OPTIMIZATION AND EVALUATION THE EFFECTIVENESS OF IMMEDIATE PROSTHETIC APPROACHES FOR PATIENTS AFTER TEETH EXTRACTION AND MAXILLOFACIAL SURGERY

Abstract

Surgical interventions in the dentoalveolar system and maxillofacial area inevitably lead to the formation of long-term healing postoperative wounds or acquired jaw defects. An accessible method of choice for early rehabilitation is considered to be direct removable dentures, however, traditional approaches to this type of treatment can lead to postoperative inflammatory complications. At the Department of Orthopedic Dentistry and Orthodontics of Ryazan State Medical University carried out orthopedic treatment in 120 patients aged from 21 to 89 years after teeth extraction and surgical interventions in the maxillofacial area during the period from 2021 to 2023. The proposed approach to treatment was to manufacture structures of immediate dentures depending on the type of oral mucosa of the prosthetic bed using additive manufacturing technologies and the creation of elastic elements of dentures bases with dynamic control of inflammatory postoperative complications using an improved Schiller-Pisarev test. The effectiveness of the proposed approach was compared with the traditional immediate dentures. According to the results of the study, it was found that the proposed protocol for treatment and diagnosis made it possible to achieve a reduction in the area of wound healing by 50% and a decrease in the area of inflammation by 78% faster compared to the traditional method. Normalization of the microcirculatory activity of the wound healing zones was achieved in the period from 10 to 20 days of observation, with the traditional method, insufficient microcirculatory activity was noted by the 30th day of observation.