Psychological state of patients during adaptation to removable dentures and methods of optimization

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BACKGROUND: Optimized use of removable dental prosthesis and enhancement of the adaptation period to such orthopedic substituting dental constructions in the oral cavity are the actual aims of practical stomatology.

AIM: This study aimed to estimate the psychological state of patients in the process of adaptation to removable dental prostheses and to assess the influence of dental prosthesis fixation on the optimization of adaptation for them.

MATERIALS AND METHODS: In the case of psychosensory–anatomical–functional maladaptation syndrome, the psychological states of 35 people with partial and 38 with complete tooth loss before and during the adaptation period of their dental rehabilitation for removable acrylic dentures were assessed. The study groups were divided into two subgroups, depending on the method used to improve the fixation of dentures.

RESULTS: During the initial examination, all study patients with partial or complete tooth loss had impaired adaptability to these conditions, mainly due to anatomical and functional disorders of the masticatory apparatus. During the adaptation period, an improvement in the psychological status of the patients was noted, especially in those who used the cream for fixation of dentures for domestic production.

CONCLUSION: During their adaptation to the removable partial and full dentures, patients are recommended to use the prescribed cream to improve their fixation and thereby allow the reduction of painful symptoms from the prosthetic bed tissues and significantly improve the psychological status of the patients during the adaptation period.

作者简介

Kamil Kerimkhanov

Medical center «MedIs»

Email: 1yadakamil@mail.ru
ORCID iD: 0000-0002-9149-2631

MD

俄罗斯联邦, Saint Petersburg

Andrey Iordanishvili

Military Medical Academy named after S.M. Kirov

编辑信件的主要联系方式.
Email: professoraki@mail.ru
ORCID iD: 0000-0003-0052-3277

MD, Dr. Sci. (Med.), Professor

俄罗斯联邦, St. Petersburg

参考

  1. Iordanishvili AK. Geriatric dentistry: a handbook. Saint Petersburg: Chelovek; 2019. 348 p. (In Russ).
  2. Griffin SO, Jones JA, Brunson D, et al. Burden of oral disease among older adults and implications for public health priorities. Am J Public Health. 2012;102(3):411–418. doi: 10.2105/AJPH.2011.300362
  3. Gendreau L, Loewy ZG. Epidemiology and etiology of denture stomatitis. J Prosthodont. 2011;20(4):251–260. doi: 10.1111/j.1532-849X.2011.00698.x
  4. Solovyev MM, Yaremenko AI, Isaeva ER, et al. The use of the Syndrome of psycho-sensory-anatomical-functional maladaptation in the treatment and diagnostic, educational and educational processes. Saint Petersburg: St. Petersburg State Medical University Publishing; 2015. 36 p. (In Russ).
  5. Iordanishvili AK, Serikov AA, Soldatova LN, et al. Evaluation of managing temporomandibular joint pathology against the background of dysplasia of connective tissue with the use of psychosensory-anatomical-functional-disadaptation syndrome. Kursk Scientific and Practical Bulletin “Man and His Health”. 2018;(3):17–24. (In Russ). doi: 10.21626/vestnik/2018-3/03
  6. Iordanishvili AK. Fundamentals of dental arthrology. Saint Petersburg: Chelovek; 2018. 1276 p. (In Russ).

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2. Fig. 1. Patients in the study groups and their distribution into subgroups

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3. Fig. 2. Dynamics of the values of the integral index S in patients of study subgroups

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4. Fig. 3. Dynamics of SPSAFD value by clusters in patients of 1st (a) and 2nd (b) study groups before orthopedic dental treatment and during the adaptation period

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