Features of prosthetic treatment for certain anomalies and deformities of teeth and dentition

Abstract

Currently, anomalies and deformities of the maxillary system are eliminated by orthodontic, prosthetic or combined treatment. From a clinical point of view, the prosthetic method should be considered more rational. However, in adults, not all types of anomalies and deformities are amenable to such treatment.
 The aim of this work was to study the effectiveness of orthopedic treatment using zirconium crowns in adult patients with anomalies and deformities of teeth.
 Material and methods. 111 patients aged 18 to 60 years (67 women and 44 men) with various types of anomalies and deformations of the anterior teeth were treated. 298 zirconium crowns were made for these patients.
 Immediate and long-term results of prosthetics were studied in 106 patients out of 111 in terms of two months to three years. The patients did not make any complaints. During the control examination of the oral cavity, it was found that all zirconium crowns meet aesthetic and functional requirements, their original color and shape were preserved. There was no abrasion of the crowns. They maintained a normal position in the dentition. The mucous membrane of the oral cavity in most patients was without visible pathological changes. During X-ray control in 105 patients 1 and 2 years after the fixation of the crowns, no pathological changes were observed in periodontal tissues.
 Conclusions. The results of the study confirmed the effectiveness of prosthetic treatment of adult patients with anomalies and deformities of teeth. It is shown that zirconium crowns, when properly manufactured and used, best meet aesthetic and functional requirements. Positive results of treatment allow us to recommend orthopedic treatment with the use of zirconium crowns in a wide dental practice.