ОСОБЕННОСТИ СЪЕМНОГО ЗУБНОГО ПРОТЕЗИРОВАНИЯ У ДЕТЕЙ И ПОДРОСТКОВ С ВРОЖДЕННОЙ АДЕНТИЕЙ И ЭКТОДЕРМАЛЬНОЙ ДИСПЛАЗИЕЙ

Abstract

Subject. Congenital adentia in children and adolescents related ectodermal dysplasia is a rare pathology in dental practice. Scientific articles of this problemare some case reports. The theory and practice of overdenture tooth replacement in children has a number of identifying features on clinical management of patients. There is no information on this problemin the contemporary literature.
 Purpose ― improvement of efficiency of orthopedic treatment of children and adolescents with congenital adentia and ectodermal dysplasia on the basis of development of clinical guidelines on peculiarities of removable dental prosthesis in this category of patients.
 Methodology. The work is based on the 24 of orthopaedic rehabilitation for patients aged 3 to 12, with hypohydrotic ectodermal dysplasia syndrome and congenital adenia. Dental prosthetics were performed using removable structures. In terms of 6 months to 2.5 years, due to the growth of jaws, new prostheses were manufactured. Distant observation periods were up to 18 years.
 Results. The features of removable dental prosthesis in this category of patients, which are important and effective in practical activity, are formulated in the form of successive 18 basic postulates (initial provisions adopted without evidence), which are clinical guidelines for practical application and "Check list for care of removable dental prostheses and their use" for children and their parents.
 Conclusion. The developed clinical guidelines on practical aspects of the features of removable dental prosthesis in children with congenital adenatia and ectodermal dysplasia are an effective tool for increasing the effectiveness of orthopedic treatment of this category of patients. Compliance with these guidelines allows improving adaptation of children to removable orthopedic structures, reducing the number of complications, providing optimal conditions for growth and development of toothless areas of jaws, facial skeleton, in accordance with age-related physiological standard.