The Role of Prosthetics in The Treatment of Diseases of The Maxillofacial Region
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
Volume 4| January, 2022 ISSN: 2795-7365
The Role of Prosthetics in The
Treatment of Diseases of The
Maxillofacial Region
Bobodo’stov U.K Bukhara State Medical Institute
Saidov A.A. Bukhara State Medical Institute
Reasons for the high need for orthopedic treatment with removable dentures, the leading
position is still occupied by " insufficient sanitation of the oral cavity, untimely access of
ABSTRACT
patients to the dentist." In addition, an important role is played by the problem of
imperfection of materials and technologies used for the manufacture of dentures, leading
to deterioration of the dental system [1.3.5.7.9]. Time lag is a sliding body that undergoes
the process of crushing chains and crushing food blocks, in other colas it is a multi-layered
galaxy that grinds its teeth with anger and rage. NPZHB - complex and coordinated,
according to the description of movements, the hinges are locking [1.3.5].
Keywords: Jaw Exhibits, Teeth
The relevance of the topic. According to the author (Yu. Simanovskoy)
Reasons for the high need for orthopedic [7.9.10], Chin lower jaw is a complex
treatment with removable dentures, the leading musculoskeletal carcass with many
position is still occupied by " insufficient components, involved in the connection of the
sanitation of the oral cavity, untimely access of upper jaw (y / j) and the rows of teeth of the p /
patients to the dentist." In addition, an j, providing the movement of the p / j in different
important role is played by the problem of directions. block. Motions are an example of
imperfection of materials and technologies used motion around instantaneous and variable axes,
for the manufacture of dentures, leading to which is a condition in biomechanics. The
deterioration of the dental system [1.3.5.7.9]. authors (O.G. Bugrovetskaya and Hammual
Time lag is a sliding body that undergoes the [11.13.15.16] divide the network of types of
process of crushing chains and crushing food motion around different axes as follows; a
blocks, in other colas it is a multi-layered galaxy horizontal arrow involved in the opening and
that grinds its teeth with anger and rage. NPZHB closing of the mouth and between the arrows;
- complex and coordinated, according to the slip planes lying at the level of the p / j tongue
description of movements, the hinges are and varying in p / j protrusion and retrusion; a
locking [1.3.5]. side-sliding bullet at the end of the bullet; the
Other authors [2.4.6.8] believe that the whole p / j slides and moves laterally; axis of
superficial area of the flange of the Chin lower rotation around the vertical, located in the
jaw exhibits a saddle joint, the surface of which center of the right or left joint; a curved axis
is similar to the surface of the wrist-toe core located at the center of one or the other joint for
joints of the big toe. From a biomechanical point the combined movements of deviation and
of view, the junction of the lower jaw (p / j) with opening of the mouth [17.18.19.21.23].
the skull consists of four synergistic moving The authors emphasize that the activity of TJT is
joints, so some authors propose to call the CHIN related to the structure of its blocks, the suction
LOWER JAW “Chin lower jawcomplex”. activity should end in the eighteenth month of
Eurasian Scientific Herald www.geniusjournals.org
Page |8Volume 4| January, 2022 ISSN: 2795-7365
the period of postnatal ontogeny. Defects of biocompatibility and physico-chemical
dental arches and occlusion disorders were properties of prostheses [2.4.6.8].
observed if suction was continued later; i.e., The complexity of processing dentures
disorders in jaw articulation, morphological made of thermoplastic polymer, leading to a
changes of joint heads, followed by deep rapid loss of aesthetic characteristics of the
structural changes in the upper jaw (yu / j), hard denture, its contamination with
palate, temporal bone [20.22.24.26.28.32]. microorganisms that contribute to diseases of
These changes, in turn, adversely affect the oral mucosa, the emerging dissatisfaction of
hemocirculation, hearing, respiration, and patients with the altered appearance of the
impaired chewing and facial muscle function in removable prosthesis. (Dmitrienko S.V., 2013;
the cranial cavity. Studies have not been Danilina T.F., 2013; Mikhalchenko D.V., 2013;
sufficiently studied in terms of human Irsaliev H.And, Nigmatov R.N., Khabilov H.L.,
masticatory muscles and the force factors that 2011; Lee S.J., 2008).
produce CHIN LOWER JAW: One author Injection molding technology of
suggests that Chin lower jaw is not formed at all, thermoplastic polymers is considered as a
while another suggests that it produces several promising technology in modern dentistry to
hundred Newtonian reactions. The achieve high aesthetic standards (Tregubov I.D.,
displacement of the p / j from the central 2007;. Ryzhova I.P., 2012;. Skorikova L.A.,
occlusion to the anterior part is accomplished 2014;.Badewa A.P, 2002; Gucht D.E., 2013).
by the right and left lateral wing muscles, This technology is of interest not only
directed by the incisors, and the displacement of among specialists, but also among patients. A
the p / j in the horizontal plane is manifested in common characteristic of this group of
the form of a “gothic angle; when the p / j moves materials is the absence of a residual monomer,
laterally from the central occlusion (MO) and, consequently, their bioinertness for the
position, the Bennett motion is observed to body. The constructions of them are
rotate around the vertical axis in the p / j groove characterized by elasticity; lightness, comfort
on the laterotrusive side of the convex growth; and high aesthetics (. Vares E.Ya, 2004; Konnov
The authors emphasize that the shape V.V., 2010; Fujii T.A., 2005).
mechanism of p / j in the form of a spatial frame, Traditional technical approaches and
i.e. it can rotate freely around the hinge axis well-known polishing agents used in dentistry
until some restriction is formed for basic polymers leave traces, micro-
[23.25.27.29.30.31]. scratches, do not allow to achieve a smooth,
even and shiny surface of a dental prosthesis
The current methods. There are many made of thermoplastic polymers [1.7.9.11]. The
scientific and practical works around the world final processing of dental prostheses made of
devoted to the local and systemic sensitivity of thermoplastic polymers today requires a lot of
the body to dentures made of various types of time and effort from specialists and often leaves
plastics.The results of the conducted studies dissatisfaction with the quality of the surface
confirm that when using removable dentures obtained [10.11].
made of acrylic polymers, changes of various
nature are often observed in the tissues of the The purpose of the study.
prosthetic bed and the oral mucosa, and the To determine the features of prosthetics
most common of them are inflammatory and with removable dentures and to develop criteria
dystrophic, associated with mechanical and for the selection of materials for removable
toxic-allergic effects of the prosthesis base dentures with end defects.
material. However, the quality of removable
prostheses largely depends on the Objectives
manufactured material. Therefore, special a special questionnaire system has been
interest is paid to improving the developed for patients with various types of
Eurasian Scientific Herald www.geniusjournals.org
Page |9Volume 4| January, 2022 ISSN: 2795-7365
removable dentures with partial absence of out according to the following criteria: 1 degree
teeth. - staining of 1 segment - a satisfactory level of
a method for determining the hygienic hygiene, 2 degree - staining of 2-3 segments - an
condition of the surface of dentures made of average level of hygiene, 3 degree - staining of 1,
various materials has been developed. 2, 3, 4 segments - an unsatisfactory level of
A description of the literature reflecting hygiene, 4 degree- staining of the entire surface
the approach of world scientists to solving this of removable dentures facing the oral mucosa –
problem is presented. We studied the need for critical level of hygiene. Depending on the
orthopedic treatment with removable dentures degree of staining of the surface of the
in the partial absence of teeth, the effect of prosthesis, patients were given appropriate
removable dentures on the prosthetic bed, the recommendations.
pliability of the mucous membrane of the The condition of the mucous membrane of
prosthetic bed, factors affecting changes in the the cavity was assessed by its color, moisture
tissues of the prosthetic bed when: using content, degree of compliance. The fact of the
removable dentures. influence of removable denture structures can
All the subjects were divided into three be expressed in the manifestation of
groups. pathological changes. For their presence and
1-the group where the Quadrotti evaluation, the classification of prosthetic
prosthesis made of thermoplastic material was stomatitis proposed by A.K. Iordanishvili (2007)
used. (n=34) was used. The inflammatory reaction of the
2-group where patients had dentures mucous membrane was detected using the
made of acrylic polymer "Fluorax" (n=33) technique proposed by E.S. Kalivrajian (2003).
Control group-healthy people (n=16) At the stages of dynamic observation, to
Based on medical and social research, a identify inflammatory areas of the mucous
special questionnaire was developed for membrane, the inner surface of the prosthesis was
patients in order to determine the clinical covered with an emulsion-a solution of zinc oxide, a
condition of the prosthesis, which is carried out solution of aqueous polyvinyl alcohol and food
using a questionnaire starch, in a ratio of 1:1:4:3. The surface was dried.
With the help of the questionnaire, such After that, the Schiller-PISAREV composition was
data were revealed as previously used used on the mucous membrane of the prosthetic
prostheses, the attitude of hygienic care to the bed and a minute later the fixation of the emulsified
prosthesis, the use of hygiene products, Your prosthesis into the oral cavity was carried out. For
satisfaction with the prosthesis, whether you several seconds, the patient imitated chewing
used professional cleaning of prostheses, the movements. Then the prosthesis was removed
use of hygienic procedures, the timing of the from the oral cavity. The iodine included in the
comfortable use of the removable prosthesis. composition reacted with starch. The intensity of
The consists in dividing the surface of a the base coloring in blue color, topographically
removable denture into frontal and lateral displayed areas of inflammation of the oral mucosa.
segments, the boundaries of which are a line At the heart of the staining process is edema, as a
drawn through the middle of the canines on the manifestation of the inflammatory process in soft
denture, staining with a solution of methylene tissues. The assessment was carried out
blue, rinsing with water for 5 seconds and subjectively by color: the more intense the color,
drying with an air jet for 10 seconds, assessing the higher the intensity of the inflammatory
the hygienic condition of the prostheses by reaction of the mucous membrane. Quantitative
staining the segments. At the same time, the measurement of the area of the mucosal load zones
surface of the removable denture is divided into was carried out using the application of a
the following segments: 1 and 2 segments – the polyethylene film with a millimeter division into a
area of the frontal teeth, 3 and 4 segments - the outlined fragment of the oral mucosa.
area of the chewing teeth, the assessment of the Consequently, the transfer of the inflammation
hygienic condition of the prostheses is carried zone was further scanned in the computer program
Eurasian Scientific Herald www.geniusjournals.org
P a g e | 10Volume 4| January, 2022 ISSN: 2795-7365
"histogram", the area was calculated. The indicators throughout the entire period of use, it can be argued
of the inflammatory response of patients of the that the worst result was not revealed - a "very poor
selected groups were summed up. In the future, level of hygiene" corresponding to 5.0-5.5 points. In
they were analyzed in a comparative aspect patients of the main group 1, after a month, the
between clinical groups. The dynamics of the state condition of removable prosthesis structures is at
of the oral mucosa was checked after 3.14 days, the level of "satisfactory" in 5 people (31.3%), and
1,3,6 months of patient observation. at the level of good-11 people (68.7%). There are no
A device (pH meter) was used to determine bad results.
the pH of the oral fluid with special vacuum In patients of group 1, after a month, the
electrodes with a flat working surface, which condition of removable prosthesis structures is at
provided a rigid connection between the measuring the level of "satisfactory" already in 8 people (50%),
electrode and the reference electrode. The device as and at the level of good - only in 4 people (25%).
part of the pH meter-millivoltmeter model "pH- There is also a bad condition in 4 people (25%).
121", has a low thermal inertia and allows you to After 3 months, the results of the survey
get the result in a few seconds. showed that all 49 patients noted the constant,
Microbiological studies were conducted in convenient use of prostheses. Everyone expressed
the groups of patients studied by us before and after their satisfaction with the aesthetic properties of
prosthetics. their designs. During the survey, it was revealed
To do this, patients were offered to rinse their that all the survey participants carefully followed
mouths with distilled water 2 hours after eating, the recommendations and carefully monitored the
then the oral fluid was collected in sterile dishes, oral cavity and prostheses. The professional
and subsequently the surface of differential assessment of the hygienic condition worsened
diagnostic nutrient media was seeded with a after 6 months in the 2nd observation group.
certain volume of them. Cultivation of crops for the
isolation of anaerobic microbes was carried out by Conclusion.
the method of sealed polyethylene bags filled with The best results were determined in group
mainline natural gas. Identification and 1 in people using Quadrotti prostheses. The average
differentiation of cultured microorganisms was results were in group 2 in individuals who had rigid
carried out using Bergy's Manual Systematic dentures made using classical technology. As a
Bacteriology (1997) result of the study of the condition of the mucous
To determine the phagocytic activity of membrane, the presence of an inflammatory
neutrophils in saliva, sampling and processing of reaction in the form of foci with color of different
the material were carried out according to the intensity was revealed in all groups of patients.
method of Temurbaev M.A. (1984), modified by Analysis of the obtained macrohistochemical data
Antonov A.V. (1996). The activity of lysozyme in indicates that the highest average values of the
saliva was determined by us using the method of inflammatory reaction are observed in the first
Aliyev Sh.R. (1994) (1 The method for determining week after the application of removable prosthesis
immunoglobulins of class A – secretory fraction structures. Moreover, the reaction of the mucous
(sIgA) is based on the Mancini method (1964). membrane depends on the properties of the basis
Statistical studies were conducted on the and is more pronounced under the influence of
basis of standard clinical recommendations. The rigid structures, compared with thermoplastic
results of the clinical examination were processed prostheses. In patients of the second group using
on a Pentium-IV personal computer using rigid prostheses, the foci of the inflammatory
Microsoft Exell office applications and the reaction were the largest, and their average value
STATPLUS biostatistics program (2009), with the was -314.8 ± 0.03 mm.
calculation of the arithmetic mean of the studied
indicator (M), its standard error (m), reliability References.
indicators (P) and the Student's criterion. 1. Saidov A.A. Assessment of some
The obtained data on the index of cleanliness indicators of oral liquid in children with
of prostheses in 100% of patients of all groups, the pathology of the temior-lower under
Eurasian Scientific Herald www.geniusjournals.org
P a g e | 11Volume 4| January, 2022 ISSN: 2795-7365
jaw joint // Asian Journal of амалий журнал №1 30.03.2020 й. – Б.
Multidimensional Research , Indiya, 67-71.
2020.Vol 9, Issue 1, january. – Р. 59-63. 10. Саидов А.А., Азимова Ш.Ш., Ахмедов
Impact Faktor= 6.8 Х.К. Тишлов аномалиялари ва чакка
2. Saidov A.A. Hygienic condition of the oral пастки жағ бўғими дисфункцияси
cavity during orthodontic treatment of бўлган болалар оғиз бўшлиғи
children with temporomandibular joint гигиеник ҳолатини баҳолаш //
dysfunction // The Pharma Innovation Доктор Ахборотномаси. Илмий-
Journal. Indiya, 2020. - № 9(6). - Р. 589- амалий журнал №3 30.09.2020 й. – Б.
591. Impact Faktor= 5.98 70-73.
3. Gaffarov S.A., Saidov A.A. The importance 11. Ибрагимова Ф.И., Азимова Ш.Ш.
of matrix metalloproteases in the Таълим жараёнларида Аксиоматик
pathology of the tempo-mandibular joint ёндашувлар (Тезис) // Состояние
in children // International Journal on медицинского образования,
Integrated Education, Indonesia, 2020. проблемы и перспективы - 12.05.2020.
Volume 3, Issue V, May. - Р. 65-68. Impact – С. 36-37.
Faktor= 5.083 12. Saidov A.A., Аzimova Sh.Sh. To study the
4. Saidov A.A., Olimov S.SH., Gaffarov S.A., prevalence of anomalies and
Akhmadaliev N.N. The value of matrix deformations of the dental system
metalloproteases and connective tissue among school-age children in Bukhara
markers in the pathology of temp-jaw (Тезис) // International Journal of
joint in children // Journal of critical Innovations in Engineering Research and
reviews, 2020. Vol 7, – P. 44-49. Technology 14.08.2020. – Р. 28-29.
5. Mirsalikhova F. L., Eronov Yo. K., 13. Саидов А.А., Азимова Ш.Ш.
Radjabov A. A. Prevention and treatment Определение основных
of caries in children with cerebral этиологических факторов у детей с
palsy// ACADEMICIA: An International дисфункцией височно-
Multidisciplinary Research Journal Vol. 9 нижнечелюстного сустава (Тезис) //
Issue 12, December. - 2019. – P. 68-70. Monografiya Pokonferencyjna Science,
6. Eronov Yo.Q., Rajabov A.A. Assessment of Research, development #32. Berlin.
the evaluation of oral hygiene in children 30.08-31.08.2020. – Р. 48-51.
with cerebral palsy// Asian Journal of 14. Sh.Sh.Azimova., A.A.Saidov.,
Multidimensional Research (AJMR) F.I.Ibragimov Medical and Psychological
February. - 2020. – P. 189-191. Approach in the Early Diagnosis and
7. Eronov Yo.Q., Rajabov A.A. Analytical Treatment of Cutaneous Bite in Children
indicator of saliva in children with Ilocua Annals of R.S.C.B..ISSN:1583-
cerebral palsy// ACADEMICIA: An 6258, Vol. 25, Issue 4, 2021, Pages.
International Multidisciplinary Research 16137 - 16142 Received 05 March
Journal. - 2020. – P. 1823-1825. 2021; Accepted 01 April 2021.16137
8. Eronov Y.Q., Rajabov A.A. Loshli- hltp : //annal sofrscb.ro
Yushenko-Krasnagorskiy method of 15. Mirsalikhova F. L. Upgraded approach
leave in children with brain palacy// The and methods of use of modern theory
Pharma Innovation Journal. - 2020. – P. comprehensive prevention programs
601-602. dental caries in children.// «European
9. Саидов А.А., Азимова Ш.Ш, Абруев science review». № 9-10 September-
У.Р.Тиш-жағ тизими аномалиялари ва Octomber Vienna 2016, 110- 112 p
деформацияларининг Бухоро шахар 16. Mirsalikhova F. L. The importance of
мактаб ёшидаги болалар орасида biophysical properties and mineralizing
тарқалиш даражасини ўрганиш // function of salives in children during
Доктор Ахборотномаси. Илмий- cutting of constant teeth period .//
Eurasian Scientific Herald www.geniusjournals.org
P a g e | 12Volume 4| January, 2022 ISSN: 2795-7365
International Conference Science, нижнечелюстного сустава.// Вестник
Research, development Philology, ТМА 4-2019й 119-122 бет.
Sociology and culturology Berlin 30- 25. Олимов С.Ш., Саидов А.А., Гаффаров
31.05.2018.165-168p С.А. Оценка маркеров
17. Mirsalikhova F. L. Efficiency of the соединительной ткани в развитии
micropreperation method in treatment патологии височно-
of children caries .// Scientific нижнечелюстного сустава у детей.//
researches for development future: MEDICUS Международный
medicine and natural science San медицинскый журнал, №3(27),2019г.
Francisco, USA 15may, 2018. 21-23p 44-46ст.
18. Олимов С.Ш., С.А.Ғаффоров., Н.Н. 26. Олимов С.Ш., Саидов А.А., Гаффаров
Ахмадалиев. Взаимосвязь между С.А. Кичик мактаб ёшидаги болаларда
аномалиями зубочелюстной системы тиш-жағ аномалияларининг
и соматических заболеваний у тарқалганлик даражаси
детей.// «Назарий ва клиник тиббиёт (ретроспектив маълумотлар).//
журнали» №2. Тошкент-2016. 74-77 б. Журнал Тиббиётда янги кун.2/26
19. Олимов С.Ш., Immune disorders of Бухара 2019.286-288 бет.
dentoalveolar anomalies in 27. Nurov N.B., Teshaev SH.J., Morphometric
schoolchildren.// British Journal of parameters of the craniofacial area of
advances in medicine and medical elderly people with partial and complete
research 30(3):,Лондон-2019; 1-5. adentia. // International journal on
20. Олимов С.Ш., Saidov A.A. Gafforov S.A. human computing studies. Volume: 02
Akhmadaliev N.N., Assessment of Issue: 6 November-December 2020.
hepatobiliary system with dentoalveolar C.25-2717.
anomalies in schoolchildren.// 28. Nurova Sh.N. Etiology, diagnosis,
International journal of research volume treatment and prevention of Dental
06 issue 03 576-583 March. 2019 USA. deformities inchildren associated with
21. Олимов С.Ш., Saidov A.A, Gafforov S.A, Otorhinolaryngological diseases. World
Akhmadaliev N.N. Бухоро вилояти Journal of Pharmaceutical Research SJIF
мактаб ўқувчиларида аралаш impact Factor 8.084ISSN 2277– 7105
сўлакнинг элемент таркиби Volume 9, Issue 6, 267-277.
тавсифи.// Journal of biomedicine and 29. Nurova Sh.N., Gaffarov S. A. Maxillofacial
practice №4 Тошкент 2019 64-70 бет. anomalies in children with chronic
22. Олимов С.Ш., ГаффоровС.А. Болаларда tonsillitis and immunity factors, hypoxia
тиш-жағ тизими нуқсонлари ва and endogenous intoxication for the
соматик касалликлар орасида development and formation of
богликликнинг илмий асослари. pathology. «International Journal of
(адабиётлар шарҳи).// Журнал. Pharmaceutical Research» September
Stomatologiya. 1-2019й 60-65 бет. 2019 Vol 11 Issue3. С.1018-1026
23. Олимов С.Ш., Саидов А.А., Гаффаров 30. Saidov A.A. Assessment of some
С.А. Ахмадалиев Н.Н. Значение indicators of oral liquid in children with
матриксных металлопротеаз при the pathology of the temior-lower under
патологии височно- jaw joint // Asian Journal of
нижнечелюстного сустава у детей.// Multidimensional Research , Indiya,
Мед. Журнал Узбекистана3-2019 й 32- 2020.Vol 9, Issue 1, january. – Р. 59-63.
35 бет. Impact Faktor= 6.8 31.Saidov A.A.
24. Олимов С.Ш., Саидов А.А. Гаффаров Hygienic condition of the oral cavity
С.А., Оценка некоторых показателей during orthodontic treatment of children
ротовой жидкости у детей с with temporomandibular joint
патологией височно- dysfunction // The Pharma Innovation
Eurasian Scientific Herald www.geniusjournals.org
P a g e | 13Volume 4| January, 2022 ISSN: 2795-7365
Journal. Indiya, 2020. - № 9(6). - Р. 589- metalloproteases and connective tissue
591. Impact Faktor= 5.98 markers in the pathology of temp-jaw
31. Saidov A.A., Olimov S.SH., Gaffarov S.A., joint in children // Journal of critical
Akhmadaliev N.N. The value of matrix reviews, 2020. Vol 7, – P. 44-49.
Eurasian Scientific Herald www.geniusjournals.org
P a g e | 14You can also read
