The effectiveness of vertical dental preparation in orthopedic treatment of patients with low clinical crowns

The current problem of improving prosthetics methods for patients with low clinical crowns with non-removable orthopedic structures is considered. Significant advantages of the vertical preparation technique have been identified, such as the lengthening of the tooth stump due to subgingival preparation, the possibility of distributing the chewing load over the entire surface of the prepared tooth, and minimal reduction of its own hard tissues, which help reduce complications in patients in this clinical situation. As part of the study, a comprehensive assessment of the clinical effectiveness of vertical dissection techniques in the orthopedic treatment of patients with low clinical crowns with non-removable orthopedic structures was carried out. The study involved 49 patients (27 men and 22 women) aged 21 to 53 years with dental hard tissue defects with low clinical crown parts in the lateral sections of the upper and lower jaws, divided into the main (n=27) and control (n=22) groups. The follow-up period was 24 months. The features of clinical and X-ray examination of patients are considered, criteria for evaluating the effectiveness of treatment are determined. A detailed treatment protocol is presented, including the stages of preparation, temporary prosthetics and the manufacture of permanent structures. Special attention is paid to the subgingival stage of the vertical preparation method and the formation of additional retention conditions.