Long-term results of aesthetic and functional restoration of frontal teeth in young people with preserved systemic and dental health

Abstract

AIM. To analyze the stability of the results of aesthetic and functional restoration of frontal teeth in young people with preserved systemic and dental health based on expert assessments and subjective conclusions of the patient.MATERIALS AND METHODS. The quality preservation of 63 composite restorations of frontal teeth performed a year ago in 54 patients aged 19–27 years with preserved systemic and dental health was analyzed by experts using the Ryge international assessment system. The calculation of integral and scale indicators of the dental index “Oral Health Impact Profile” OHIP-14-aesthetic-RU supplemented the selfassessment of the quality of previously performed dental restoration treatment in the smile area.RESULTS. In 12 months after the restoration treatment most composite restorations corresponded to high aesthetic and functional characteristics in terms of the quality of preservation of the restored anatomical shape (respectively 70.0–61.5%), texture and color of the surface (66.7–65.4%) and edge fit (66.7–65.4%). The largest number of unacceptable assessments of the quality of restoration of III-IV classes were obtained according to the criteria of “Edge fit” (6.7% and 15.4%, respectively) and “Surface quality” (6.7%). The absolute majority (96.4%) of patients are satisfied with the quality of previously performed restoration and their preservation, which was confirmed by both professional opinions of dental experts and indicators of the aesthetically oriented dental quality of life index OHIP-14-aesthetic RU (the integral indicator was 5.92 ± 1.31 points), comparable with the index values in healthy young people with an intact dentition.CONCLUSIONS. The use of modern light-curing composite materials for the treatment of carious defects of anterior teeth makes it possible to achieve high aesthetic and functional results of restoration according to its comprehensive (objective / subjective) assessment in the long-term follow-up.