Comparative estimation efficiency treatment of patients with occlusion defects chewing-oriented localization of average extent, complicated convergence of the teeth their limiting, on dentistry factor quality of life’s
Abstract
AIM. Study dentistry factors of life’s quality beside patient with occlusion defects chewing-oriented localizations of average extent in dynamic of prosthetic treatments with or without using of implant designs. MATERIALS AND METHODS. In open controlled unrandomized study analyzed condition of dentistry status, system health and dentistry factors life’s quality 132 patients, addressed for the reason prostheses in connection of absence chewing-oriented groups teeth. In depending of elected methodical approach to orthopedic treatment patients were divided into groups: main (fixed implant’s prosthesis at presence lateral occlusion defect average extent, complicated convergence teeth their limiting) – 59 patients; comparison (traditional fixed prosthesis at presence lateral occlusion defects average extent, complicated convergence teeth their limiting) – 73 patients. Beside the first and the second group patients after corresponding treatment by psychometric method, on 5-balls scale independent estimation of Global Rating Satisfaction (GRS), defined success adaptation to fixed prosthetic device: from 1 ball – under successful adaptation, absolute complacency direct result prostheses, before 5 – under absolute dissatisfaction of the patient by quality of the prosthetic device and problem to adaptation even on background conducted correction action. For estimation life’s quality patient both groups used unfolded Russian-language version special questionnaire “Profile of the influence dentistry health” OHIP-49-RU. RESULTS. On termination prosthetic treatment of occlusion defects chewing-oriented localizations t average extent, complicated convergence teeth their limiting, at remote periods of the observation practically all patients as a whole were satisfied his results. However, more expressing success in part of the velocities of the achievement of the high factors to complacency by result prosthesis’s treatments noted beside persons, havening prosthetic devices with handhold on implants, in contrast with patient of the group of the comparison, beside which complacency traditional fixed prosthesis even criterion “relative” corresponded to for final period of the observation and objected the factor GRS 4.4 ± 0.4 ball. Through 6–12 months factor ΣOHIP-49-RU beside persons of the first group has formed 17.2 ± 7.2 ball, then beside patient of the group of the comparison importance given factor in 2.4 times turned out to be more (41.6 ± 1.4 ball) that reflected the advantage a prosthetic treatments with using of dental implants. CONCLUSIONS. Complex estimation efficiency of prosthetic treatments patient with occlusion defect chewing-oriented localizations average extent, complicated convergence of teeth their limiting, must include the detailed analysis of its influence upon dentistry factors life’s quality. Successful prosthetic treatment of patient with named defect is accompanied positive track record on dentistry index life’s quality (OHIP-49-RU) and factor to complacency by prosthesis (GRS) for all period of the observation, realistically more expressing beside persons, having implant’s designs.