CLINICAL AND ANATOMICAL RESTORATION OF THE MASTICATORY GROUP OF TEETH WITH A BURDENED GENERAL STATUS

Abstract

Objective. The chewing group of teeth is intended for equally crusher of food and forming food lump. This group is presented by two kinds of teeth: premolars and molars, and more often affected by caries, because a lot of retention zones are contribute to the active delay of plaque and the appearance of carious cavities. It is happening before 18 years. In the absence of these teeth or badly damaged of the crown part, food is chewed badly and as a result, stomach contain extremely large pieces. But its size is impossible for physiological digestion by the gastrointestinal tract and as a consequence the occurrence of gastrointestinal diseases. According to modern data, to work with lesions of hard tissues of the teeth, namely the chewing group of teeth, it is advisable to use composite light-curing microhybrid materials, which are characterized by particles close to the spherical shape. The aim of this study is determination of the possibility using a budgetary aesthetic composite for restorative restoration of the masticatory group of teeth in patients with a burdened anamnesis. Material and methodology. Was examined 22 people with aesthetic and anatomical disorders of the vestibular and occlusal surface of the hard tissues of the chewing group of teeth (n=154), followed by their recovery. The stability of filling materials was assessed according to Ryge-criteria: color coincidence, discoloration of the marginal segment, marginal adaptation, anatomical shape integrity, restoration surface, secondary caries. Results. Clinical and dental examination showed all the above violations of existing restorations (according to Ryge classification) in patients before restoration manipulations. After 1 week after the restoration, the examination showed that both groups of composites completely restore the anatomical and aesthetic chewing group of teeth and meet all the criteria. After 3 months, the assessmen t of the restoration by the composite of group A and group B did not reveal evidence of secondary caries on the perimeter of the restorations. Clinical and dental examination after 6 months showed minor changes in the restorations of composites of both groups in assessing the stability of color (90.9% and 83.3% in groups A and B) and the stability of surface polishing (89.6% and 81.8%, respectively). Discussion. The main signs of the restoration, which are undergoing changes, are discoloration, as well as the preservation of the smoothness of the surface regardless of the cost and branding of the base material.