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

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.