Evaluation of the esthetic results of dental restoration using the interdisciplinary approach to orthopedic rehabilitation of patients with aedentia

Abstract

Objective. To study the dynamics of esthetic indicators during orthopedic dental treatment of patients requiring full-mouth rehabilitation.
 Materials and methods. Within the study, an examination and treatment of 647 patients with adentia requiring full-mouth rehabilitation were carried out. Patients were divided into three groups. In the first group (218 people), the treatment with standard orthopedic dentistry techniques was performed. The medical care of the second group (195 people) included only several elements of the multidisciplinary approach, while for the third group (234 people), only the interdisciplinary approach was applied. The monitoring of involved patients was carried out for seven years.
 Results. The application of the developed integrated multidisciplinary approach to orthopedic rehabilitation contributes to the fact that patients with adentia have a more favorable dynamics of esthetic indicators in relation to those who underwent a standard complex of treatment and rehabilitation measures. Thus, a statistically significant decrease was noted in the number of patients with the vertical shift of the smile line; smile asymmetry; gingival displacement; the impaired position of the incisors and fangs; mispronunciation of F and S sounds; inaccurate buccal tube placement; negative changes in the visualization of central incisors under the red border of the lips; differences in the size of the upper and lower central incisors; inadequate proximal contacts; and the inclination of the lower incisors.
 Conclusions. The use of an interdisciplinary approach to the treatment of patients with adentia requiring full-mouth rehabilitation contributes to the constant improvement of aesthetic characteristics of the maxillofacial area.