Modern approaches to rehabilitation of patients using removable laminar dentures

Abstract

The demand for dental orthopedic assistance in Russia makes more than 60% of the number of examined patients. With this, a share of use of removable dentures for rehabilitation of patients with partial or complete absence of teeth makes 40.2% of all types of prosthetics. Removable prosthetics remains an actual treatment option for patients with partial or complete absence of dentitions, along with use of non-removable structures including those with support on dental implants. Improvement of approaches to manufacture and design of dentures led to a considerable increase in the variants of combinations of materials and methods of their manufacture, and there appeared a possibility to optimize denture structures due to the ability to compensate for atrophic processes of the bone tissue. All this permits an orthopedist to achieve satisfactory results in treatment with use of removable dentures. In the given literature review, modern views on the variants of orthopedic rehabilitation of patients with use of removable laminar dentures are presented including their technological, functional, operational, phonetic, chewing peculiarities, and information on modern materials for manufacture of dentures is given. Based on the literature data, it can be concluded that despite active development of the technological component of the manufacture of removable dentures, the basic principles of their design, methods of evaluation of the effectiveness and comfort of use have not undergone significant changes. However, there are a significant number of factors whose influence on the success of orthopedic rehabilitation with removable dentures has not been fully studied. For example, orthopedic dentists often do not analyze the volume of atrophy of the bone tissue of the jaws and design the basis of a dental prosthesis without taking these parameters into account. Another important issue that remains not considered is taking into account the design and architectonics of the resulting prosthesis and its effect on the speed and direction of respiratory flows in the oral cavity. All this creates a technological window that allows, due to compliance with the physiological requirements of the factors described above, to significantly increase the functional properties of the denture, to facilitate the patients habituation to the prosthesis by reducing the adaptation period. The research conducted in this area of knowledge will permit to obtain both new scientific data and develop a number of practical recommendations aimed at improvement of the quality of orthopedic rehabilitation using removable dentures made of various materials.