195
ResearchBib IF - 11.01, ISSN: 3030-3753, Volume 2 Issue 2
CONDITION OF THE ALVEOLAR PROCESS AND PERIOSTA WHEN USED
REMOVABLE DENTURES
Axmedova Malika Qilichovna
Asian International University. Bukhara, Uzbekistan.
Email:
malikaaxmedova 855@ gmail.com.
https://doi.org/10.5281/zenodo.14825011
Abstract.
A direct relationship was found between the duration of use of removable pro-
symptoms and signs of chronic inflammation detected both in the epithelium and in the connective
tissue. Thus, when using removable dentures in the first 2-3 years, the accumulation of fibroblasts,
lymphocytes and macrophages is detected only around the vessels. Later (5-15 years), the number
of infiltrates increases, consisting mainly of lymphocytes, neutrophils and plasma cells. Moreover,
they are detected not only along the vessels, but also in other areas of the connective tissue. Diffuse
round cell infiltration is detected in the proper layer, and focal accumulation of elements in the
submucosal layer. Infiltrates are also detected in the epithelial layer. However, the intensity of
infiltration decreases in the posterior parts of the palatine fornix. Apparently, a certain role is
played here by the dense vascular network, which apparently softens the pressure of the removable
denture on the mucous membrane. Therefore, its changes in the posterior third of the hard palate
are manifested to a lesser extent than in the anterior.
Key words:
mucous membrane, removable denture, alveolar process, atrophy, denture.
СОСТОЯНИЕ АЛЬВЕОЛЯРНОГО ОТРОСТКА И НАДЗОРНОЙ КОСТИ ПРИ
ИСПОЛЬЗОВАНИИ СЪЕМНЫХ ПРОТЕЗОВ
Аннотация.
Выявлена прямая зависимость между длительностью использования
съемных протезов и признаками хронического воспаления, выявляемыми как в эпителии,
так и в соединительной ткани. Так, при использовании съемных протезов в первые 2-3 года
скопление фибробластов, лимфоцитов и макрофагов выявляется только вокруг сосудов. В
дальнейшем (5-15 лет) увеличивается количество инфильтратов, состоящих в основном
из лимфоцитов, нейтрофилов и плазматических клеток. Причем они выявляются не
только по ходу сосудов, но и в других участках соединительной ткани. В собственном слое
выявляется диффузная круглоклеточная инфильтрация, а в подслизистом слое — очаговое
скопление элементов. Инфильтраты выявляются и в эпителиальном слое. Однако
интенсивность инфильтрации снижается в задних отделах небного свода. По-видимому,
определенную роль здесь играет густая сосудистая сеть, которая, по-видимому, смягчает
давление съемного протеза на слизистую оболочку. Поэтому ее изменения в задней трети
твердого неба проявляются в меньшей степени, чем в передней.
196
ResearchBib IF - 11.01, ISSN: 3030-3753, Volume 2 Issue 2
Ключевые слова:
слизистая оболочка, съемный протез, альвеолярный отросток,
атрофия, зубной протез.
Under removable plate dentures, the intercellular structures also change structure. Elastic
fibers acquire an unusual appearance. They thicken, acquire uneven contours, sometimes gather
in groups or become discontinuous.
The conducted studies allowed us to establish that atrophy of the alveolar process under
removable dentures is detected to a greater extent in its anterior section and is more pronounced
in individuals with incorrectly positioned teeth.
The loss of alveolar bone tissue occurs more rapidly in the first 3 years, slowing down
thereafter. When explaining this process, the influence of three factors should be taken into
account:
1) atrophy due to the effect of the prosthesis;
2) atrophy due to the loss of a physiological stimulus – chewing pressure;
3) development of age-related atrophy.
The periosteum also responds with a certain reaction to the effect of plastic night
prostheses. When using prostheses for up to 3 years, due to the pronounced focal proliferation of
osteoblasts, its pronounced thickening occurs.
In this case, osteoblasts increase in size and sometimes acquire a special orientation, being
located parallel to the bone surface.
With prolonged use of prostheses, the periosteum of the hard palate and alveolar processes
atrophies, becomes thinner, turning into a dense layer of fibrous tissue. The number of osteoblasts
in it also decreases significantly. It is easy to notice that a certain analogy is observed in the
reaction of the mucous membrane and periosteum: first, there is a compensatory thickening of
these tissues, and then their thinning.
The study of immediate and remote results of prosthetics includes not only an assessment
of the quality of dental prostheses and their functional properties, but also a detailed study of the
condition and reaction of the tissues of the maxillofacial system, on which the dental prosthesis
has a direct or indirect effect. First of all, it should be borne in mind that the prosthesis can have a
direct effect on the tissues and organs of the oral cavity; its effect is observed when the prosthesis
comes into contact with tissues that are usually united by the term "prosthetic bed". For a
removable prosthesis, the bed is the mucous membrane of the hard palate, the alveolar part, natural
antagonists, as well as the enamel of the teeth on which the clasps rest.
For fixed prostheses (inlays, half -crowns, splints), the bed is the wound surface of the
crown, the walls of the cavity for the inlay and the mucous membrane of the gingival pocket.
197
ResearchBib IF - 11.01, ISSN: 3030-3753, Volume 2 Issue 2
In addition to the direct effect, the prosthesis also has an indirect effect on organs and
tissues located outside the prosthetic bed and not in direct contact with it. This effect is medially
through various organs and systems.
The result of such an impact is a change in the function of muscles and temporomandibular
joints with a shortening or increase in the interalveolar distance, periodontal dystrophy with a
functional overload of the supporting teeth, etc. Consequently, the impact of the prosthesis is not
limited to the prosthetic bed, but goes far beyond it. Thus, we came to the need to disclose the
content of another term - "prosthetic field", which means all organs and tissues located in the
sphere of both direct and indirect impact of the prosthesis. The prosthetic bed is part of the
prosthetic field.
The reactions of the prosthetic bed are determined, on the one hand, by the characteristic
timing, intensity and duration of the stimulus, and on the other hand, by the reactivity of the
organism. At present, it is no longer possible to talk about the influence of the prosthesis on the
tissues of the prosthetic bed without indicating the connection between a specific stimulus and the
corresponding reaction.
Studying the etiology and pathogenesis of reactions of the tissues of the prosthetic bed
allows us to identify changes, the causes of which are hidden in the clinical and technical
implementation of various procedures during prosthetics, in the nature of the material from which
the prosthesis is made, or in the principle of the design itself. The data obtained in this way allow
us to prevent a number of changes, in other words, it will become possible to plan the prevention
of undesirable reactions.
First of all, it is important to find out what irritants are generated by the prosthesis and what
properties they are associated with. There are side, toxic, allergic and traumatic effects of the
prosthesis.
Side effects of removable dentures include the transfer of chewing pressure to the tissues
of the denture bed, which is an inadequate irritant for the mucous membrane, disruption of self-
cleaning, thermoregulation, speech, taste perception, functional overload of the periodontium of
the supporting teeth with clasp systems, etc. Side effects of removable dentures include the
"greenhouse effect" and vacuum. The "greenhouse effect" occurs when using dentures with a
plastic base, which has low thermal conductivity. As a result, a temperature close to the human
div temperature is maintained under the denture. This promotes the proliferation of
microorganisms and worsens the hygienic condition of the denture bed, hindering heat exchange
in the oral cavity. A vacuum with a good locking valve is created under the denture.
Due to this, the effect of a therapeutic (blood-sucking) cup occurs, accompanied by
hyperemia of the mucous membrane of the denture bed and its chronic inflammation.
198
ResearchBib IF - 11.01, ISSN: 3030-3753, Volume 2 Issue 2
In the pathogenesis of this symptom, the state of the capillaries plays an important role, in
particular their permeability, which changes in many common diseases of the div.
The side effect of a bridge prosthesis is the functional overload of the periodontium of the
supporting teeth, irritation of the marginal periodontium by the edge of the crown, etc.
It is easy to see that the side effect follows from the principle of the prosthesis design itself.
By changing the type of prosthesis, the side effect can be reduced, but it cannot be
completely eliminated. For example, it is possible to reduce the harmful effect of the prosthesis
base on the mucous membrane by replacing the plate prosthesis with an arc prosthesis, but it is
impossible to completely eliminate the effect of the prosthesis base. It is possible to reduce the
functional overload of the periodontium of the supporting teeth of a bridge prosthesis by increasing
the number of supports, but it is also impossible to completely eliminate it.
REFERENCES
1.
Ravshanovna, X. L. (2021, June). MINIMALLY INVASIVE METHODS OF
TREATMENT OF DENTAL CARIES IN ADULTS. In
" ONLINE-CONFERENCES"
PLATFORM
(pp. 118-119).
2.
Khalilova, L. (2024). GLASS IONOMER CEMENTS USED IN DENTISTRY.
Modern
Science and Research
,
3
(12), 443-450.
3.
Qilichovna, A. M., Nematilloyevna, X. M., & Ergashevich, I. I.
(2024). THE ROLE OF
CARIOGENIC
AND
PROTECTIVE
FACTORS
IN
THE
PREVENTION
OF
CARIES.
ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ
,
43
(8), 45-51.
4.
Qilichovna, A. M., Nematilloyevna, X. M., & Ergashevich, I. I. (2024). KARIYESNING
OLDINI
OLISHDA
KARIOGEN
VA
HIMOYA
OMILLARNING
ROLI.
ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ
,
43
(8), 52-59.
5.
Qilichovna,
A. M. (2024). FACTORS CAUSING THE WIDE SPREAD OF DENTAL
CARIES.
EUROPEAN JOURNAL OF MODERN MEDICINE AND PRACTICE
,
4
(4), 154-160.
6.
Nematilloyevna, X. M., & Qilichovna, A. M. (2024). MORPHO-FUNCTIONAL
CHANGES IN ACUTE FORMS OF APHTHOUS STOMATITIS: Yangi O'zbekiston
taraqqiyotida tadqiqotlarni o'rni va rivojlanish omillari.
Yangi O'zbekiston taraqqiyotida
tadqiqotlarni o'rni va rivojlanish omillari
,
6
(4), 177-186.
7.
Qilichovna, A. M., & Nematilloyevna, X. M. (2024). METABOLIK SINDROMI VA QON
BOSIMI BOR BEMORLARDA O'ZGARISH XUSUSIYATLARI BAHOLASH: Yangi
O'zbekiston taraqqiyotida tadqiqotlarni o'rni va rivojlanish omillari.
Yangi O'zbekiston
taraqqiyotida tadqiqotlarni o'rni va rivojlanish omillari
,
6
(4), 187-196.
199
ResearchBib IF - 11.01, ISSN: 3030-3753, Volume 2 Issue 2
8.
Qilichovna, A. M., & Nematilloyevna, X. M. (2024). TIBBIYOT TILI HISOBLANMISH
LOTIN TILINI SAMARALI O’RGANISH OMILLARI: Yangi O'zbekiston taraqqiyotida
tadqiqotlarni o'rni va rivojlanish omillari.
Yangi O'zbekiston taraqqiyotida tadqiqotlarni
o'rni va rivojlanish omillari
,
6
(4), 197-206
9.
.Qilichovna, A. M., & Vahidovna, K. N. (2024). FACTORS CAUSING DISEASES OF
PERIODONTAL TISSUES.
JOURNAL OF HEALTHCARE AND LIFE-SCIENCE
RESEARCH
,
3
(5), 196-201.
10.
Qilichovna, A. M., & Abdumutalib o’g’li, U. A. (2024). KARIES PROFILAKTIKASI
NAZARIYASI VA AMALIYOTI.
JOURNAL OF HEALTHCARE AND LIFE-SCIENCE
RESEARCH
,
3
(5), 202-209.
11.
Vahidovna, K. N., & Kilichovna, A. M. (2024). FACTORS CAUSING PERIODONTAL
TISSUE
DISEASES.
JOURNAL
OF
HEALTHCARE
AND
LIFE-SCIENCE
RESEARCH
,
3
(5), 185-195.
12.
Qilichovna, A. M. (2024). THEORETICAL FUNDAMENTALS OF CARIES
PREVENTION.
Journal of Science in Medicine and Life
,
2
(5), 222-226.
13.
Qilichovna, A. M., & Safarboy o’g’li,
T. S. (2024). 4-AVLOD ADGEZIV SISTEMA.
JOURNAL
OF HEALTHCARE AND LIFE-SCIENCE RESEARCH
,
3
(5), 307-313.
14.
Axmedova, M. (2024). CONDITION OF THE ALVEOLAR PROCESS AND PERIOSTE
WHEN
USING
REMOVABLE
DENTURES.
EUROPEAN
JOURNAL
OFMODERNMEDICINEAND PRACTICE
,
4
(11), 528-538.
15.
Qilichevna, A. M. (2024). COMPARATIVE ANALYSIS OF NUTRITIONAL
DISPARITIES AMONG PEDIATRIC POPULATIONS: A STUDY OF CHILDREN WITH
DENTAL CAVITIES VERSUS THOSE IN OPTIMAL HEALTH.
Central Asian Journal
of Multidisciplinary Research and Management Studies
,
1
(2), 30-34.
16.
Qilichovna, A. M. (2024). CLINIC FOR PATIENTS WITH DENTURES COMPARATIVE
DIAGNOSIS AND PATHOGENESIS.
TADQIQOTLAR
,
30
(3), 127-135.
17.
Ahmedova, M. (2023). COMPARATIVE ANALYSIS OF NUTRITIONAL DISPARITIES
AMONG PEDIATRIC POPULATIONS: A STUDY OF CHILDREN WITH DENTAL
CAVITIES VERSUS THOSE IN OPTIMAL HEALTH.
International Bulletin of Medical
Sciences and Clinical Research
,
3
(12), 68-72.
18.
Ahmedova, M. (2023). DIFFERENCES IN NUTRITION OF CHILDREN WITH DENTAL
CARIES AND HEALTHY CHILDREN.
International Bulletin of Medical Sciences and
Clinical Research
,
3
(12), 42-46.
200
ResearchBib IF - 11.01, ISSN: 3030-3753, Volume 2 Issue 2
19.
Axmedova, M. (2023). TISH KARIESINING KENG TARQALISHIGA SABAB
BO’LUVCHI
OMILLAR.
Центральноазиатский
журнал
образования
и
инноваций
,
2
(12), 200-205.
20.
Ахмедова, М. (2023). ИСПОЛЬЗОВАНИЕ КОМПЬЮТЕРНЫХ ТЕХНОЛОГИЙ НА
ЭТАПАХ ДИАГНОСТИКИ И ПЛАНИРОВАНИЯ ОРТОПЕДИЧЕСКОГО ЛЕЧЕНИЯ
НА ОСНОВЕ ЭНДОССАЛЬНЫХ ИМПЛАНТАТОВ.
Центральноазиатский журнал
образования и инноваций
,
2
(11 Part 2), 167-173.
21.
Axmedova, M. (2023). USE OF COMPUTER TECHNOLOGY AT THE STAGES OF
DIAGNOSIS AND PLANNING ORTHOPEDIC TREATMENT BASED ON
ENDOSSEAL IMPLANTS.
International Bulletin of Medical Sciences and Clinical
Research
,
3
(11), 54-58.
22.
Ахмедова, М. (2020). НАРУШЕНИЯ ЭНДОТЕЛИАЛЬНОЙ ФУНКЦИИ ПРИ
РАЗВИТИИ АФТОЗНОГО СТОМАТИТА.
Достижения науки и образования
, (18
(72)), 65-69.
23.
Axmedova, M. (2023). THE IMPACT OF SOCIOCULTURAL FACTORS ON THE
PERVASIVENESS OF DENTAL CARIES AS A COMPLEX HEALTH CONDITION IN
CONTEMPORARY SOCIETY.
International Bulletin of Medical Sciences and Clinical
Research
,
3
(9), 24-28.
24.
Ахмедова, М. К. (2024). ОБЩИЕ ПРИЧИНЫ КАРИЕСА ЗУБОВ.
Лучшие
интеллектуальные исследования
,
14
(4), 77-85.
25.
Qilichovna, A. M. (2024). CLINICAL SIGNS WHEN ACCOMPANIED BY DENTAL
DISEASES
AND
METABOLIC
SYNDROME.
ОБРАЗОВАНИЕ
НАУКА
И
ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ
,
39
(5), 116-24.
26.
Ахмедова, М. К. (2024). Профилактика Стоматологических Заболеваний У
Беременных.
Research Journal of Trauma and Disability Studies
,
3
(3), 66-72.
27.
Ахмедова, М. К. (2024). ОСНОВНЫЕ ПРОФИЛАКТИЧЕСКИЕ МЕТОДЫ ТКАНЕЙ
ПАРОДОНТА У ДЕТЕЙ И ПОДРОСТКОВ.
ОБРАЗОВАНИЕ НАУКА И
ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ
,
41
(5), 254-260.
28.
Qilichovna, A. M. (2024). PREVENTION OF PERIODONTAL DISEASES IN
CHILDREN AND TEENAGERS.
ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ
ИДЕИ В МИРЕ
,
41
(5), 234-239.
29.
Qilichovna, A. M. (2024). PREVENTION OF PERIODONTAL AND GUM DISEASES IN
PREGNANT WOMEN.
ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В
МИРЕ
,
41
(5), 240-245.
201
ResearchBib IF - 11.01, ISSN: 3030-3753, Volume 2 Issue 2
30.
Qilichovna, A. M. (2024). HOMILADOR AYOLLARDA TISH VA PARADONT
KASALLIKLARINING
OLDINI
OLISH.
ОБРАЗОВАНИЕ
НАУКА
И
ИННОВАЦИОННЫЕ ИДЕИ В МИРЕ
,
41
(5), 246-253.
31.
Ахмедова,
М.
К.
(2024).
ИЗУЧЕНИЕ
ПРИЧИННЫХ
ФАКТОРОВ
ПАРОДОНТИТА.
Journal of new century innovations
,
49
(3), 47-53.
32.
Qilichovna, A. M. (2024). TO STUDY THE FACTORS THAT CAUSE
PERIODONTITIS.
Journal of new century innovations
,
49
(3), 40-46.
33.
Qilichovna, A. M. (2024). THE ROLE OF PATHOGENESIS IN THE GROWTH
FACTORS OF PERIODONTITIS DISEASE.
Journal of new century innovations
,
49
(3),
25-32.
34.
Qilichovna, A. M. (2024). TISH KARIYESI BO'LGAN BOLALAR VA SOG'LOM
BOLALARNING
OVQATLANISHIDAGI
FARQLAR.
Ta'limning
zamonaviy
transformatsiyasi
,
6
(2), 213-223.
35.
Ахмедова, М. К. (2024). РАЗЛИЧИЯ В ПИТАНИИ ДЕТЕЙ С КАРИЕСОМ ЗУБОВ И
ЗДОРОВЫХ ДЕТЕЙ.
Ta'limning zamonaviy transformatsiyasi
,
6
(2), 224-234.
36.
Ergashevich, I. I., Bahronovich, B. F., & Qilichevna, A. M. (2024). ASTMATIK
STATUSDAN
BEMORLARNI
CHIQARISHNING
ZAMONAVIY
TAMOYILLARI.
ОБРАЗОВАНИЕ НАУКА И ИННОВАЦИОННЫЕ ИДЕИ В
МИРЕ
,
43
(8), 36-44.
37.
Axmedova, M., & Neymatov, D. (2025). TERAPEVTIK STOMATALOGIYADA
BEMORLARNI
QO'SHIMCHA
TEKSHIRISH
USULLARI
(PARAKLINIK
USUL).
Modern Science and Research
,
4
(1), 268-278.
38.
Axmedova, M., & Neymatov, D. (2025). TERAPEVTIK STOMATALOGIYADA
BEMORLARNI ASOSIY TEKSHIRISH USULLARI.
Modern Science and Research
,
4
(1),
257-267.
39.
Ахмедова, М., Кузиева, М., & Курбанова, Н. (2025). ЗАБОЛЕВАНИЙ ВИСОЧНО-
НИЖНЕЧЕЛЮСТНОГО СУСТАВА И ФОРМУЛИРОВАНИЕ ДИАГНОЗА.
Modern
Science and Research
,
4
(1), 279-289.
40.
Axmedova, M. (2025). DISEASES OF THE TEMPOROMANDIBULAR JOINT AND
FORMULATION OF DIAGNOSIS.
Modern Science and Research
,
4
(1), 290-3.
41.
Ахмедова, М., Кузиева, М., & Халилова, Л. (2025). СОСТОЯНИЕ АЛЬВЕОЛЯРНОГО
ОТРОСТКА
И
ПЕРИОСТА
ПРИ
ИСПОЛЬЗОВАНИИ
СЪЕМНЫХ
ПРОТЕЗОВ.
Modern Science and Research
,
4
(1), 301-310.
42.
Кузиева, М., Axмедова, М., & Халилова, Л. (2025). СОВРЕМЕННЫЕ АСПЕКТЫ
ВЫБОРА МАТЕРИАЛА ДЛЯ ОРТОПЕДИЧЕСКОГО ЛЕЧЕНИЯ БОЛЬНЫХ,
202
ResearchBib IF - 11.01, ISSN: 3030-3753, Volume 2 Issue 2
НУЖДАЮЩИХСЯ В ПРОТЕЗИРОВАНИИ ЗУБОВ.
Modern
Science
and
Research
,
4
(1), 322-333.
43.
Кузиева, М. А. (2023). Клиникоморфологические Критерии Органов Ротовой Полости
При Применении Несъемных Ортопедических Конструкций.
Research Journal of
Trauma and Disability Studies
,
2
(12), 318-324.
44.
Abdusalimovna, K. M. (2024). THE USE OF CERAMIC MATERIALS IN ORTHOPEDIC
DENTISTRY.(Literature review).
TADQIQOTLAR
,
31
(3), 75-85.
45.
Abdusalimovna, K. M. (2024). CLINICAL AND MORPHOLOGICAL FEATURES OF
THE USE OF METAL-FREE CERAMIC STRUCTURES.
TA’LIM VA INNOVATSION
TADQIQOTLAR
,
13
, 45-48.
46.
Abdusalimovna, K. M. (2024). THE ADVANTAGE OF USING ALL-CERAMIC
STRUCTURES.
TA’LIM VA INNOVATSION TADQIQOTLAR
,
13
, 49-53.
47.
Abdusalimovna, K. M. (2024). MORPHO-FUNCTIONAL FEATURES OF THE
METHOD OF PREPARATION OF DEPULPATED TEETH FOR PROSTHETICS.
SCIENTIFIC JOURNAL OF APPLIED AND MEDICAL SCIENCES
,
3
(4), 301-307
48.
Abdusalimovna, K. M. (2024). Clinical and Morphological Features of the Use of Non-
Removable Orthopedic Structures.
JOURNAL OF HEALTHCARE AND LIFE-SCIENCE
RESEARCH
,
3
(5), 73-78.
49.
Kuzieva, M. A. (2024). CARIOUS INFLAMMATION IN ADOLESCENTS: CAUSES,
FEATURES AND PREVENTION.
European Journal of Modern Medicine and Practice
,
4
(11), 564-570.
50.
Kuzieva, M. A. (2024). Malocclusion–Modern Views, Types and Treatment.
American
Journal of Bioscience and Clinical Integrity
,
1
(10), 103-109.
51.
KUZIEVA, M. A. (2024). MODERN ASPECTS OF MORPHO-FUNCTIONAL DATA
AND TREATMENT OF AGE-RELATED CHANGES IN THE MAXILLOFACIAL
REGION.
Valeology: International Journal of Medical Anthropology and Bioethics
,
2
(09),
126-131.
52.
Халилова, Л., Axмедова, М., & Кузиева, М. (2025). ОСНОВНЫЕ АСПЕКТЫ ПРИ
ДИАГНОСТИКИ КАРИЕСА.
Modern Science and Research
,
4
(1), 697-706.
