OPTIMIZATION OF COMPLEX REHABILITATION OF PATIENTS WITH INTOLERANCE TO METAL STRUCTURES IN THE ORAL CAVITY, IMPROVEMENT OF DIAGNOSTICS GALVANOSIS
Abstract and keywords
Abstract (English):
Subject. Methods of galvanosis diagnostics, their influence on the effectiveness of treatment. Objectives. To optimize the comprehensive examination of patients with intolerance to metal structures in the oral cavity, to improve the basic and additional methods of diagnosis of galvanosis. Methodology. The study was conducted at the Department of Orthopedic Dentistry and Gnathology and the Department of Propaedeutics of Orthopedic Dentistry at the Russian University of Medicine. The study involved 15 patients with symptoms of galvanosis, and 15 healthy patients without signs of galvanosis, who constituted the control group. All participants of the study were measured the difference of oral biopotentials, hydrogen index, salivary flow rate. Patients with symptoms of galvanosis were measured again after treatment. Results. The improved diagnostics contributed to effective treatment of galvanosis. The mean value of oral potential difference decreased by 68.9% after treatment. The mean value of pH-metry also showed positive dynamics, it increased by 18.53% after treatment. The mean salivary flow rates after treatment increased by 139.82%. Conclusions. In the presence of symptoms of galvanosis requires careful diagnosis and differential diagnosis with diseases of the oral mucosa and general medical pathologies. To improve the accuracy of diagnosis it is necessary to refer to the pH-metry of mixed saliva in the oral cavity, hardware repeated measurement of oral biopotential difference, determination of enzymatic activity of saliva, spectral analysis of saliva, etc. Thanks to accurate and improved diagnostic methods, high efficiency of treatment of patients with intolerance to metal structures in the oral cavity has been achieved. Statistical calculations confirm these conclusions.

Keywords:
galvanosis, oral mucosa diseases, potentiometry, pH-metry, enzymatic composition of saliva, salivary secretion rate
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