Evaluating the Effectiveness of the Original Designs of Immediate-Prostheses after Multiple Tooth Extraction: Clinical Cases

Background. Rehabilitation of patients with chronic periodontal diseases leading to multiple tooth loss can be carried out using the method of immediate prosthetics. However, the likelihood of atrophy of denture-supporting tissues under non-physiological load with removable dental prostheses imposes...

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Main Authors: A. V. Gus’kov, S. A. Mashutin, A. A. Oleinikov, M. K. Zainutdinov, E. A. Klimenko, L. S. Toropova
Format: Article
Language:Russian
Published: Ministry of Healthcare of the Russian Federation. “Kuban State Medical University” 2023-08-01
Series:Кубанский научный медицинский вестник
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Online Access:https://ksma.elpub.ru/jour/article/view/2972
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author A. V. Gus’kov
S. A. Mashutin
A. A. Oleinikov
M. K. Zainutdinov
E. A. Klimenko
L. S. Toropova
author_facet A. V. Gus’kov
S. A. Mashutin
A. A. Oleinikov
M. K. Zainutdinov
E. A. Klimenko
L. S. Toropova
author_sort A. V. Gus’kov
collection DOAJ
description Background. Rehabilitation of patients with chronic periodontal diseases leading to multiple tooth loss can be carried out using the method of immediate prosthetics. However, the likelihood of atrophy of denture-supporting tissues under non-physiological load with removable dental prostheses imposes special requirements for their design features.Case description. Two patients seeking for dental surgical and prosthetic treatment for the diagnosis of chronic generalized periodontitis were treated in the dental clinic of Ryazan State Medical University named after academician I.P. Pavlov. Patient A. was mounted immediate prostheses made using additive technologies with the original design of the drug reservoir. Patient B. was mounted immediate prostheses with bases made of acrylic plastic, border ring of elastic polymer, and a drug reservoir made of polymethyl methacrylate. Patients underwent tooth extraction with immediate prosthetics. Patients were followed for 21 days. Criteria for the effectiveness of treatment included visual and palpatory control of extraction sites with a planimetric wound size analysis, assessment of microcirculation at the extraction site, control of the drug persistence in the reservoirs of prostheses.Conclusion. The observations at the stages of prosthodontic treatment revealed that immediate prostheses made with the help of 3D modeling and printing technologies resulted in a normal course of healing after tooth extraction with the normalization of microcirculatory parameters at the surgical wound sites. When using combined prosthetic structures, healing of postoperative wounds also proceeded favorably, however, congestion in the microcirculatory system was noted.
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record_format Article
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spelling doaj-art-e255d04c016243789dfc2c22b1775b022025-08-20T03:57:13ZrusMinistry of Healthcare of the Russian Federation. “Kuban State Medical University”Кубанский научный медицинский вестник1608-62282541-95442023-08-013049610910.25207/1608-6228-2023-30-4-96-1091373Evaluating the Effectiveness of the Original Designs of Immediate-Prostheses after Multiple Tooth Extraction: Clinical CasesA. V. Gus’kov0S. A. Mashutin1A. A. Oleinikov2M. K. Zainutdinov3E. A. Klimenko4L. S. Toropova5Ryazan State Medical University named after academician I.P. PavlovRyazan State Medical University named after academician I.P. PavlovRyazan State Medical University named after academician I.P. PavlovRyazan State Medical University named after academician I.P. PavlovRyazan State Medical University named after academician I.P. PavlovRyazan State Medical University named after academician I.P. PavlovBackground. Rehabilitation of patients with chronic periodontal diseases leading to multiple tooth loss can be carried out using the method of immediate prosthetics. However, the likelihood of atrophy of denture-supporting tissues under non-physiological load with removable dental prostheses imposes special requirements for their design features.Case description. Two patients seeking for dental surgical and prosthetic treatment for the diagnosis of chronic generalized periodontitis were treated in the dental clinic of Ryazan State Medical University named after academician I.P. Pavlov. Patient A. was mounted immediate prostheses made using additive technologies with the original design of the drug reservoir. Patient B. was mounted immediate prostheses with bases made of acrylic plastic, border ring of elastic polymer, and a drug reservoir made of polymethyl methacrylate. Patients underwent tooth extraction with immediate prosthetics. Patients were followed for 21 days. Criteria for the effectiveness of treatment included visual and palpatory control of extraction sites with a planimetric wound size analysis, assessment of microcirculation at the extraction site, control of the drug persistence in the reservoirs of prostheses.Conclusion. The observations at the stages of prosthodontic treatment revealed that immediate prostheses made with the help of 3D modeling and printing technologies resulted in a normal course of healing after tooth extraction with the normalization of microcirculatory parameters at the surgical wound sites. When using combined prosthetic structures, healing of postoperative wounds also proceeded favorably, however, congestion in the microcirculatory system was noted.https://ksma.elpub.ru/jour/article/view/2972periodontal diseasesmultiple tooth extractionprosthetic interventionremovable immediate prosthesesdental prosthesis design3d digital modelacrylatesacrylic resin
spellingShingle A. V. Gus’kov
S. A. Mashutin
A. A. Oleinikov
M. K. Zainutdinov
E. A. Klimenko
L. S. Toropova
Evaluating the Effectiveness of the Original Designs of Immediate-Prostheses after Multiple Tooth Extraction: Clinical Cases
Кубанский научный медицинский вестник
periodontal diseases
multiple tooth extraction
prosthetic intervention
removable immediate prostheses
dental prosthesis design
3d digital model
acrylates
acrylic resin
title Evaluating the Effectiveness of the Original Designs of Immediate-Prostheses after Multiple Tooth Extraction: Clinical Cases
title_full Evaluating the Effectiveness of the Original Designs of Immediate-Prostheses after Multiple Tooth Extraction: Clinical Cases
title_fullStr Evaluating the Effectiveness of the Original Designs of Immediate-Prostheses after Multiple Tooth Extraction: Clinical Cases
title_full_unstemmed Evaluating the Effectiveness of the Original Designs of Immediate-Prostheses after Multiple Tooth Extraction: Clinical Cases
title_short Evaluating the Effectiveness of the Original Designs of Immediate-Prostheses after Multiple Tooth Extraction: Clinical Cases
title_sort evaluating the effectiveness of the original designs of immediate prostheses after multiple tooth extraction clinical cases
topic periodontal diseases
multiple tooth extraction
prosthetic intervention
removable immediate prostheses
dental prosthesis design
3d digital model
acrylates
acrylic resin
url https://ksma.elpub.ru/jour/article/view/2972
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