Actual problems in dentistry Actual problems in dentistry Проблемы стоматологии 2077-7566 2412-9461 97806 10.18481/2077-7566-2025-21-1-5-11 ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ LITERATURE REVIEW ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ PROSTHETICS OF PATIENTS WITH UNFAVORABLE CLINICAL CONDITIONS FOR FIXATION AND STABILIZATION OF REMOVABLE DENTURES ПРОТЕЗИРОВАНИЕ ПАЦИЕНТОВ С НЕБЛАГОПРИЯТНЫМИ КЛИНИЧЕСКИМИ УСЛОВИЯМИ ДЛЯ ФИКСАЦИИ И СТАБИЛИЗАЦИИ СЪЕМНЫХ ЗУБНЫХ ПРОТЕЗОВ Апресян Самвел Владиславович Apresyan Samvel S. apresyan@rudn.ru

доктор медицинских наук;

doctor of medical sciences;

 Степанов Александр Геннадьевич Stepanov Alexander G. stepanovmd@list.ru

доктор медицинских наук;

doctor of medical sciences;

 Цховребов Инал Радионович Tskhovrebov Inal R. inal86@mail.ru Московец Оксана Олеговна Moskovets Oksana O. om.stomat@gmail.com

кандидат медицинских наук;

candidate of medical sciences;

 Российский университет дружбы народов имени Патриса Лумумбы Москва Россия Peoples' Friendship University of Russia named after Patrice Lumumba Moscow Russian Federation Российского университета дружбы народов имени Патриса Лумумбы Москва Россия Peoples' Friendship University of Russia named after Patrice Lumumba Moscow Russian Federation Российский университет дружбы Москва Россия Peoples' Friendship University of Russia Moscow Russian Federation Российский университет дружбы народов Москва Россия Peoples' Friendship University of Russia Moscow Russian Federation 01 05 2025 01 05 2025 21 1 5 11 18 04 2025 https://dental-press.ru/en/nauka/article/97806/view

Статья посвящена изучению вопросов протезирования пациентов с неблагоприятными клиническими условиями для фиксации и стабилизации съемных зубных протезов. Авторами обосновывается актуальность и значимость темы исследования. Актуальность исследования аргументирована внедрением в стоматологическую практику цифровых стоматологических технологий моделирования и производства зубных протезов. Наиболее доступным цифровым методом для изготовления съемных зубных протезов является 3D-печать, однако остаются открытыми вопросы о физико-механических, токсикологических и микробиологических свойствах конструкционных материалов: фотополимерных смол, используемых в аддитивном производстве стоматологических конструкций. В научной литературе полностью отсутствуют данные об адгезивной прочности съёмных зубных протезов, изготовленных методом объемной печати, к стоматологическим клеям для их фиксации в полости рта. Рассматриваются традиционные способы фиксации съемных пластиночных протезов у пациентов с полным отсутствием зубов, уточняются факторы, затрудняющие процессы стоматологического (ортопедического) лечения методом протезирования. Материалами к исследованию послужили фундаментальные (диссертации, отчеты лабораторных исследований) и нефундаментальные (научные статьи) труды российских и зарубежных авторов, посвященные проблеме протезирования пациентов с неблагоприятными клиническими условиями для фиксации и стабилизации съемных зубных протезов. Использован комплекс исследовательских методик, сочетающий общенаучные (анализ и синтез литературных данных, сравнительной аналогии, извлечение информации из научных источников) и специальные методы (системный и сравнительный анализ). Проводится обзор литературы и анализ накопленного в международной клинической практике опыта в области применения дополнительных средств фиксации и стабилизации съемных пластиночных протезов: механических и химических. Заключение. Существует необходимость дополнительного изучения адгезивных кремов для фиксации съемных зубных протезов у пациентов с неблагоприятными клиническими условиями, разработки и подтверждения эффективности методов определения их адгезивной способности к современным конструкционным материалам, используемым в аддитивных технологиях производства.

The article is devoted to the study of prosthetics in patients with unfavorable clinical conditions for the fixation and stabilization of removable dentures. The authors substantiate the relevance and significance of the research topic. The relevance of the study is justified by the introduction of digital dental technologies for modeling and manufacturing dentures into dental practice. The most accessible digital method for the manufacture of removable dentures is 3D printing, however, questions remain about the physical-mechanical, toxicological and microbiological properties of structural materials, photopolymer resins used in the additive manufacturing of dental structures. There is a complete lack of data in the scientific literature on the adhesive strength of removable dentures made by volumetric printing to dental adhesives for their fixation in the oral cavity. The traditional methods of fixing removable plate prostheses in patients with complete absence of teeth are considered; the factors complicating the processes of dental (orthopedic) prosthetics treatment are clarified. The materials for the study were fundamental (dissertations, laboratory research reports) and non-fundamental (scientific articles) works by Russian and foreign authors devoted to the problem of prosthetics of patients with unfavorable clinical conditions for fixing and stabilizing removable dentures. A set of research methods was used, combining general scientific (analysis and synthesis of literary data, comparative analogy, extraction of information from scientific sources) and special methods (systematic and comparative analysis). A review of the literature and an analysis of the experience gained in international clinical practice in the field of the use of additional means of fixation and stabilization of removable plate prostheses – mechanical and chemical is presented. The conclusion is that it is necessary to further study adhesive creams for fixing removable dentures in patients with unfavorable clinical conditions, to develop and confirm the effectiveness of methods for determining their adhesive ability to modern structural materials used in additive manufacturing technologies.

 полная вторичная адентия съемные зубные протезы неблагоприятные клинические условия фиксации и стабилизации адгезивные средства адгезивный крем аддитивные технологии complete secondary adentia removable dentures unfavorable clinical conditions of fixation and stabilization adhesive means adhesive cream additive technologies

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