EVALUATION OF ORTHOPEDIC TREATMENT WITH REMOVABLE DENTURES IN PATIENTS WITH PERIODONTAL PATHOLOGY ON THE BACKGROUND OF DIABETES MELLITUS
In the structure of dental orthopedic care, the number of patients in need of prosthetics with removable dentures is steadily growing. When choosing a basic material as a replacement and restorative structure, which serves as a favorable basis for the colonization of microorganisms, the dentist faces the question of preventing complications of the inflammatory, dysbiotic nature of the oral mucosa and atrophic processes that occur under a dental prosthesis. In solving this problem, hygienic maintenance of manufactured orthopedic structures with the help of special cleaning and disinfectants plays an important role. To date, numerous studies confirm that they do not meet the high, high - quality and modern requirements of dental materials science and orthopedic dentistry. Orthopedic dentists have increased interest in the use for therapeutic and prophylactic purposes of medicines with antihistamine, immunomodulatory, anti - inflammatory, and antimicrobial properties to improve the condition of organs and tissues of the oral cavity after prosthetics with removable prostheses of various designs. Bio - soluble medicinal films have proved themselves positively in the preventive direction after orthopedic treatment. Adhesive biofilm has an excellent feature with a significant anti - inflammatory effect, confirmed by microbiological and clinical indicators. The research purpose is to optimize orthopedic treatment in patients with periodontal pathology with diabetes mellitus with removable dentures. Materials and methods. The possibility of improving the effectiveness of orthopedic treatment and reducing complications after prosthetics in patients with generalized pathology of periodontal tissues and partial absence of teeth, burdened with insulin - independent diabetes, was studied using an individual approach in choosing a structural base material, the use of adhesive soluble biofilm and the administration of a Ca - containing mineral - vitamin complex inside. According to the results of CT assessment of dystrophic processes, the state of the bone tissue of the upper and lower jaws, depending on the use of orthopedic treatment methods, in a comparative aspect, the expediency of the prescribed set of measures after prosthetics was determined, which allowed to prevent the progression of bone loss under the basis during the year. Secondly, the advantages of dental thermoplastic materials have been repeatedly confirmed, allowing clinicians to increase indications for prosthetics of defects with partial absence of teeth. Conclusions. The choice of a thermoplastic polymer for the manufacture of removable dentures in the orthopedic treatment of generalized periodontitis complicated by secondary adentia and the use of a bio - soluble adhesive film in the study for the prevention and treatment of local complications from the mucous membrane of the prosthetic bed in patients with diabetes mellitus (type 2) has shown the relevance of use and clinical effectiveness.