The Method of Splinting Mobile Teeth in the Presence of Small Defects of the Dentitions with Aesthetic Polymer Adhesive Splinting Prosthesis

To the presence healthy teeth is an integral part of human health. Their partial or complete loss can have complex consequences for our functioning and quality of life. There are a number of factors that lead to tooth loss. In particular, genetic factors, periodontal diseases, caries complications, poor diet and bad habits. In some cases, tooth loss can be hereditary, caused by an increased tendency to develop caries or periodontal diseases. The presence of various abnormalities in the development of teeth can also be the reason for their loss in the future. Furthermore, the most common methods of treating partial defects of the dentition combined with periodontal tissue diseases are fixed partial and adhesive metal-ceramic prostheses, the design of which involves significant preparation of the hard tissues of the teeth that limit the defect. An adhesive metal-ceramic prosthesis, the design of which consists of an artificial tooth and fixing elements made in the form of cores or overlays, completely covered with ceramic material, has a number of disadvantages and limited indications for use. For the proposed adhesive splint prosthesis allows minimally dissection of supporting teeth hard tissues; at the expense of high accuracy production maybe to be used for minor deformations of the dentition, if present carious and non-carious lesions; due to high bioinertness recommended construction of choice for periodontal tissue diseases. The purpose of the study. To increase the effectiveness of orthopedic treatment of patients with chronic periodontitis of moderate severity and to substantiate the method of splinting mobile teeth in the presence of small dentition defects in the frontal area, taking into account the anatomical features, functionality and aesthetic appearance of the structure. Materials and methods.​ With the help of adhesive splint prosthesis are made of high-tech polymer PEEK-"Bio Hpp" proposed a new approach to the problem of treating small dentition defects in the frontal area. A comparative analysis was conducted and the advantages of the proposed design with similar prostheses were proven. Research results. The obtained results indicate that the proposed design allows for splinting and restoration of the aesthetic appearance and integrity of the dentition, preventing the occurrence of deformations and ensuring the functionality of the maxillofacial system. Conclusions 1. The proposed design of the adhesive splint prosthesis made of high-tech polymer PEEK-"Bio Hpp" allows you to restore the integrity of the dentitions in the presence of small included defects in the frontal area and provides a good splinting result. 2. Production of a frame from high-tech polymer PEEK-"Bio Hpp”, allows to significantly reduce the depth of preparation of teeth hard tissues, providing an excellent aesthetic result, which makes it possible to significantly expand the indications for use. 3. The long-term results of the treatment indicate the absence of marginal staining at the border of the hard tissue of the tooth - indirect restoration, i.e. marginal detachment, which provides good aesthetics, functional integrity of the structure and a satisfactory splinting result.