FEATURES OF REPEATED ORTHOPEDIC TREATMENT FOR ELDERLY PEOPLE WITH FULL REMOVABLE DENTURES
The approach of the orthopedic surgeon in repeated prosthesis for elderly and senile patients using removable dentures differs from that for first-time patients regarding prosthesis fixation, restoration of the patient’s appearance, clarity of speech with phonetic correction if needed. So, an orthopedic surgeon can offer the patient several options for prosthesis. Therefore, when constructing a new prosthesis, the orthopedist usually carefully examines the old prosthesis and makes an assessment considering the altered oral cavity conditions (atrophy of the alveolar processes, alteration of the shape and width of the alveolar arches, flattening of the palate, change in the position of the transitory fold, etc.). All patients visiting the clinic for repeated prosthesis in the toothless jaws were prosthetized using functional impressions. Establishment of a normal occlusal vertical dimension during repeated prosthesis is mandatory for rational prosthetics, with restoration being carried out in single stage. Patients after prosthetics were followed up for 1 month to 3 years. Thus, an indication for repeated prosthesis is patient’s difficulty using the denture due to bad fixation, unsatisfactory quality of the denture itself, distorted aesthetics. The restoration of speech and chewing function, getting used to a denture with a new vertical dimension are extremely important, pain in the joints, discomfort in the muscles disappear or have a slight degree.