Сlinical and microbiological assessment of the effectiveness of preventive measures recommended for patients with prosthetic

Authors

  • Н. М. Гусейнова

DOI:

https://doi.org/10.33295/1992-576X-2019-3-72

Keywords:

fixed dentures, terms of wearing, microorganisms, prevention

Abstract

Relevance. Poor oral hygiene and microbial factor lead among the reasons for the deterioration of orthopedic dental treatment results. Research on many fundamental aspects of the prevention and treatment of inflammatory diseases of the oral cavity in the process of wearing various dentures is still relevant.
The purpose of the study. Improving the complex of therapeutic and preventive measures in patients using non removable dental orthopedic equipment, with the development of inflammatory changes in periodontal tissues.
Material and research methods. To determine the terms of use of various prosthetic structures, an analysis of medical records and medical history from 2008 to 2018 was conducted. in the Dental Clinic of Azerbaijan Medical University. 57 patients were divided into groups, depending on the therapeutic and prophylactic agents used. The control group (15) – he use of well-known and available methods and methods of oral hygiene; Group I (15) – the use of interdental brushes, floss and superfloss; Group II (13) – use of interdental brushes, floss, superfloss and mouth irrigation with a 0.05% chlorhexidine digluconate solution for 10 days; Group III (14) – use of interdental brushes, floss, superfloss and rinser Listerine for 10 days.
Results. The situational analysis shows that short terms of use belong to the patients using fixed orthopedic prostheses and byugel designs. The microflora of the mixed oral fluid in the examined patients prior to the commencement of therapeutic and preventive measures is characterized by the predominance of facultative anaerobic streptococcal flora, in association with certain anaerobic species and Enterobacterium spp. In the process of studying the quantitative indicators of microorganisms in the oral cavity in prosthetic patients of group III for aggressive microflora, a very pronounced and positive tendency was noted for the correction of pathological changes in periodontal tissues. Indicators of the PHP index in groups of patients who do not use antiseptics, regardless of the timing of rehabilitation, indicate an unsatisfactory «ecological» situation in the oral cavity, in the area of the teeth and orthopedic structures, detected against the background of a high level of microbial colonization.
Conclusion. 1. Differences in the levels of colonization for different microorganisms require the study of their potential involvement as specific indicators of pathological processes in the organs and tissues of the oral cavity when wearing dental prostheses. 2. Rational medical examination after their installation is rational for patients with fixed orthopedic structures in terms of increasing the time of their use, which should include elements of clinical and hygienic control, individual corrections, as well as sessions of professional oral hygiene. 3. The most favorable state of microbiocenosis and oral hygiene by detecting.
Key words: fixed dentures, terms of wearing, microorganisms, prevention.

Author Biography

Н. М. Гусейнова

Н.М. Гусейнова – кафедра терапевтической стоматологии АМУ, г. Баку.

References

1. Bekmetova DM, Kalinin JuA. Ocenka kachestva zhizni stomatologicheskogo pacienta
s vkljuchennymi defektami zubnyh rjadov. Dental Forum. 2011; (3): 21–22 [In Russian]
2. Vedeneva EV. Kachestvo zhizni pacientov posle jesteticheskogo stomatologicheskogo
lechenija. Stomatolog. 2011; (8): 6–9 [In Russian]
3. Goman MV, Zaborovec IA. Ocenka funkcional'noj jeffektivnosti ortopedicheskogo leche -
nija pacientov s odnostoronnimi distal'no ne ogranichennymi defektami zubnogo rjada (po dannym
poverhnostnoj jelektromiografii). Kubanskij nauchnyj med. vestnik. 2010; 3 (4): 49–52 [In Russian]
4. Dmitriev AJu, Gvetadze R.Sh, Dmitrieva NA. Gigienicheskaja ocenka sostojanija
implantato-desnevogo soedinenija u pacientov s ortopedicheskimi konstrukcijami s oporoj na
dental'nye implantaty. Stomatologija dlja vseh. 2017; 3: 28-32 [In Russian]
5. Zhuruli GN, Calikova NA, Nikol'skij VD. Preimushhestvo ispol'zovanija CAD/CAM pri
izgotovlenii balochnyh konstrukcij s oporoj na dental'nye implantaty. Rossijskaja stomatologija.
2016; 9 (1): 30 [In Russian]
6. Holmberg KV, Abdolhosseini M, Li Y et al. Bio-inspired stable antimicrobial peptide
coatings for dental applications. Acta Biomater. 2013; 9 (9): 8224–8231
7. Flores-Orozco EI, Rovira-Lastra B, Peraire M, et al. Reliability of a visual analog scale
for determining the preferred mastication side. J. Prosthetic Dent. 2016; 115 (2): 203–208
8. Friedman E, Alizadeh N, Loewy Z, Negrini M. Oral health: The need for both conventional
microbial and molecular characterization. High Throughput. 2017; (3): 11
9. Martelli FS, Martelli M, Rosati C, Fanti E. Vitamin D: relevance in dental practice. Clin
Cases Miner Bone Metab. 2014 Jan-Apr; 11 (1): 15–19
10. Negri M, Galli C, Smerieri A et al. The effect of age, gender, and insertion site on marginal
bone loss around endosseous implants: results from a 3- year trial with Premium Implant
System. Biomed Res Int. 2014; 2014: 369051

Published

2019-10-10

Issue

Section

PROSTHETIC DENTISTRY