39
UDK: 616.314-089-06 : 616.314-089.843-74/77]-092.11
ASSESSMENT OF CHANGES IN THE QUALITY OF LIFE OF PATIENTS
WITH DENTITION DEFECTS BEFORE AND AFTER PROSTHETICS AND DENTAL
IMPLANTATION USING AN IMPLANT IMPLANT.UZ
Khabilov N.L., Usmonov F.K., Mun T.O.
Tashkent State Dental Institute
According to the definition of the World Health
Organization, quality of life is a characteristic
of physical, psychological, emotional and social
functioning based on its subjective perception. This
concept includes individual well – being in the
environment – both physical and psychological, work,
education, social success, as well as freedom, the
possibility of free action, justice and the absence of
any oppression [9].
Acquired pathologies of the dental system are found
in almost 100% of the population of the Republic of
Uzbekistan. The most frequent pathologies include
defects of the dentition [5] and periodontal diseases,
which are not only the cause of deterioration in the
quality of life and reduced ability to work of patients,
but also the cause of a number of somatic diseases
and their unfavorable course. Both dentition defects
and periodontal diseases are difficult to treat, lead to a
significant decrease in the functionality of the dental
system, they are characterized by a long period of
rehabilitation. Unfortunately, in practice, an isolated
course of these pathologies is quite rare, as a rule, they
occur in combination, mutually weighing each other
down.
In this paper, we have studied 2 two ways of
replacing defects of dentition, in particular, the
replacement of defects with the installation of a
domestic implant Implant. Uz, evaluated their results
both from the point of view of improving the dental
status and from the point of view of improving the
quality of life of patients.
Materials and methods of research
The study was conducted on the basis of the
Tashkent State Dental Institute, as well as in the
private dental clinic “L-Dent”. 30 patients with
dentition defects not replaced by orthopedic structures
(15 men and 15 women), aged 25 to 75 years (the
average age of patients was 40 years) were examined.
The examination was carried out twice: before the
treatment and after it. All patients, depending on
the method of replacement of dentition defects,
were divided into 2 groups: 17 patients underwent
prosthetics using fixed orthopedic structures, the
remaining 13 underwent dental implantation; all
patients also received conservative and, if necessary,
surgical treatment of periodontal diseases. The study
included examination of patients, determination of
dental indices (CFE, PMA, OHI). The quality of life
of patients was also determined using the OHIP-14
questionnaire [6], which includes 14 questions that
allow assessing the impact of oral health on quality
of life, according to the following criteria: daily
life, chewing food, ability to communicate. There
were 5 possible answers, which range from “very
often” to “never” and are rated from 5 to 1 points,
respectively [3]. The quality of life of patients was
determined before the treatment. A questionnaire was
also conducted using the OHIP-14 questionnaire after
treatment.
Statistical data processing was carried out using
Microsoft Office 2010 and the Statistica 6.0 program.
Statistical analysis of the actual material was carried out
by parametric methods, when comparing independent
samples, the Student’s t-test was used. The results
are presented as an average with an indication of the
standard error (X±m). The critical level of significance
when testing statistical hypotheses was assumed to be
less than 0.05.
Results
In the survey conducted before treatment, patients
of the first and second groups complained only
about the presence of defects in the dentition and
the associated difficulties in communication and
eating. Whereas during the examination of the oral
cavity in all patients, in addition to defects in the
dentition, inflammatory phenomena, swelling of the
ОРТОПЕДИЧЕСКАЯ СТОМАТОЛОГИЯ
40
gingival papillae, gingival hyperemia, pronounced
bleeding were noted. The values of the PMA index
of the examined patients averaged 44.5±2.7%, PI –
4.67±0.03, teeth had 1-2 degrees of mobility. Supra-
gingival and subgingival dental deposits were detected
in all patients. The OHI indicators were 1.78±0.12,
which corresponded to a poor state of oral hygiene.
The analysis of questionnaires and questionnaires
filled out by patients before treatment showed that
according to all criteria of quality of life, with the
exception of the ability to communicate, the quality of
life of patients with periodontal diseases undergoing
dental implantation was significantly worse than that
of patients who underwent prosthetics using fixed
orthopedic structures (Table 1).
48
Table 1
Dependence of patients' quality of life on the method of replacement of dentition defects
Patient groups
Criteria
everyday life
jawing
process
ability to
communicate
Patients undergoing prosthetics using fixed
orthopedic structures
12,3
6,9
9,2
Patients undergoing dental implantation
15,4
7,6
8,1
Table 2
Quality of life indicators before and after replacement of dentition defects with bridges
Patient groups
Criteria
everyday life
jawing process
everyday life
Before treatment
12,3
6,9
9,2
After treatment
8,9
5,4
8,6
Table 3
Quality of life indicators before and after dental implantation
Patient groups
Criteria
everyday life
jawing process
everyday life
Before treatment
15,4
7,6
8,1
After treatment
7,8
5,9
6,3
Table 4
Dependence of patients' quality of life on the method of replacement of dentition defects after
treatment
Patient groups
Criteria
everyday life
jawing process
everyday life
Patients undergoing prosthetics
using fixed orthopedic structures
8,9
5,4
8,6
Patients undergoing dental
implantation
7,8
5,9
6,3
After the treatment, most patients did not
complain. When examining the oral cavity,
there was a decrease in hyperemia and
swelling of the gums, a decrease in bleeding,
the absence of pathological gingival pockets,
and an improvement in dental indices was
also observed: the values of the PMA index
averaged 24.3±2.2%, PI – 1.11±0.18. The
OHI indicators were 0.87± 0.1, which
corresponded to a good state of oral hygiene
The analysis of the OHIP-14
questionnaires showed a significant
improvement in the quality of life of patients
after treatment (Tables 2, 3).
It should also be noted that patients who
had dental row defects replaced by
implantation noted significantly better
indicators for all quality of life criteria than
patients with bridges (Table 4).
Conclusion
Thus, this study showed that such diseases
of the oral cavity as dentition defects and
periodontal diseases significantly reduce the
quality of life of patients, reflecting they
affect both the ability to eat and
communicate, and the general well-being of
people, and should be considered not only as
a medical problem, but also as a social one,
therefore, much attention should be paid to
their elimination and prevention of
occurrence. At the same time, it can be seen
from our study that different treatment
methods have different effects on the quality
of life of patients: despite the fact that
prosthetics using fixed orthopedic structures
significantly improves the quality of life of
patients, it is significantly inferior to
implantation, in which the quality of life
criteria approach those of practically healthy
people. Therefore, when choosing a
After the treatment, most patients did not complain.
When examining the oral cavity, there was a decrease
in hyperemia and swelling of the gums, a decrease
in bleeding, the absence of pathological gingival
pockets, and an improvement in dental indices was
also observed: the values of the PMA index averaged
24.3±2.2%, PI – 1.11±0.18. The OHI indicators were
0.87± 0.1, which corresponded to a good state of oral
hygiene
The analysis of the OHIP-14 questionnaires
showed a significant improvement in the quality of
life of patients after treatment (Tables 2, 3).
It should also be noted that patients who had
dental row defects replaced by implantation noted
significantly better indicators for all quality of life
criteria than patients with bridges (Table 4).
Conclusion
Thus, this study showed that such diseases of
41
the oral cavity as dentition defects and periodontal
diseases significantly reduce the quality of life of
patients, reflecting they affect both the ability to
eat and communicate, and the general well-being
of people, and should be considered not only as a
medical problem, but also as a social one, therefore,
much attention should be paid to their elimination and
prevention of occurrence. At the same time, it can be
seen from our study that different treatment methods
have different effects on the quality of life of patients:
despite the fact that prosthetics using fixed orthopedic
structures significantly improves the quality of life
of patients, it is significantly inferior to implantation,
in which the quality of life criteria approach those of
practically healthy people. Therefore, when choosing
a treatment method, it is necessary not only to proceed
from the clinical picture in the oral cavity, but also
to take into account many other indicators that can
significantly affect the success of the treatment in the
future.
Dental implantation is the most effective way
to replace dental row defects with concomitant
periodontal pathology, allowing patients to lead a full
life without experiencing the inconvenience associated
with eating and communicating with people. Also,
the main advantage of Implant.Uz is a low cost in
comparison with foreign analogues, thanks to which
the population of Uzbekistan can afford treatment of
adentia with implants.
The use of quality of life questionnaires at a dental
appointment allows doctors to optimize the choice
of therapy method and control the treatment process,
which contributes to an increase in the effectiveness
of the treatment.
References
1.
Association A.E.R. Standards for Educational
and Psychological Testing. American Educational
Research Association. – Washington, DC, USA, 2014.
2.
Gera A., Cattaneo P.M., Cornelis M.A. A
Danish version of the oral health impact profile-14
(OHIP-14): Translation and cross-cultural adaptation
// BMC Oral Health. – 2020. – Vol. 20. – P. 254.
3.
Hair J.F., Black W.C., Babin B., Anderson
R.E. Multivariate Data Analysis. – 8th ed. – Cengage
Learning; Hampshire, UK, 2019.
4.
John M.T. Foundations of oral health-related
quality of life // J. Oral Rehabil. – 2021. – Vol. 48. – P.
355-359.
5.
John M.T., Reissmann D.R., Celebic A. et
al. Integration of oral health-related quality of life
instruments // J. Dent. – 2016. – Vol. 53. – P. 38-43.
1
6.
John M.T., Reissmann D.R., Feuerstahler L.
et al. Factor analyses of the Oral Health Impact Profile
– Overview and studied population // J. Prosthodont.
Res. – 2014. – Vol. 58. – P. 26-34.
7.
Lahti S., Suominen-Taipale L., Hausen H. Oral
health impacts among adults in Finland: Competing
effects of age, number of teeth, and removable dentures
// Europ. J. Oral Sci. – 2008. – Vol. 116. – P. 260-266.
8.
Montero J., Bravo M., Vicente M.P. et al.
Dimensional structure of the oral health-related quality
of life in healthy Spanish workers // Health Qual. Life
Outcomes. – 2010. – Vol. 8. – P. 24.
9.
Oliveira B.H., Nadanovsky P. Psychometric
properties of the Brazilian version of the Oral Health
Impact Profile-short form // Comm. Dent. Oral
Epidemiol. – 2005. – Vol. 33. – P. 307-314.
10.
Soares G.H., Santiago P.H.R., Werneck R.I.
et al. A Psychometric Network Analysis of OHIP-14
across Australian and Brazilian Populations // JDR
Clin. Trans. Res. – 2021. – Vol. 6. – P. 333-342.
Цель:
сравнительная оценка результатов
замещения дефектов с установкой отечественного
имплантата Implant.uz.
Материал и методы:
исследованияпроводилось
на
базе
Ташкентского
государственного
стоматологического института, а также в
частной стоматологической клинике «Л-Дент».
Обследованы 30 пациентов с дефектами зубных
рядов,
не
замещенных
ортопедическими
конструкциями (15 мужчин и 15 женщин),
в возрасте от 25 до 75 лет (средний возраст
пациентов 40 лет).
Результаты:
анализ вопросников OHIP-14
показал достоверное улучшение качества жизни
больных после лечения. Следует также отметить,
что пациенты, у которых дефекты зубного
ряда были замещены имплантацией, отмечали
достоверно лучшие показатели по всем критериям
качества жизни, чем пациенты с мостовидными
протезами.
Выводы:
использование
вопросников
качества жизни на стоматологическом приеме
позволяет врачам оптимизировать выбор метода
терапии и контролировать лечебный процесс,
что способствует повышению эффективности
лечения.
Ключевые слова:
имплантация зубов,
несъемные ортопедические конструкции, качество
жизни.
Maqsad:
mahalliy Implant.uz implantini o’rnatish
bilan nuqsonlarni almashtirish natijalarini qiyosiy
baholash.
Material va usullar:
tadqiqot Toshkent davlat
stomatologiya instituti negizida hamda “L-Dent”
ОРТОПЕДИЧЕСКАЯ СТОМАТОЛОГИЯ
42
xususiy stomatologiya klinikasida o‘tkazildi. Biz
25 yoshdan 75 yoshgacha bo’lgan (bemorlarning
o’rtacha yoshi 40 yosh) ortopedik tuzilmalar bilan
almashtirilmagan (15 erkak va 15 ayol) tishlari
nuqsonlari bo’lgan 30 nafar bemorni tekshirdik.
Natijalar:
OHIP-14 anketalarining tahlili
davolanishdan keyin bemorlarning hayot sifati sezilarli
darajada yaxshilanganligini ko’rsatdi. Shuni ham
ta’kidlash kerakki, tish nuqsonlari implantatsiya bilan
almashtirilgan bemorlar ko’prigi bo’lgan bemorlarga
qaraganda hayot sifatining barcha mezonlarida
sezilarli darajada yaxshi natijalarga erishgan.
Xulosa:
stomatologik qabulda hayot sifati
so’rovnomalaridan
foydalanish
shifokorlarga
terapiyani tanlashni optimallashtirish va davolash
jarayonini nazorat qilish imkonini beradi, bu esa
davolash samaradorligini oshirishga yordam beradi.
Kalit so’zlar:
tish implantatsiyasi, fiksatsiyalangan
ortopedik konstruktsiyalar, hayot sifati.
Objective:
Comparative evaluation of the results
of defect replacement with the installation of a
domestic Implant.uz implant.
Material and methods:
The study was carried
out on the basis of the Tashkent State Dental Institute,
as well as in the private dental clinic “L-Dent”. We
examined 30 patients with dentition defects not
replaced by orthopedic constructions (15 men and 15
women), aged 25 to 75 years (mean age of patients 40
years).
Results:
Analysis of the OHIP-14 questionnaires
showed a significant improvement in the quality of life
of patients after treatment. It should also be noted that
patients in whom dentition defects were replaced by
implantation noted significantly better performance in
all quality of life criteria than patients with bridges.
Conclusions:
The use of quality of life
questionnaires at a dental appointment allows doctors
to optimize the choice of therapy and control the
treatment process, which contributes to an increase in
the effectiveness of treatment.
Key words:
dental implantation, fixed orthopedic
constructions, quality of life.
УДК: 616.314-72;616-06;615.06
ОПРЕДЕЛЕНИЕ АЛЛЕРГИЧЕСКОЙ РЕАКЦИИ НА МАТЕРИАЛЫ БАЗИСА ЗУБНЫХ
ПРОТЕЗОВ У БОЛЬНЫХ БРОНХИАЛЬНОЙ АСТМОЙ
Акбаров А.Н., Закирова Х.Х., Ибрагимов А.А.
Ташкентский государственный стоматологический институт
Резкий рост в последние годы хронических
заболеваний, нарушений иммунной системы,
эндокринопатий, увеличение числа лиц с
аллергическим
фоном,
также
долилюдей
пожилого и старческого возраста делают проблему
диагностики и профилактики непереносимости
стоматологических материалов крайне актуальной
[2-4]. Одним из наиболее распространенных
заболеваний является бронхиальная астма. Большая
часть больных бронхиальной астмой находятся
на гормональной терапии [1]. Под воздействием
гормональных средств снижаются барьерные
свойства слизистой оболочки полости рта, что
сто оказывает неблагоприятное воздействие на
твердые ткани зубов и пародонта, в результате
чего усиливается действие микрофлоры и других
патогенных факторов [5.8]. Как осложнение
фоновой патологии, наблюдается вторичная
адентия. В этом случае целесообразно проводить
восстановление утраченных зубов частично
съемными пластиночными протезами [5,6]. Нужно
отметить, что материалы базиса съемных протезов
нередко вызывают аллергические реакции у
больных бронхиальной астмой [7]. В результате
происходит обострение симптомов данной
патологии, что требует дополнительного лечения,
времени и средств пациента.
Для предупреждения такого нежелательного
побочного
эффекта
необходимо
выявить
наличие или отсутствие аллергической реакции
