CLINICAL EFFICACY OF THE MODIFIED PROTOCOL OF ORTHOPEDIC DENTAL REHABILITATION OF PATIENTS WITH COMPLETE ABSENCE OF TEETH

Relevance. Complete secondary edentulism remains one of the most significant problems in prosthetic dentistry, especially in cases of severe alveolar ridge atrophy and thin mucosa. Even with the implementation of CAD/CAM and additive manufacturing technologies, there is still a lack of clinical research evaluating the effectiveness of modern protocols considering the use of adhesive agents. Objective. To evaluate the clinical effectiveness of a newly developed method for prosthetic rehabilitation of patients with complete edentulism and unfavorable conditions for removable denture fixation. Materials and methods. The study included 48 patients (aged 52–74 years) with complete edentulism, divided into two groups: the main group — prosthetic treatment using the author’s protocol, and the control group — conventional technology with 3D printing. Effectiveness was assessed using the Kapur Index, Galonsky-Radkevich adaptation index, and OHIP-EDENT at 7, 14, 30, and 60 days after prosthesis delivery. Statistical analysis included Student’s t-test, Mann-Whitney U test, and ANOVA, with p < 0.05 considered significant. Results. The author’s method showed a consistent advantage: by day 60, the Kapur Index reached 91.4 ± 3.6% compared to 74.2 ± 4.9% in the control group (p < 0.01); the Galonsky-Radkevich index — 2.86 ± 0.14 vs. 2.24 ± 0.28 (p < 0.01); OHIP-EDENT score — 14.1 ± 2.6 vs. 27.9 ± 3.9 (p < 0.01). No complications requiring prosthesis correction were observed in the main group, while in the control group such cases accounted for 16.7%.