Nur terapiyasi fonida to‘liq yoki qisman tishsizlik va ekstraoral patologiyasi bo‘lgan bemorlarni ortopedik davolashni takomillashtirishning zamonaviy yondashuvlari

Prosthetic rehabilitation of patients with complete or partial tooth loss combined with acquired maxillofacial defects following head and neck irradiation requires simultaneous consideration of the condition of the oral mucosa, salivary function, bone tissue, remaining teeth, and the extraoral defect. The aim of this study is to systematize contemporary principles for selecting prosthetic designs and to formulate a clinically oriented algorithm for comprehensive intraoral and extraoral prosthetic rehabilitation. An analytical review of clinical guidelines, systematic reviews, and studies on prosthetic rehabilitation following anticancer treatment was conducted. The findings demonstrate that clinical decision-making should be based not only on the type of edentulism but also on the radiation dose distribution, the nature of the resection, tissue resilience, the severity of xerostomia and trismus, and the patient’s ability to maintain oral hygiene. The use of minimally traumatic functional impressions, maximum load distribution, reduction of obturator weight, controlled use of soft liners, and careful selection of candidates for implant-supported rehabilitation is substantiated. A sequence of clinical decision-making steps, from oncological assessment to long-term follow-up, is proposed. Personalized prosthetic design and collaborative planning with an oncologist and maxillofacial surgeon can improve the functional performance of the prosthesis and reduce the risk of trauma to irradiated tissues.

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