Continuous risk management of complications in prosthetics of patients with low clinical tooth crown on the background of surgical correction of the dental gingival complex
- Authors: Shkarin V.V.1, Veremeenko S.A.1, Makedonova Y.A.1, Mikhalchenko D.V.1, Makedonova D.M.1, Demin D.V.1
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Affiliations:
- Volgograd State Medical University
- Issue: Vol 22, No 4 (2025)
- Pages: 79-85
- Section: Original Researches
- URL: https://journals.rcsi.science/1994-9480/article/view/375650
- DOI: https://doi.org/10.19163/1994-9480-2025-22-4-79-85
- ID: 375650
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Abstract
Introduction: At a dental appointment, it is advisable for patients to assess the risks of complications in order to prevent the development of a number of dental diseases, such as periodontitis, gum recession, etc. During follow-up visits to patients, according to the follow-up period, it is necessary not only to assess the dynamics of healing of the dental gingival complex, but also to carry out mandatory risk coordination, that is, to document all changes that have occurred since the initial visit. Assessment of the continuous risk management of complications in patients undergoing orthopedic treatment for an aesthetic defect with a low clinical crown of the supporting teeth, the correction of which was carried out by various methods, and served the purpose of this work.
Research methodology: In this study, a comprehensive examination and treatment of 231 patients with low crowns of the supporting teeth was performed, which were randomized into 3 groups depending on the method of correction: group I – surgical preparation performed by gingivectomy (n = 75), group II – alveoloplasty (n = 80), group III – gum retraction (n = 76). The risk of complications was assessed at three levels: at the level of the dental gingival complex in the area of teeth with a low crown height; at the level of an individual tooth; at the level of each surface of each tooth. The following parameters were studied: related to the surfaces of teeth – determination of indices – PI, PBI; related to the tooth – the depth of sounding of the dental sulcus and the height of the dental complex; two parameters related to the state of the dentition – assessment of microcirculation and occlusion analysis).
Results: The main goal of continuous risk management was to consistently monitor the long-term periodontal health status of a patient with a low crown of supporting teeth after gum retraction and surgical correction methods. After performing one of the surgical treatment methods, first of all, it is necessary to exercise responsibility in monitoring the development of a number of complications.
Conclusion: The model we have developed makes it possible to simplify each clinical case in terms of diagnosis and prognosis.
Keywords
About the authors
Vladimir V. Shkarin
Volgograd State Medical University
Email: post@volgmed.ru
ORCID iD: 0000-0002-7520-7781
MD, Professor, Head of the Department of Public Health and Public Health, Institute of Continuing Medical and Pharmaceutical Education
Russian Federation, VolgogradSergey A. Veremeenko
Volgograd State Medical University
Email: sergey34_94@mail.ru
ORCID iD: 0000-0003-0652-0173
Assistant Professor of the Department of Propaedeutics of Dental Diseases
Russian Federation, VolgogradYulia A. Makedonova
Volgograd State Medical University
Author for correspondence.
Email: mihai-m@yandex.ru
ORCID iD: 0000-0002-5546-8570
MD, Professor, Head of the Department of Dentistry, Institute of Continuing Medical and Pharmaceutical Education
Russian Federation, VolgogradDmitry V. Mikhalchenko
Volgograd State Medical University
Email: mdvstom@yandex.ru
ORCID iD: 0000-0002-0479-8588
MD, Professor, Head of the Department of Propaedeutics of Dental Diseases
Russian Federation, VolgogradDiana M. Makedonova
Volgograd State Medical University
Email: dianamakedonova@gmail.com
ORCID iD: 0009-0005-3291-9526
student at the Faculty of Dentistry
Russian Federation, VolgogradDanil V. Demin
Volgograd State Medical University
Email: danildemin@gmail.com
ORCID iD: 0009-0009-9808-9536
student at the Faculty of Dentistry
Russian Federation, VolgogradReferences
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