Improving comprehensive dental care for people with the syndrome of increased immune deficiency
DOI:
https://doi.org/10.57231/j.idmfs.2024.3.3.008Keywords:
periodontal tissue inflammation, dentistry, bite, artificial dentures, oral mucosa, saliva composition, gnathodynamometryAbstract
Background. The number of patients with acquired immunodeficiency syndrome (AIDS) is increasing sharply, over the past 5 years in Uzbekistan a total of 48,658 patients have been registered, most of them aged 29-50 years, and it is during this period that patients seek dental care. The relevance of the problem of providing medical care, in particular specialized dental care, to patients with AIDS is substantiated, and an increase in its effectiveness is proposed through the use of modern artificial removable dentures (MARD), improving the functional state of periodontal tissues, which improves the resistance of teeth to chewing pressure.
The purpose of the study is to increase the effectiveness of orthopedic dental care for patients with AIDS.
Methods and materials of the study. In 2022-2024, 384 AIDS patients aged 18-56 years (the main group - M/G) and 258 somatically healthy people who sought an appointment with a dentist were selected as a control group (C/G). Clinical, dental, laboratory, functional and histomorphological studies of the organs and tissues of the oral cavity (OC) were conducted, and the effectiveness of using the oral cavity implants from “Vertex Thermosens”, “Ftorax” and the adhesive “Gluma Comfort Bond” was assessed.
Results. AIDS patients are characterized by pathological changes in the tissues and organs of the oral cavity (OC), unusual clinical features, frequency of occurrence and specificity of the course, high frequency of dental caries, negative changes in the indicators of resistance of periodontal tissues to chewing pressure, negative changes in the local immune system. The fact that the currently used oral cavity implants do not meet modern medical standards for this category of patients is substantiated.
Conclusions. Taking into account the characteristics of the tissues and organs of the oral cavity of AIDS patients, the effectiveness of restoring dentition by impregnating the oral cavity implants from “Vertex Thermosens”, “Ftorax” and the adhesive “Gluma Comfort Bond” has been proven.
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