Ways to improve the efficiency of a removable denture
Abstract
46 person who use removable denture were examined with signs of inflammatory changes in the prosthetic bed, divided into three groups (17 people in the main group, 15 - in the comparison group and 14 - in the control group). We determine the rate of secretion of saliva and salivary pH, and the frequency of occurrence of representatives of normal and pathogenic microbes. Influence of prosthetic and preventive measures on quality of life was measured using a questionnaire Oral Health Impact (OHIP-14). Therapeutic and prophylactic measures include the use of broth “Metragil dent” and medicinal preparation from the leaves of medicinal sage (main group); in the control group only used a decoction of the leaves of the medicinal sage; in the comparison group recommended the traditional antiseptic (0.05% solution of chlorhexidine bigluconate). The study results show that the active wear prosthetic designs in the soft tissues of prosthetic bed observed changes in microbiocenosis, which are characterized by enhanced reproduction of conditionally pathogenic microorganisms. The data show that the most important stabilizing types of microbial flora have the ability to colonize the mucous membrane under the basis of dentures with a basis of acrylic plastic, but it does not prevent the progressive rise of quantitative and qualitative parameters of the colonization of Candida. Analysis of salivary flow and status of acid-base balance, activity of hydrogen ions in the oral fluid of patient revealed a significant decrease in these parameters at the use of acrylic designs before treatment and preventive measures. After application rinse and adhesive anti-inflammatory gel in the main group, compared with the examined patients in the comparison group, at the end of the study less common patient complaints of difficulties in eating, cases with a complete “loss of life”, as well as problems in everyday life. A comparative analysis of the differences in the answers for all groups more pronounced positive dynamics in the value of dental health and quality of life was found among patients who were appointed additional means of maintenance therapy.
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