Justification Of The Effectiveness Of Various Methods Of Manufacturing Dentures And Improving The Quality Of Treatment Of Patients With Removable Dentures Using Digital Technologies.

Abstract

Background. The most common reasons for refusing removable dentures are poor fixation and pain under the denture. Analysis of the causes showed that in several cases, the palatine torus and pain sensitivity of the mucous membrane were confirmed. Purpose of the study. Improving methods for manufacturing high-quality removable dentures through clinical-functional and physical-mechanical research using new techniques. Material and methods. Orthopedic dental treatment was performed in 33 patients whose dentures were treated using various methods. Measurements of pain sensitivity and pliability of the oral mucosa, study of diagnostic models, study of CAD/CAM systems, and comparative analysis of the physical and mechanical properties of the base materials used in prosthetics were carried out. Results. Patients who received partial and complete removable laminar dentures using our developed methods noted a positive change in the quality of life after prosthetics compared to previously developed dentures. The level of quality of life after prosthetics was assessed as “good” by 78.4%, this figure before prosthetics was 8.1%, 5.4% of respondents rated their condition as “unsatisfactory”, whereas before prosthetics this figure was 51.1%. This shows a significant improvement in the quality of life of the patients. Conclusion. Diagnostic measures using devices to determine the pain sensitivity of the oral mucosa and determine the pliability of the oral mucosa, clinical and functional classification of the torus, and recommended methods for its clinical and laboratory isolation, a method for isolating gingival papillae, and a modified method for making dentures using digital technologies (3D printing, CAD/CAM technique) solve the problem of developing a set of therapeutic and diagnostic measures to improve the quality of manufactured partial and complete removable laminar dentures.