Abstract
Introduction. Patients with a deep bite and dental restorations are at increased risk of unfixing of fixed appliances and other complications due to occlusal defects. The problem of the volume of dental interventions and rational choice of the type, as well as the elimination of complications after their implementation, is relevant and unsolved, especially in patients with disorders of the dental and jaw apparatus, combined with the dentoalveolar form of a deep bite. The aim of the research was to improve the quality of orthodontic treatment of patients with a deep bite, existing reconstructive restorations and occlusal disorders by developing a scientifically based clinical algorithm for fixation of fixed orthodontic equipment. Materials and methods. The main group – 29 patients who were treated according to the scheme of fixation of non-removable equipment developed by us and the use of myorelaxation methods, and the research group – 22 people who were treated with generally accepted method. Methods: questionnaires, clinical and radiological, instrumental and statistical. The results of our experimental study of patients illustrated that the scheme of the proposed algorithm for fixing fixed appliances in the future will have the opportunity to increase the efficiency of providing dental care and will be implemented in the treatment process in patients with a deep bite, because they are in the group of increased risk of unpredicted debonding of fixed orthodontic appliances. Conclusions. The results of our experimental study of patients illustrated that the scheme of the proposed algorithm for fixing fixed appliances in the future will have the opportunity to increase the efficiency of dental care and will be implemented in the treatment process in patients with a deep bite, because they are in the group of increased risk of unpredicted debonding of fixed orthodontic appliances.
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