THE DEGREE OF PATIENT SATISFACTION AND THE FREQUENCY OF COMPLICATIONS AFTER THE INSTALLATION OF PARTIAL REMOVABLE PROSTHESES

Abstract

Tooth loss can negatively affect the aesthetics of the face, affect the functions of speech and chewing. Removable prosthetics is a common type of treatment for partial adentia. Based on the physiological, anatomical and psychological needs of the patient, diagnosis and subsequent manufacture of a dental prosthesis can significantly improve the quality of life of patients and positively affect the life expectancy of the elderly population. Nevertheless, some patients are dissatisfied after the treatment and cannot use their removable dentures. The most common problems include increased salivation in the first 72 hours, pain and discomfort, as well as lack of stability and retention.

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Gubayev Mukhitdin Sarimsokovich. (2024). THE DEGREE OF PATIENT SATISFACTION AND THE FREQUENCY OF COMPLICATIONS AFTER THE INSTALLATION OF PARTIAL REMOVABLE PROSTHESES. European International Journal of Multidisciplinary Research and Management Studies, 4(07), 68–78. Retrieved from https://inlibrary.uz/index.php/eijmrms/article/view/36753
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Abstract

Tooth loss can negatively affect the aesthetics of the face, affect the functions of speech and chewing. Removable prosthetics is a common type of treatment for partial adentia. Based on the physiological, anatomical and psychological needs of the patient, diagnosis and subsequent manufacture of a dental prosthesis can significantly improve the quality of life of patients and positively affect the life expectancy of the elderly population. Nevertheless, some patients are dissatisfied after the treatment and cannot use their removable dentures. The most common problems include increased salivation in the first 72 hours, pain and discomfort, as well as lack of stability and retention.


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THE DEGREE OF PATIENT SATISFACTION AND THE FREQUENCY OF COMPLICATIONS

AFTER THE INSTALLATION OF PARTIAL REMOVABLE PROSTHESES

Gubayev Mukhitdin Sarimsokovich

Assistant Department of orthopedic dentistry, Samarkand State Medical University, Samarkand,

Uzbekistan

AB O U T ART I CL E

Key words:

Tooth loss, removable dentures,

dental prosthesis.

Received:

21.07.2024

Accepted

: 26.07.2024

Published

: 31.07.2024

Abstract:

Tooth loss can negatively affect the

aesthetics of the face, affect the functions of

speech and chewing. Removable prosthetics is a

common type of treatment for partial adentia.
Based on the physiological, anatomical and

psychological needs of the patient, diagnosis and

subsequent manufacture of a dental prosthesis

can significantly improve the quality of life of
patients and positively affect the life expectancy of

the elderly population. Nevertheless, some

patients are dissatisfied after the treatment and

cannot use their removable dentures. The most
common problems include increased salivation in

the first 72 hours, pain and discomfort, as well as

lack of stability and retention.

INTRODUCTION

Tooth loss can negatively affect the aesthetics of the face, affect the functions of speech and chewing.

Removable prosthetics is a common type of treatment for partial adentia. Based on the physiological,

anatomical and psychological needs of the patient, diagnosis and subsequent manufacture of a dental

prosthesis can significantly improve the quality of life of patients and positively affect the life

expectancy of the elderly population. Nevertheless, some patients are dissatisfied after the treatment

and cannot use their removable dentures. The most common problems include increased salivation in
the first 72 hours, pain and discomfort, as well as lack of stability and retention.

Acquired defects are formed most often in adults as a result of diseases of the jaw bones (osteomyelitis,

syphilis, tuberculosis), surgical interventions, traumatic injuries, gunshot wounds. Functional disorders

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DOI:

https://doi.org/10.55640/eijmrms-04-07-08

Pages: 68-78


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are associated with communication of the oral cavity with the nasal cavity (speech is distorted,

breathing, swallowing, chewing, sucking change). The function of the temporomandibular joint is
impaired, the patient's psyche changes [1-4].

Surgical interventions on the upper jaw differ in that, very often, even with minor defects, there are

messages with the oral cavity and nearby cavities and sinuses: the nose, maxillary and wedge-shaped

sinuses, and the eye cavity. After oncological operations, when there is a risk of recurrence, direct

reconstructive plastic surgery is not desirable [9-11]. As a result of extensive surgical interventions,

there is a shortage of hard and soft tissues, in which reconstructive surgical operations to exclude

communication between cavities and restore the integrity of the jaw do not lead to desirable results.
The use of modern elastic base materials makes it possible to expand the prosthetic bed and distribute

the chewing load on the bone base adjacent to the defect, which is located above the hard palate. In

addition, you can get a good stabilization and fixation of the prosthesis. For this purpose, the preserved

part of the hard palate, the pterygoid process of the sphenoid bone, the bone base of the fundus of the

ocular cavity, etc. are used [5-8].

Why do I need a partial removable prosthesis?

Unlike a complete removable prosthesis, partial denture prosthetics are used to restore a fragment of

the dentition. These designs allow you to restore partially lost teeth on both the upper and lower jaw.


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Partial dentures are a budget-based method of restoring lost teeth. The prosthesis consists of a gum-

mimicking base and artificial teeth. The prosthesis material is selected based on the clinical indications
and financial capabilities of the patient.

Dentistry today has many advanced technologies aimed at high-quality dental restoration. One of the

most popular techniques is removable dentures, performed by means of an orthopedic structure

designed for temporary or permanent use.

WHEN A PARTIAL REMOVABLE PROSTHESIS IS SHOWN

A partial removable prosthesis is designed to replace a fragment of the dentition with partial absence

of teeth. The design allows you to replace several missing units located side by side, or teeth located in
different areas of the jaw. The prostheses have a shape and size appropriate for the intended purpose.

Regardless of the type of partial removable prosthesis, all designs have similar characteristics. Thus,

the basis visually resembles the shade and structure of soft tissues and palate. The borders of the

prosthesis have a clear contour, since otherwise it would be in contact with the base of the lips, and

would be as uncomfortable as possible for everyday use. At the base of the structure there are plastic

teeth, the task of which is to replace the crown of a natural unit.

The partial prosthesis has a fairly simple design, which makes the orthopedic product as much in
demand as possible. All kinds of materials are used for the manufacture of products, but some raw

materials can cause an allergic reaction.


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TYPES OF PROSTHESES TO REPLACE PARTIALLY LOST TEETH

Despite the fact that the designs of removable dentures are very similar to each other, doctors divide
them into several types according to such parameters as the number of teeth to be replaced, materials.

CLASP PROSTHESIS

The product is a metal frame. Thanks to the metal arc on the clasps, the solution looks compact. But due

to the metal, it is not possible to achieve high aesthetic indicators. In addition, metal can cause allergies.

PLATE PROSTHESIS

The removable plate structure has no metal in its composition, and, if compared with a clasp prosthesis,

it is equipped with a wide and soft base.

ACRYLIC PROSTHESIS

One of the most budget-friendly solutions that is suitable for temporary replacement of dentition

elements. Plastic construction is often used after implantation

the prosthesis provides a comfortable

recovery and the ability to chew food. The acrylic model does not have enough rigidity for constant

wear. In this case, the design can cause discomfort.

NYLON PROSTHESES

This is a modern, relatively soft product, which is an excellent alternative to plastic. At the same time,
the price in Moscow for such a prosthesis is slightly higher than for its plastic counterpart. The design

is more comfortable to use.

PARTIAL REMOVABLE PROSTHESIS FOR THE UPPER AND LOWER JAW

Partial and complete designs have a number of important differences. For example, in the complete

absence of the lower dentition, the structure is held on the alveolar processes, which does not guarantee

reliable fastening. Partial dentures for the replacement of several teeth are fixed on natural teeth,
therefore they are more practical and durable. The prosthesis for the upper row is equipped with a

palate, which gives it an additional advantage in the form of stability. Due to clamps or attachments, the

product is quite stable.

FEATURES OF THE MANUFACTURE OF REMOVABLE DENTURES


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Prosthetics is one of the most relevant techniques for restoring the dentition. The technology has been

used in dental practice for decades, so the clinic uses a clear manufacturing mechanism consisting of
the following steps:

1. The first visit to the clinic for the purpose of consultation. The doctor examines the oral cavity,

diagnoses problems, performs sanitation, takes a cast and sends it to the dental laboratory for further

fabrication of the structure.

2. Next, the grinding and correction of the structure is carried out.

3. Correction of the prosthesis in the articulator, fitting.

4. Final installation.

The production time of the prosthesis for partial installation takes about 10-14 days. After installation,

the patient may experience discomfort when chewing food and talking

the adaptation period lasts 3-

5 weeks, which depends on the type of prosthesis, the jaw on which it is installed. During the process, a

person may feel minor pain

if it does not go away, you should visit a dentist to make adjustments to

the prosthesis.

INSTALLATION AND STABILIZATION

For fixation, the following are used:

1. Clamps are special hooks made of metal or silicone. They cover the tooth and secure the structure.

2. Attachments are miniature locks that snap the structure.

3. Telescopic crowns are a complex design involving the preparation of a tooth, the installation of a

metal cap on it, in which the prosthesis is attached.

ADVANTAGES OF PARTIAL DENTURES

Partial dentures are a good choice in favor of temporary replacement of lost teeth.

The most high

quality structures include elastic ones - they are made of hypoallergenic materials. If

several dental units are missing, removable nylon or plastic plate structures without acrylic content are

the optimal solution.


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Positive:

• reasonable cost;

• normal aesthetics and good functionality;

• Fast manufacturing and installation;

• undemanding care.

The aim of the study was to assess the complications associated with wearing partial removable

dentures and their impact on patient satisfaction.

METHODS

The clinical examination was performed by patients of the orthopedic department using partial
removable dentures for 4 years (2010-2014). The demographic data of patients and data of partial

removable dentures were evaluated: Kennedy classification, jaw location (upper/lower), clinician

experience (dental students or orthopedic doctors), type of denture (cobalt-chrome or completely

acrylic). Patient satisfaction was assessed according to four criteria: chewing and speech functions,

appearance, and comfort parameters on a visual analog scale. The data was analyzed using SPSS version

18 using the Kraskel-Wallis and Mann-Whitney tests.

RESULTS

60 patients (30 men and 30 women, age range 37-64 years) were examined. The most common

complications included: ingestion of food under the prosthesis (68.3%), resorption of the alveolar ridge

(63.3%), loss of support (36.7%), caries of the supporting tooth (36.7%), loss of retention (35%), as

well as pain and discomfort (30%). Patients reported moderate levels of satisfaction (6.2 out of 10). The

degree of satisfaction with a partial removable prosthesis in patients 50 years and older was higher

than in patients under 50 years of age. Also, in patients using a partial removable prosthesis on the
upper jaw, the degree of satisfaction with treatment was higher than in patients with a partial

removable prosthesis on the lower jaw. The gender of the patients, the Kennedy classification, and the

type of denture did not significantly affect the degree of patient satisfaction.

CONCLUSIONS


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The results of the study revealed that complications associated with wearing partial removable

dentures are not uncommon. The degree of patient satisfaction with partial removable dentures after
their installation, as well as the frequency of complications, may be influenced by the experience of

clinicians involved in the selection and manufacture of prostheses.

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Sarimsokovich, G. M. (2023, May). CLINICAL EFFICIENCY OF THE GUIDED REGENERATION

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51.

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52.

Sarimsokovich, G. M. (2024). IMPROVING THE EFFECTIVENESS OF PREVENTION AND

TREATMENT OF INFECTIOUS PROCESSES OF THE ORAL CAVITY IN PEOPLE USING DENTAL

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53.

Содикова, Ш. А., & Исламова, Н. Б. (2021). Оптимизация лечебно

-

профилактических

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анемией. In Актуальные вопросы стоматологии (pp. 434

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54.

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in the oral organs and tissues in post-menopause women. Frontline medical sciences and

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