EIJMRMS ISSN: 2750-8587
VOLUME04 ISSUE06
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THE STUDY THE EFFECT OF COMPLEX TREATMENT OF PATIENTS WITH EARLY
CLINICAL MANIFESTATIONS OF INCREASED TOOTH ABRASION ON THE QUALITY OF
LIFE
Narziyeva Nigora
Samarkand State Medical University, Uzbekistan
Abdullayeva Nilufar Ikrombekovna
Samarkand State Medical University, Uzbekistan
AB O U T ART I CL E
Key words:
Combined treatment, hypererosive
teething, QOL.
Received:
20.06.2024
Accepted
: 25.06.2024
Published
: 30.06.2024
Abstract:
To date, an increase in the number of
dental erosions is one of the most common dental
diseases. The most important factor in the
correction of CAN is to compensate for the loss of
hard tooth tissues. We propose a minimally
invasive restoration technique for restoring
dental defects with increased erosion, developed
on the basis of experimental data studying
morphostructural changes in hard tooth tissues.
Combined treatment of cases of increased dental
erosion resulted in a fourfold improvement in QOL
due to dental health, according to the integral
index.
INTRODUCTION
To date, increased lacunar activity of teeth (PLD) has become one of the most common dental diseases
[Kalamkarov H.A., 2004, Trezubov V.N., 2007, Bartlett D., 2007] The most common causes of the
development of PLD are dysfunction of the hard tissues of the tooth, improper morphology, violation of
the integrity of the tooth. There are many variations in the development of PDS and appropriate
treatment [Garaza I.S., 2004, Novikov V.S., 2006, Hemmings K.W., 2006]. Hemmings K.W., 2002]; as a
rule, patients with PSZ need multi-stage expensive orthopedic treatment [Kalamkarov H.A., 2004].
However, even in the early stages of PSP, the patient's appearance and smile can significantly
deteriorate if his teeth change shape or become shorter [Radlinsky S.V., 2003, Lomiashvili L.M., 2006,
Hetz G.F., 2002]. It should also be borne in mind that the loss of aesthetics can lead to psychological
VOLUME04 ISSUE06
https://doi.org/10.55640/eijmrms-04-06-24
Pages: 163-168
EUROPEAN INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH
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ISSN: 2750-8587
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problems affecting the patient's quality of life [Leontiev V.K., 2000, Leonova L.E., Maksimovskaya L.N.,
2002, Kimmel K., 2003]. in 45-50% of cases. The initial PSZ is accompanied by dentin hypersensitivity
[Kuzmina E.M., 2003], which further increases the patient's discomfort and requires treatment.
The aim of the study is:
to study the effect of complex treatment based on new therapeutic and
prophylactic orthodontic methods in patients with early clinical manifestations of PSZ on their quality
of life due to dental health. Materials and methods of research Clinical examination and treatment of
256 patients aged 18 to 60 years with grade I PDD according to the classification of M.G. Bushan, code
K03.0 according to ICD-10, in the interdisciplinary dental polyclinic of GBOU VPO UGMA. The
observations showed a predominance of the female population, which accounted for 53% of patients.
Men made up 47%. The average age of men was 40.83+1.56 years, women - 38.25+1.51 years (Fig. 1).
The state of health was assessed according to the Health Status Questionnaire and the conclusions of
general practitioners, endocrinologists, neurologists and other specialists. The most important factor
in the correction of PSZ is the replacement of loss of hard tooth tissues. We have proposed a minimally
invasive method for restoring lost teeth in PSZ, developed on the basis of experimental data on the study
of morphostructural changes in hard tooth tissues (RF Patent No. 2360638 "Method for restoring a
tooth with pathological erasability"). To study the effectiveness of restoration, 968 restorations with
SDS lesions were studied. To control the quality of restorations, electric filling was performed according
to the method of G.G. Ivanova-R.G. Buyankina and light transmission in a light guide according to the
criteria of D.M. Karalnik-A.N. Balashov and I.M. Makeeva (for front teeth). The quality of the filling was
evaluated after 1 week, 6 months, 12 months, 2 years and 3 years using measurement tests To improve
hypersensitivity in patients with PSZ, it was proposed to use diode lasers. The effectiveness of
hypersensitivity correction was assessed using a psychometric assessment of pain (Meyzerov E.E.,
Adashinskaya E.A., 2005) when monitored for one year. A questionnaire has been developed to assess
the quality of life associated with dental care before and after complex treatment of PSS. When
developing the questionnaire, the non-specific questionnaire SF-36 (Ware J.E., 1993), adapted for
dental patients by Goryunova M.V., Ron G.I. (2007), was used as a basis.
RESULTS AND DISCUSSION OF THE STUDY
When analyzing the questionnaire for patients with PSS, a statistically significant decrease in the quality
of life was noted in various categories; the greatest decrease in the quality of life was observed in the
category of "psycho-emotional state" (subjective concern about the shape and color of teeth, the desire
to change the appearance of a smile) - up to 74.6% of respondents. The highest percentage of symptoms
was found in the following groups of patients. The integral indicator of quality of life in connection with
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dental health in the group with early clinical symptoms (group 1) was 32.44 ± 0.92 points, which is
characterized by a slight decrease in quality of life. In the group with more pronounced clinical
symptoms (group 2), the integral QOL index was 40.4 ± 1.01 points, which was interpreted as a
significant decrease . In both groups, the indicators of the categories of psychoemotional status of
patients significantly decreased after combined treatment of PSS (5.6 times in group 1 and 6.3 times in
group 2), which indicates a positive effect of combined treatment on the psychoemotional status of
patients. Social functioning (2.4 times higher in group 1 and 3.1 times higher in group 2), role
functioning (1.3 times higher in group 1 and 1.4 times higher in group 2), life activity (3.7 times higher
in group 1 and 5.3 times higher in group 2) and self-perception (1.9 times higher in group 1 and 2.8
times higher in group 2). The integral index of QOL related to dental health decreased by 3.7 times in
group 1 and 4.3 times in group 2 compared with the integral index before treatment, which corresponds
to a higher level of QOL.After complex treatment of PSC, there was an improvement in QOL associated
with dental health. The index of the category of emotional status of patients decreased sixfold, which
indicates the positive effect of complex treatment on the emotional status of patients. The integral QOL
index for dental health decreased four times compared to the integral index before treatment, which
corresponds to a higher level of QOL; The analysis of the differences in the integral QOL index for dental
health after combined treatment, depending on the severity of PSC, did not reveal significant differences
between groups 1 and 2 (p>0.05) . This means that after combined treatment, all patients improved
their QOL due to dental health and reached a higher level compared to the indicator before treatment;
the deterioration of QOL is directly proportional to the degree of increased tooth abrasion.
CONCLUSION
Comprehensive treatment of patients with increased dental abrasiveness improves the quality of life
associated with dental health by four times, according to the integral index.
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