Фактори дезадаптації до знімних зубних протезів, профілактика, лікування

Abstract

Статья посвящена изучению возможности контроля интенсивности болевого синдрома с применением немедикаментозного метода лечения у больных при пользовании съемными пластиночными протезами.

Стаття присвячена вивченню можливості контролю інтенсивності больового синдрому із застосуванням немедикаментозного методу лікування у хворих при користуванні знімними пластинковими протезами.

Dentures and materials from which they are made, may affect the oral mucosa, a condition which is normally balanced. This is reflected in the emergence of such phenomena as mechanical injury (which is usually accompanied by inflammatory reactions of the mucosa), allergic reactions, increased atrophic processes. At the same attention dentists, podiatrists increasingly focused on treating complications that occur after the start of the use of a removable prosthesis; at the same time as their prevention is equally important task since the start of rehabilitation measures. In orthopedic treatment dental pain can be accompanied by sensitivity disorders and various paresthesias (burning, itching, crawling sensation, numbness, tingling, tingling). Current data on the physiology, pathophysiology, etiology, pathogenesis and pain clinic indicate that many chronic pain syndromes are systemic diseases that are based on pathology of pain sensitivity (pain control system). Imbalance between nociceptive and antinociceptive components of the system pain control manifests a rich variety of clinical syndromes and entities that so examination and treatment requires a multidisciplinary approach and is being actively developed in recent years. Modern medicine has a significant, rapidly replenished arsenal of painkillers and methods, most of which are aimed at the suppression of the nociceptive system. But at the same time blocking suppression of nociception and antinociceptive natural activates the system. So far the appointment of drugs and even those that effectively relieve pain pathogenesis can be considered reasonable for treatment of pathological pain. Analgesic effect of acupuncture and its derived methods of modern reflexology are based on the activation of natural antinociceptive and stress limiting mechanisms and the use of non-drug methods in combination with properly selected pharmacological drugs give the most promising strategy for treatment, especially for patients with pathological pain. Based on the foregoing, the aim of our study was to improve ways to prevent pain when using dentures. The problem is solved by changing the circuit of preprosthesis preparation and by applicating method to prevent complications, thus prevention of pain and increased pain threshold of mucosal prosthetic field were achieved. For preprosthesis training esthesiometric diagnosis of tissue was conducted on dentition apparatus "Esteziometr."