Analysis of the negative outcomes of the results of prosthetics with bridge-like orthopedic structures in the lateral sections of the dentition

Abstract

Introduction. In the last decade, there has been an increase in publications in the field of odontopreparation using robotic technologies in the literature. The study of patent and literary publications on this subject led to the conclusion that at present the key direction of dentistry is the improvement of various means, methods for diagnosing pathological conditions of the oral cavity through the use of robotic systems. Purpose – to study the long-term results of treatment with fixed bridge structures in the lateral sections of the dentition.Materials and methods. We selected outpatient records of 54 patients who applied to the Samara Regional Dental Polyclinic in the period from 2015 to 2022 with a diagnosis of partial absence of teeth in the posterior region, who underwent orthopedic treatment using bridges. Subsequently, all these patients made a number of complaints about chronic inflammation of the mucous membrane from injuries caused by orthopedic structures, impaired self-cleaning from food residues, impaired fixation of the orthopedic structure, and in some cases, a fracture of the supporting part of the prosthesis or tooth stump.Conclusions. Undoubtedly, for high-quality dental treatment, it is necessary to ensure high-quality visualization of the x-ray picture of the bone tissue in the area of the supporting teeth, as well as take into account excessive chewing loads that may occur during the operation of the bridge. A competent choice of an orthopedic design, as well as compliance with these conditions, makes it possible to ensure the long-term use of orthopedic prostheses with a high degree of probability.