RATIONALE FOR THE USE OF PREPARATORY MEASURES FOR PROSTHESIS FIXED STRUCTURES PROSTHESES IN DENTAL PATIENTS WITH ARTERIAL HYPERTENSION
Keywords:
arterial hypertension, emotional stress, stomatofobii, fear and anxietyAbstract
The article presents the results of a study of mental and emotional state of patients with hypertension in prosthetic dentures fixed structures, using psychodiagnostic and psychophysiological research. The paper substantiates the necessity of psychological preparation before orthopedic treatment of patients with hypertension for the relief of psychogenic factors. The purpose of the study. Substantiate the effectiveness of preparatory psychotherapeutic methods for prosthesis fixed structures in patients with hypertension. Materials and methods. The study involved 70 people with hypertension who were at the planning stage of ortho-pedic treatment dentures fixed structures. Control studies performed on practically healthy subjects (30 patients). This study used the psychodiagnostic and psyhofiziologistic research methods, psyhotherapeutic methods of correction of mental and emotional stress Results. In the study, the level of situational and personal anxiety by Charles Spielberger high level of situational anxiety was identified in 96 patients, representing 96 % of the control group - 15 patients (75 %). High level of person-al anxiety was detected in 84 % of patients in the control group - 85%. Moderate level of situational anxiety identified in 4% of patients and in the control group - 25%. Moderate level of personal anxiety observed in 16% of patients, and in the control group - 15%. Low levels of both situational and personal anxiety was not observed in the group of pa-tients or in controls. Notable changes were also observed in the dynamics of psychological indicators of anxiety determined Spielberg test. As a result of psychotherapeutic correction level of reactive and personal anxiety decreased on average by 12,6±2,6 and 13,5±2,9 points respectively in the group of patients with hypertension whose preparation for orthopedic treatment was carried out using the method of self-stimulation of acupuncture zones and mental self-control (p <0,05). For the group of patients with hypertension whose preparation for orthopedic treatment method was to use the SVP, the figures were, respectively, 16,7±3,5 and 17,6±3,8 score (p <0,05). Conclusions. Differentiated psychotherapeutic correction method in the complex preparations for orthopedic treatment of dental patients with hypertension if they have a state of fear and anxiety prevent undesired physical com-plications during dental treatment and in adaptation to non-removable prosthesis design.
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