EVALUATION CRITERIA AND CLINICAL CHARACTERISTICS OF ORAL MUCOSA AND PERIODONTAL MUCOSA IN DENTAL PROSTHESES IN PATIENTS WITH GENERALIZED PERIODONTITIS IN THE STABILIZATION STAGE

Abstract

Topicality. For successful orthopedic treatment of dental pathologies, even small inflammatory processes of the mucous membrane appearing in the oral cavity and periodontal tissues should be diagnosed in the earliest possible time. In turn, it helps to reduce the time of adaptation of the mucous membrane of the oral cavity and provoked perio-dontal to new manufactured fixed structures. Because in cases of acute, and even more so chronic inflammation, these terms increase.

Objective. To study periodontal tissue for inflammation in the area of responsibility of orthopedic structures.

Materials and Methods. Chronic inflammatory response was detected after removal of old, non-removable ortho-pedic structures (crowns and bridges) in 40 patients aged 18 to 60 years. Of these, 18 (45%) were male and 22 (55%) were female. Patients were divided into two subgroups: main and control.

Results. In the selection of the main etiological factors that lead to inflammatory changes of the mucous membrane of the oral cavity and periodontal replacement of defects of the dental rows by non-removable orthopedic structures, we have considered and highlighted the following. This is the possibility of traumatization of the mucous membrane of the marginal gums with too deep preparation during the formation of the lingual ledge, at the stage of inspection of crowns, caps and frames of bridle dentures at the discrepancy of the perimeter of the edge of the crown or cap of the perimeter around the gum part of the tooth. Аt discrepancy of length of edge of a crown or a cap, which plunges into a tooth-groove furrow, its depth, an overload of a periodontal of the supporting teeth arising immediately after fixing of the made fixed structures.

Conclusions. Thus, the main etiologic factors leading to pathological changes of the oral mucosa and periodontium, which are detected at the clinical stages of treatment with fixed orthopedic structures in patients suffer-ing from generalized periodontitis in the stage of stabilization, were the following: marginal gums; 2) periodontal over-load of the supporting teeth; 3) mechanical trauma of the periodontal margin, which is applied during the preparation of hard tissues of the supporting teeth; 4) mechanical trauma of the periodontal border, when checking the crowns and frames of dentures.