Characteristics of speech function in the process of patients getting used to removable dentures

Abstract

Relevance. The study of the attitude to the disease of dental patients during the adaptation period with the use of conventional clinical research  methods is relatively rarely covered in the available domestic and foreign literature. Objective. To study the changes of internal disease pattern after the adaptation period completion in rehabilitation of patients with full tooth  loss by full removable acrylic dentures, including the use of such orthopedic dental prosthesis together with the adhesive agent, designed to  improve their fixation.  Materials and methods. 48 (15 men and 33 women) elderly patients (61–74 years old) with a total loss of teeth were examined and were divided  into 2 study groups: 1 – comparison group; 2 – main group. There were also examined 17 elderly people who had no defects of dental rows and  formed a control group. The defects of dental rows in the patients of the 1st and 2nd groups were eliminated by making removable dentures.  At the same time, during the adaptation period the patients of the second group of the study used a new domestic adhesive cream Aceptа  Рarodontal with an extract of medicinal herbs for fixation of dentures. Before treatment and during the adaptation period the types of patients’  relation to the disease were investigated; for this purpose the clinical technique «Type of relation to the disease» (TORD) was usedResults. It was found that while preserving the integrity of dental rows in elderly people the types of attitude to the disease included in the  conditionally adaptive block were mainly marked. At the end of adaptation period if all patients of the main group 2 had the types of attitude  towards the disease included in the first conditionally adaptive block, then the patients of the comparison group 1 in only 39.1% of people  revealed similar types of attitude towards the disease, which testified to the problems in adaptation to new removable acrylic dentures made  for the treatment of complete tooth loss.  Conclusion. The use of ASEPTA РARODONTAL adhesive cream with herbal extracts by patients provides a positive correction of the internal  picture of the disease and the patient’s personal reaction to the treatment. On the basis of the carried out research it is possible to recommend  to patients the domestic adhesive cream ASEPTA РARODONTAL for denture fixation in order to optimize the adaptation period to removable  acrylic dentures as well as for permanent use, which will improve not only fixation and stabilization of dentures, condition of denture bed mucosa,  but also quality of speech function.