombinirovannyy polnyy s'emnyy protez. Patent Rossii № RU 194083 U1. 2019. [N.B. Astashina, Yu.N. Mitrushchenkov, A.A. Bazhin. Combined complete removable prosthesis. Russian Patent for invention No. RU 194083 U1. 2019. (In Russ.)].
6. Vasilenko R.E. Sravnitel'nye fiziko-mehanicheskie i prochnostnye harakteristiki armirovannyh i nearmirovannyh polnyh s'emnyh plastinochnyh protezov verhney chelyusti. Sovremennaya stomatologiya. 2015;3:94-97. [R.E. Vasilenko. Comparative physical-mechanical and strength characteristics of reinforced and non-reinforced complete removable plate prostheses of the upper jaw. Modern dentistry. 2015;3:94-97. (In Russ.)].
7. Gorelova V.A., Orehov S.N., Matveev S.V. CAD/CAM-tehnologiya v ortopedicheskoy stomatologii. Mezhdunarodnyy studencheskiy nauchnyy vestnik. 2016;4-3:246-248. [V.A. Gorelova, S.N. Orekhov, S.V. Matveev. CAD / CAM-technology in orthopedic dentistry. International Student Scientific Bulletin. 2016;4-3:246-248. (In Russ.)].
8. Zholudev S.E. Primenenie metallizirovannyh bazisov s'emnyh plastinochnyh protezov pri yavleniyah neperenosimosti akrilatov: dis. … kand. med. nauk. 14.00.21. Moskva, 1990:160. [S.E. Zholudev. Application of metallized bases of removable plate prostheses in the phenomena of acrylate intolerance: dis. ... candidate of Medical Sciences. 14.00.21. Moscow, 1990:160. (In Russ.)].
9. Kalivradzhiyan E.S., Bragin E.A., Zholudev S.E. Rukovodstvo po stomatologicheskomu materialovedeniyu. Moskva : MIA. 2013:88. [E.S. Kalivrajiyan, E.A. Bragin, S.E. Zholudev. Guide to dental materials science. Moscow : MIA. 2013:88. (In Russ.)].
10. Karaseva V.V. Profilaktika chastyh perelomov plastinochnyh protezov putem ispol'zovaniya armiruyuschey kvarcevoy setki. Problemy stomatologii. 2014;5. [V.V. Karaseva. Prevention of frequent fractures of plate prostheses by using reinforcing quartz mesh. Actual problems in dentistry. 2014;5. (In Russ.)].
11. Kuznecov S.V. Kompleksnaya stomatologicheskaya reabilitaciya pacientov pozhilogo i starcheskogo vozrasta. Moskva. 2015. [S.V. Kuznetsov. Complex dental rehabilitation of elderly and senile patients. Moscow. 2015. (In Russ.)].
12. Kurbanov O.R. Opredelenie potrebnosti naseleniya v razlichnyh vidah zubnyh protezov. Vestnik Medicinskogo stomatologicheskogo instituta. 2016;3:13-16. [O.R. Kurbanov. Determination of the population's need for various types of dentures. Bulletin of the Medical Dental Institute. 2016;3:13-16. (In Russ.)].
13. Matveev D.V. i dr. Issledovanie prochnosti na izgib armirovannogo kompozita. Tverskoy medicinskiy zhurnal. 2016;4:73-75. [D.V. Matveev et al. Study of the bending strength of reinforced composite. Tver Medical Journal. 2016;4:73-75. (In Russ.)].
14. Parhamovich S.N., Tyukova E. A. Volokonnoe armirovanie kompozitnyh restavraciy v klinicheskoy stomatologii. Sovremennaya stomatologiya. 2017;2(67). [S.N. Parkhamovich, E.A. Tyukova. Fiber reinforcement of composite restorations in clinical dentistry. Modern dentistry. 2017;2(67). (In Russ.)].
15. Faychuk N.V. Ispol'zovanie bezmetallovyh shtiftov v povsednevnoy praktike vracha-stomatologa. 2017. [N.V. Faichuk. The use of metal-free pins in the daily practice of a dentist. 2017. (In Russ.)].
16. Alghazzawi T.F. Advancements in CAD/CAM technology: Options for practical implementation // Journal of prosthodontic research. - 2016;60;2:72-84. https://doi.org/10.1016/j.jpor.2016.01.003
17. Murthy H. B. M. et al. Effect of reinforcement using stainless steel mesh, glass fibers, and polyethylene on the impact strength of heat cure denture base resin-An in vitro study // Journal of international oral health: JIOH. - 2015;7;6:71.
18. Goguţă L. M. et al. Glass fibre reinforced acrylic resin complete dentures: a 5-year clinical study // Gerodontology. - 2012;29;1:64-69. https://doi.org/10.1016/j.prosdent.2014.10.013
19. Russo L. L., Salamini A. Removable complete digital dentures: A workflow that integrates open technologies // The Journal of prosthetic dentistry. - 2018;119;5:727-732. https://doi.org/10.1016/j.prosdent.2017.06.019
20. Takahashi T. et al. Reinforcement in removable prosthodontics: A literature review // Journal of oral rehabilitation. - 2017;44;2:133-143. https://doi.org/10.1111/joor.12464
21. Takahashi Y., Yoshida K., Shimizu H. Effect of location of glass fiber-reinforced composite reinforcement on the flexural properties of a maxillary complete denture in vitro // Acta Odontologica Scandinavica. - 2011;69;4:215-221. https://doi.org/10.3109/23337931.2015.1099441
22. Tomita A. et al. Survey of Denture Repair Cases: Denture Reinforcement Makes Patients Able to Use Their Dentures for Longer Periods // International Journal of Prosthodontics. - 2018;31;4.
23. Wöstmann B. et al. Indications for removable partial dentures: A literature review // International Journal of Prosthodontics. - 2005;18;2.
24. Yoshida K., Takahashi Y., Shimizu H. Effect of embedded metal reinforcements and their location on the fracture resistance of acrylic resin complete dentures // Journal of Prosthodontics: Implant, Esthetic and Reconstructive Dentistry. - 2011;20;5:366-371. http://dx.doi.org/10.1111/j.1532-849X.2011.00720.x
25. Yu S. H. et al. Effects of glass fiber mesh with different fiber content and structures on the compressive properties of complete dentures // The Journal of Prosthetic Dentistry. - 2015;113;6:636-644. https://doi.org/10.1016/j.prosdent.2014.10.013
