Dentistry

doi: 10.25005/2074-0581-2019-21-4-625-631
STUDY OF QUALITY OF LIFE OF DENTAL PATIENTS USING IMMEDIATE PROTHESES IN THE POST-EXTRACTION PERIOD BEFORE IMPLANTATION

N.E. Mitin, E.S. Perminov, S.I. Kalinovskiy, E.E. Chekreneva

Department of Orthopedic Dentistry and Orthodontics with the Course of Propedeutics of Dental Diseases, Ryazan State Medical University named after academician I.P. Pavlov

Objective: To investigate the quality of life (QL) of dental patients using original and classic immediate prostheses in the post-extraction tooth period before implantation.

Methods: Within the frame of this study, we analyzed 86 questionnaires of patients separated into two groups: the main (n=67) and the control (n=19) group. The level of QL was assessed using the standard OHIP-14 questionnaire (Oral Health Impacts Profile) consisting of 14 questions. Patient questionnaires were conducted 4 times: to the next day after tooth extraction and overlaying of the immediate prosthesis, 2 weeks after the extraction, which corresponds to the ending of acute inflammatory phase, as well as after 3 and 6 months. In the main group, as an immediate prosthesis was used a prosthesis with an intermediate part, the basis of which is made of a hollow base with a bioinert mesh stretched between the walls of the basis of the intermediate part, and in the comparison group patients used immediate prosthesis, made by standard technology.

Results: A study of the questionnaires in terms of observation from the time of tooth removal to 6 months showed that in the main and control groups on the first day after the overlaying immediate prosthesis levels of QL were 18.45±2.642 and 19.79±2.485, respectively. On the 14th day of these parameters corresponded to the values of 16.52±2.331 and 17.32±2.709. In the III and IV stages of the study (i.e. 3 and 6 months) determine the equalization of the average QL is defined by the advantage of the values in the III stage of the main group.

Conclusion: The use of the original immediate prosthesis in temporary prosthetics of the post-extraction defect of the front incisor of the upper jaw gives the prevailing dynamics and more positive results relative to the standard immediate prosthesis.

Keywords: Quality of life, implantation, immediate prostheses, rehabilitation, post-extraction period, orthopedic dentistry.

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References
  1. Rozhkova KI, Slabkovskaya AB, Persin LS. Otsenka vospriyatiya formy tsentral’nyhh reztsov verkhney chelyusti kak vazhnogo elementa mikroestetiki ulybki [Assessment of the perception of the shape of the central incisors of the upper jaw as an important element of the smile microesthetics]. Klinicheskaya stomatologiya. 2019;1:16-9.
  2. Utyuzh AS, Yumashev AV, Admakin OI, Zagorskiy VV, Nefyodova IV. Khirurgicheskie i ortopedicheskie aspekty protezirovaniya patsientov s oporoy na implantaty pri polnoy vtorichnoy adentii [Surgical and orthopedic aspects of prosthetics for patients based on implants with complete secondary adentia]. Vestnik novykh meditsinskikh tekhnologiy. 2016;4:172-82.
  3. Abdulaev BA, Saburov SK. Rezul’taty izucheniya rasprostranyonnosti defektov zubnykh ryadov pri planirovanii ortopedicheskoy stomatologicheskoy pomoshchi [The study of the defects of the dentition prevalence in the planning of orthopedic dental health service]. Vestnik Avitsenny [Avicenna Bulletin]. 2018;20(1):73-6. Available from: https://doi.org/10.25005/2074-0581-2018- 20-1-73-76.
  4. Simonovskaya OE. Vliyanie stomatologicheskogo zdorov’ya na kachestvo zhizni [The impact of dental health on quality of life]. Stomatologiya. 2008;5:75-7.
  5. Mitin NE, Tikhonov VE, Grishin MI. Issledovanie motivatsionnykh predposylok k stomatologicheskomu lecheniyu dlya uluchsheniya kachestva zhizni [The study of motivational prerequisites for dental treatment to improve the quality of life]. Stomatologiya dlya vsekh. 2015;4:46-7.
  6. Tolmachyov DA. Struktura patologii rotovoy polosti. Naibolee chastye prichiny udaleniya zubov [The structure of the pathology of the oral cavity. The most common causes of tooth extraction]. Alleya nauki. 2018;1:213-7.
  7. Zhulyov VI, Kaplan MB, Moskvina EV, Nabatchikova LP, Strelkov NN, Perminov ES. Kontrol’ klinicheskoy effektivnosti magnitoterapii pri lechenii periimplantitov s pomoshch’yu programmno-apparatnogo kompleksa monitoringa elektrokozhnoy aktivnosti [Monitoring the clinical effectiveness of magnetotherapy in the treatment of peri-implantitis using a hardware-software complex for monitoring electrodermal activity]. Biomeditsinskaya radioelektronika. 2013;7:43-8.
  8. Trunin DA, Tlustenko VP, Sadykov MI. Rentgenologicheskiy kontrol’ regeneratsii lunki udalyonnogo zuba (eksperimental’noe issledovanie) [X-ray control of the regeneration of the socket of the extracted tooth (experimental study)]. Izvestiya Samarskogo nauchnogo tsentra Rossiyskoy akademii nauk. 2018;2:154-9.
  9. Shnayder SA, Asmolova AA, Asmolova EA. Otdalyonnye oslozhneniya dental’noy implantatsii: rol’ kachestva litsevogo skeleta [Long-term complications of dental implantation: the role of the quality of the facial skeleton]. Vestnik stomatologii. 2018;2:47-50.
  10. Goryacheva IP, Zhulyov EN, Plishkina AA, Bazykina DO. Rol’ estetiki ulybki v kommunikabel’nosti cheloveka [The role of the aesthetics of a smile in sociability of a person]. Dental Forum. 2018;3:46-8.
  11. Durnovo EA, Bespalova NA, Andreeva MV, Korsakova AI. Sovremennyy vzglyad na problemu esteticheskoy reabilitatsii patsientov s ispol’zovaniem dental’nykh implantatov [A modern view of the problem of aesthetic rehabilitation of patients using dental implants]. Sovremennye problemy nauki i obrazovaniya. 2017;5:65.
  12. Kabak DS. Obshchee predstavlenie o kachestve zhizni, kachestvo zhizni v stomatologii (obzor literatury) [General idea of the quality of life, quality of life in dentistry (literature review)]. Klinicheskaya stomatologiya. 2018;1:76-9.
  13. Labunets VA, Kulikov MS, Dieva TV, Labunets OV, Lepskiy VV, Rozhkova NV. Uroven’ udovletvoryonnosti lits molodogo vozrasta v osnovnykh vidakh zubnykh protezov [Satisfactory level of young person in main type of dentures]. Sovremennaya stomatologiya. 2013;3:130.
  14. Nabatchikova LP, Khoroshilkina FYa, Chobanyan AA, Chobanyan AS. Razlichiya v razmerakh koronok vremennykh molyarov i ikh znachenie dlya vybora profilakticheskikh meropriyatiy pri sagittal’nykh anomaliyakh okklyuzii zubnykh ryadov [Differences in the size of crowns of temporary molars and their importance for the selection of preventive measures for sagittal anomalies of occlusion of the dentition]. Rossiyskiy mediko-biologicheskiy vestnik imeni akademika I.P. Pavlova. 2014;3:132-8.
  15. Robakidze NS, Lobanovskaya AA, Pekarchik DM. Primenenie vremennykh proteznykh konstruktsiy v period osteointegratsii vnutrikostnykh implantatov [The use of temporary prosthetic structures during osseointegration of intraosseous implants]. Institut stomatologii. 2016;2:78-9.
  16. Zubareva AV, Balaeva ZM, Khalikova GH. Vzaimosvyaz’ zubochelyustnykh anomaliy i kachestva zhizni [The relationship of dentition anomalies and quality of life]. Ural’skiy nauchnyy vestnik. 2018;2(4):43-6.
  17. Iskakova MK, Murodova NU, Bedrikova EA, Kuvatbaeva UA. Otsenka sostoyaniya stomatologicheskogo zdorov’ya u lits molodogo vozrasta i faktory, vliyayushchie na razvitie osnovnykh stomatologicheskikh zabolevaniy [Assessment of dental health in young people and factors affecting the development of major dental diseases]. Evraziyskiy soyuz uchyonykh. 2016;29(1):54-60.
  18. Shundrik MA, Marchenko IYA, Tkachenko IM, Lobach LN. Sovremennye kriterii otsenki estetiki ulybki [Modern criteria for evaluating the aesthetics of a smile]. Vestnik problem biologii i meditsiny. 2018;4:32-5.
  19. Sultonov MSh. Rezul’taty povysheniya effektivnosti dental’noy implantatsii s ispol’zovaniem biokompozitsionnogo materiala [Results of increased efficiency of dental implantation with the use of bio composite material]. Zdravookhranenie Tadzhikistana. 2015;2:51-5.
  20. Saburov SK, Zaripov AR. Integral’nyy pokazatel’ rezul’tatov ortopedicheskogo lecheniya somaticheskikh bol’nikh v zavisimosti ot raspolozheniya kraya metallokeramicheskikh koronok [Integral parameters of the results of orthopedic treatment of somatic patients depending on the location of the ceramic metal crowns]. Vestnik poslediplomnogo obrazovaniya v sfere zdravookhraneniya. 2018;3:59-63.
  21. Abdulaev BA, Saburov SK. Osobennosti kliniko-rentgenologicheskoy kartiny endoparodontal’nogo sostoyaniya opornykh zubov v zavisimosti ot protyazhyonnosti ortopedicheskikh protezov [Peculiarities of the clinic x-ray patern of the endoparodontal state of supporting teeth depending on the tension of orthopedic prosthesis]. Vestnik Akademii meditsinskikh nauk Tadzhikistana. 2018;8(3):297-301. Available from: https://doi. org/10.31712/2221-7355-2018-8-3-297-301.
  22. Iordanishvili AK. Psikhicheskoe zdorov’e protezonositeley pri pol’zovanii s’’yomnymi zubnymi protezami [Mental health of prosthetics when using removable dentures]. Klinicheskaya stomatologiya. 2018;1:64-7.
  23. Ershov KA, Sevbitov AV, Shakaryants AA, Dorofeev AE. Otsenka adaptatsii k s’’yomnym zubnym protezam u patsientov pozhilogo vozrasta [Assessment of adaptation to removable dentures in elderly patients]. Nauka molodykh. 2017;5(4):469-76. Available from: https://doi.org/10.23888/HMJ20174469- 476
  24. Maksimova OP. Estetika frontal’nykh zubov [Aesthetics of the anterior teeth]. Klinicheskaya stomatologiya. 2013;3:20-3.

Authors' information:


Mitin Nikolay Evgenievich
Candidate of Medical Sciences, Associate Professor, Head of the Department of Orthopedic Dentistry and Orthodontics with the Course of Propedeutics of Dental Diseases, Ryazan State Medical University named after academician I.P. Pavlov
ORCID ID: 0000-0001-7890-6353
SPIN: 759662
E-mail: nimitin@yandex.ru

Perminov Evgeniy Sergeevich
Postgraduate Student, Department of Orthopedic Dentistry and Orthodontics with the Course of Propedeutics of Dental Diseases, Ryazan State Medical University named after academician I.P. Pavlov
ORCID ID: 0000-0003-0902-4933
SPIN: 6304-1266
E-mail: stomdefence@narod.ru

Kalinovskiy Sergey Igorevich
Assistant of the Department of Orthopedic Dentistry and Orthodontics with the Course of Propedeutics of Dental Diseases, Ryazan State Medical University named after academician I.P. Pavlov
ORCID ID: 0000-0002-6222-3053
Researcher ID: E-2378-2019
SPIN: 2506-0080
E-mail: kalinovskiysi@yahoo.com

Chekreneva Ekaterina Evgenievna
Assistant of the Department of Orthopedic Dentistry and Orthodontics with the Course of Propedeutics of Dental Diseases, Ryazan State Medical University named after academician I.P. Pavlov
ORCID ID: 0000-0001-5891-6984
E-mail: katrinka.chek@gmail.com

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:


Mitin Nikolay Evgenievich
Candidate of Medical Sciences, Associate Professor, Head of the Department of Orthopedic Dentistry and Orthodontics with the Course of Propedeutics of Dental Diseases, Ryazan State Medical University named after academician I.P. Pavlov

390026, Russian Federation, Ryazan, Vysokovoltnaya str., 9

Tel.: +7 (920) 6305050

E-mail: nimitin@yandex.ru

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