Clinical and expert assessment of the state of dental prostheses in patients with complaints of intolerance

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Abstract

BACKGROUND: The phenomenon of intolerance to denture structural materials is a multidisciplinary medical issue that necessitates close cooperation between dentists and doctors of other specialties. Criteria for clinical and expert assessment of denture condition are proposed, which will help develop tactics and algorithms for examining patients with intolerance symptoms. Hence, the differential diagnosis of this pathology will be improved, which will increase the effectiveness of dental orthopedic treatment and significantly reduce the number of complaints.

AIM: To analyze clinical and expert assessment of denture conditions in patients with complaints of intolerance to dental orthopedic structural materials

MATERIAL AND METHODS: We conducted a survey of 486 people with complaints of intolerance at the age of 45 to 89 years with fixed dentures from 2020 to 2022 (174 males and 312 females). All patients, depending on age, were divided into three groups. The denture condition and the time of manufacture were assessed.

RESULTS: The examination revealed that the use of dentures ranged from 1 month to 37 years. The analysis of the state of metal-ceramic, ceramic, and prostheses made of zirconium dioxide revealed that orthopedic dental treatment using these structural materials is the most optimal.

CONCLUSION: The elderly had the most inconsistent dentures, which is reflected in the number of those who applied with this pathology. Compliance with denture operating conditions and the use of modern structural materials significantly reduces the number of complaints about intolerance phenomena.

About the authors

Oleg I. Manin

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Author for correspondence.
Email: maninoi@mail.ru
ORCID iD: 0000-0002-7317-9799
SPIN-code: 7732-4671

MD, Cand. Sci. (Med.), Associate Professor

Russian Federation, Moscow

Pavel O. Romodanovskiy

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Email: p.romodanovsky@mail.ru
ORCID iD: 0000-0001-9421-8534
SPIN-code: 7065-9327

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

Russian Federation, Moscow

Liubov V. Dubova

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Email: dubova.l@gmail.com
ORCID iD: 0000-0003-2651-2699
SPIN-code: 9814-6962

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

Russian Federation, Moscow

Igor V. Zolotnitskiy

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov

Email: igorzolot@mail.ru
ORCID iD: 0000-0001-7717-0540
SPIN-code: 3163-5280
Scopus Author ID: 719494

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

Russian Federation, Moscow

References

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  9. Certificate of state registration of the database No. 2021622439. The Russian Federation. Differential diagnosis of the symptom-complex of intolerance to structural dental materials for the manufacture of dentures from side effects of drugs and general somatic diseases. Manin O.I., Anisimova E.N., Dubova L.V., et al. Application No. 2021622372 dated October 27, 2021, Certificate of state registration of the database dated November 10, 2021. Rospatent. (In Russ). Available from: https://www1.fips.ru/iiss/document.xhtml?faces redirect=true&id=f28aa66aa3f7189ebd80e97ff0c4a7c8. Accessed: 15.05.2022.
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