IMPROVEMENT OF DIAGNOSTIC CRITERIA FOR REMOVABLE DENTURE PROSTHETICS OF PARTIAL DEFECTS OF DENTITION IN PATIENTS WITH GENERALIZED PERIODONTITIS

Introduction. The first step of treatment of dentition defects includes choice of an adequate removable denture.

Purpose. To develop a clinical test, which could help in complex evaluation of periodontal status at chronic course of periodontitis and prosthetic bed with removable partial dentures.

Methods. We developed a method for clinical diagnosis. It is application of the laser spectroscopy method in correlation with accordingly developed clinical ranking. To evaluate the effectiveness of prosthetic patients with dentition defects, we have used this technique in patients with chronic generalized periodontitis and dentition defects class I according to Kennedy. There were examined 85 patients who were made partial removable dentures 1 year ago. They were divided into groups according to obtained LCS indices.

Results. In terms of method the patients were divided into three groups: without complications, moderately complicated, with pronounced complications. So, if uncomplicated (no more than 8 points) nylon prosthesis may be used (efficiency 87.5% at 1 year), with moderate and pronounced complications the usage of this prosthesis is not recommended because of low efficiency (less than 12 % after 2 years). This case demonstrates the use of bugel prosthesis with splinting elements (efficiency was 72.7% in 1 year of observations).

Conclusion. This method for removable prosthesis choice analysis is quite effective.