POSSIBILITIES OF USING DIGITAL TECHNOLOGIES AT THE STAGES OF ORTHOPEDIC TREATMENT OF PATIENTS WITH DEFECTS OF HARD TISSUES OF TEETH
Abstract and keywords
Abstract (English):
Subject. The article reflects the results of research aimed at determining the rational design features and working out the manufacturing technology of micro-prostheses for the replacement of wedge-shaped dental defects. The goal is to develop a new method of treatment of patients with wedge-shaped dental defects, based on the creation and implementation of micro-prostheses made using modern CAD/CAM technologies. Methodology. A patent search and analysis of the literature data was carried out, which showed the need to develop a new replacement structure that meets the requirements of aesthetics, ensuring its durability and effectiveness of treatment. The resulting cavity was scanned, and the proposed structure was made from a block of feldspar ceramics (Cerec Blocs, Sirona, Germany) by grinding using the Cerec digital complex (Sirona, Germany). Results. Based on the obtained data, a method for replacing wedge-shaped dental defects in the clinic of orthopedic dentistry was proposed, using the author's design of the inlay; rational features of the structure were developed and justified, and the method of its manufacture was developed, using CAD/CAM technologies. Conclusions. To date, the use of digital technologies at the stages of orthopedic treatment of patients with defects of the hard tissues of the teeth, and in particular, when replacing wedge-shaped defects, is of particular relevance. It seems promising to introduce methods of scanning, three-dimensional modeling, and manufacturing of replacement structures by grinding, to replace this type of dental defects. The proposed method is modern and highly technological, and also allows you to get an accurate and aesthetic design of a complex shape, in one visit to the clinic by the patient.

Keywords:
digital technologies, CAD / CAM, intraoral scanning, feldspar ceramics, microprosthesis, inlay, Cerec, wedge-shaped dental defects, cervical defects,enamel-cement joint
References

1. Arutyunov S.D., Karpova V.M., Beytan A.V. Sovremennye nanokompozity v tehnologii zamescheniya klinovidnyh defektov zubov. Institut stomatologii. 2006;3:56-57. [S.D. Arutyunov, V.M. Karpova, A.V. Beitan. Modern nanocomposites in the technology of replacing wedge-shaped teeth defects. Institute of Dentistry. 2006;3:56-57. (In Russ.)]. https://elibrary.ru/item.asp?id=15274869

2. Arutyunov S.D., Lebedenko I.Yu., Muslov S.A., Useinov A.S. Issledovanie nanomehanicheskih svoystv zubnoy emali. Cathedra-Kafedra. - Stomatologicheskoe obrazovanie. 2010;32:24-28. [S.D. Arutyunov, I.Yu. Lebedenko, S.A. Muslov, A.S. Useinov. Investigation of the nanomechanical properties of tooth enamel. Cathedra-Chair. - Dental education. 2010;32:24-28. (In Russ.)].

3. Astashina N.B., Petrachev A.S., Kazakov S.V., Rogozhnikova E.P. Patent RF 2719898C1, MPK A61C 8/00. Sposob lecheniya klinovidnogo defekta zuba i ustroystvo dlya ego osuschestvleniya. Patent Rossii №2019108928. 2020;12:8. [N.B. Astashina, A.S. Petrachev, S.V. Kazakov, E.P. Rogozhnikova. Patent RF 2719898C1, IPC A61C 8/00. A method of treating a wedge-shaped tooth defect and a device for its implementation. Russian patent №2019108928. 2020;12:8. (In Russ.)].

4. Golovatenko O.V. Processy de- i remineralizacii emali u bol'nyh s klinovidnymi defektami i erozii tverdyh tkaney zubov: avtoref. kand. dis. Perm', 2006:16. [O.V. Golovatenko. Processes of de- and remineralization of enamel in patients with wedge-shaped defects and erosion of hard dental tissues: author. cand. dis. Perm, 2006:16. (In Russ.)].

5. Zholudev S.E., Ivlev Yu.N. Osobennosti ispol'zovaniya gibridnyh CAD/CAM-materialov dlya reabilitacii pacientov s defektami tverdyh tkaney zubov. Stomatologiya. 2018;4:66-68. [S.E. Zholudev, Yu.N. Ivlev. Features of the use of hybrid CAD / CAM materials for the rehabilitation of patients with defects in dental hard tissues. Dentistry. 2018;4:66-68. (In Russ.)].

6. Lebedenko I.Yu., Bragin E.A., Kalivradzhiyan E.S. Ortopedicheskaya stomatologiya. Moskva. 2015:640. [I.Yu. Lebedenko, E.A. Bragin, E.S. Kalivradzhiyan. Orthopedic dentistry. Moscow. 2015:640. (In Russ.)].

7. Nemenatov I.G. Morfologicheskie i funkcional'nye izmeneniya v tverdyh tkanyah i parodonte u pacientov s klinovidnymi defektami zubov. Ortopedicheskoe lechenie. 14.01.14 : avtoreferat dissertacii na soiskanie uchenoy stepeni kandidata medicinskih nauk. Perm', 2012:21. [I.G. Nemenatov. Morphological and functional changes in hard tissues and periodontium in patients with wedge-shaped teeth defects. Orthopedic treatment. 01/14/14: dissertation author's abstract for the degree of candidate of medical sciences. Perm, 2012:21. (In Russ.)].

8. Pareyko P.A., Pateyuk A.L. Morfologiya tverdyh tkaney zuba pri klinovidnom defekte i podgotovka k ih plombirovaniyu. Studenty i molodye uchenye Belorusskogo gosudarstvennogo medicinskogo universiteta - medicinskoy nauke i zdravoohraneniyu Respubliki Belarus'. Sb. nauch. tr. studentov i molodyh uchenyh. Minsk : BGMU. 2018:198-201. [P.A. Pareiko, A.L. Pateyuk. Morphology of hard tooth tissues with a wedge-shaped defect and preparation for their filling. Students and young scientists of the Belarusian State Medical University - medical science and health care of the Republic of Belarus. Sat. scientific. tr. students and young scientists. Minsk : BSMU. 2018:198-201. (In Russ.)].

9. Sarycheva I.N., Yanushevich O.O., Minakov D.A., Shul'gin V.A. Diagnostika klinovidnyh defektov tverdyh tkaney zubov metodom lazerno-inducirovannoy fluorescencii i rentgenografii. Fundamental'nye issledovaniya. 2015;1-10:2084-2090. [I.N. Sarycheva, O.O. Yanushevich, D.A. Minakov, V.A. Shulgin. Diagnostics of wedge-shaped defects of dental hard tissues by laser-induced fluorescence and radiography. Basic research. 2015;1-10:2084-2090. (In Russ.)].

10. Chistyakova G.G., Petruk A.A. Morfologiya tverdyh tkaney zubov pri klinovidnyh defektah. Sovremennaya stomatologiya. 2017;4(69):41-45. [G.G. Chistyakova, A.A. Petruk. Morphology of dental hard tissues with wedge-shaped defects. Modern dentistry. 2017;4(69):41-45. (In Russ.)]. https://elibrary.ru/item.asp?id=30796697

11. Shevelyuk Yu.V. Kliniko-laboratornoe issledovanie klinovidnyh defektov zubov. 14.01.14 : dissertaciya na soiskanie uchenoy stepeni kandidata medicinskih nauk [Pervyy moskovskiy medicinskiy universitet im. I.M. Sechenova]. Moskva, 2011:24. [Yu.V. Shevelyuk. Clinical and laboratory examination of wedge-shaped teeth defects. 01/14/14: dissertation for the degree of candidate of medical sciences [First Moscow Medical University. THEM. Sechenov]. Moscow, 2011:24. (In Russ.)].

12. Yanbulatova G.H. Klinovidnye defekty tverdyh tkaney zubov. Rossiyskiy stomatologicheskiy zhurnal. 2016;4. [G.Kh. Yanbulatova. Wedge-shaped defects of hard tissues of teeth. Russian dental journal. 2016;4. (In Russ.)].

13. Abdalla R., Mitchell R. J., Ren Y. Non-carious cervical lesions imaged by focus variation microscopy // Journal of Dentistry. - 2017;63:14-20. doihttps://doi.org/10.1016/j.jdent.2017.05.001

14. Badavannavar A.N., Ajari S., Nayak K.U.S., Khijmatgar S. Abfraction: Etiopathogenesis, clinical aspect, and diagnostic-treatment modalities: A review // Indian J Dent Res. - 2020;31(2):305-311. doihttps://doi.org/10.4103/ijdr.IJDR_863_18

15. Bezerra I.M., Brito A.C.M., de Sousa S.A., Santiago B.M., Cavalcanti Y.W., de Almeida L.F.D. Glass ionomer cements compared with composite resin in restoration of noncarious cervical lesions: A systematic review and meta-analysis // Heliyon. - 2020;6(5):e03969. doihttps://doi.org/10.1016/j.heliyon.2020.e03969

16. Daley T., Harbrow D., Kahler B., Young W. The cervical wedge-shaped lesion in teeth: a light and electron microscopic study // Australian Dental Journal. - 2009;54:212-219.

17. Francisconi L.F., Scaffa P.M.C., Barros V.R.D.S.P., Coutinho M., Francisconi P.A.S. Glass ionomer cements and their role in the restoration of non-carious cervical lesions // J. Appl. Oral Sci. - 2009;17:364-369. doi:https://doi.org/10.1590/S1678-77572009000500003.

18. Giachetti L. A Simple Method for Treating Subgingival Class V Lesions // Operative Dentistry - 2018. doihttps://doi.org/10.2341/18-141-t

19. Huysmans M.C.D.N.J.M., Chew H.P., Ellwood R.P. Clinical Studies of Dental Erosion and Erosive Wear // Caries research. - 2011;45:60-68.

20. Kampanas, N.-S., Antoniadou, M. Glass Ionomer Cements for the Restoration of Non-Carious Cervical Lesions in the Geriatric Patient // Journal of Functional Biomaterials. - 2018;9(3):42. doihttps://doi.org/10.3390/jfb9030042

21. Leal N. M. S., Silva J. L., Benigno M. I. M., Bemerguy E. A., Meira J. B. C., Ballester R. Y. How mechanical stresses modulate enamel demineralization in non-carious cervical lesions? // Journal of the Mechanical Behavior of Biomedical Materials. - 2017;66:50-57. doihttps://doi.org/10.1016/j.jmbbm.2016.11.003

22. Mercu Ţ.V., Popescu S.M., Scrieciu M. et al. Optical coherence tomography applications in tooth wear diagnosis // Rom J Morphol Embryol. - 2017;58(1):99-106.

23. Nascimento M., Dilbone D., Pereira P., Geraldeli S., Delgado A., Duarte W. Abfraction lesions: etiology, diagnosis, and treatment options // Clinical, Cosmetic and Investigational Dentistry. - 2016;79. doihttps://doi.org/10.2147/ccide.s63465

24. Paryag A., Lowe J., Rafeek R. Colored Gingiva Composite Used for the Rehabilitation of Gingiva Recessions and Non-Carious Cervical Lesions // Dentistry Journal. - 2017;5(4):33. doihttps://doi.org/10.3390/dj5040033

25. Santiago S.L., Passos V.F., Vieira A.H.M., de Navarro M.F.L., Lauris J.R.P., Franco E.B. Two-year clinical evaluation of resinous restorative systems in non-carious cervical lesions // Braz. Dent. J. - 2010;21:229-234. doi:https://doi.org/10.1590/S0103-64402010000300010.

26. Spitznagel F.A., Boldt J., Gierthmuehlen P. C. CAD/CAM Ceramic Restorative Materials for Natural Teeth // Journal of Dental Research. - 2018;97(10):1082-1091. doihttps://doi.org/10.1177/0022034518779759

27. Stewardson D.A., Thornley P., Bigg T., Bromage C., Browne A., Cottam D., Dalby D., Gilmour J., Horton J., Roberts E. et al. The survival of Class V restorations in general dental practice. Part 2, early failure // Br. Dent. J. - 2011;210:E19. doi:https://doi.org/10.1038/sj.bdj.2011.430.

28. Tuncer D., Çelik Ç., Yamanel K., Arhun N. Clinical evaluation of microhybrid composites in noncarious cervical lesions: 24-month results // Niger J Clin Pract. - 2017;20:176-181.

29. Zucchelli G., Mucogingival surgery. Milan: Quintessenza. 2013;3:14-58.


Login or Create
* Forgot password?