The feasibility of using computer-based models for reducing the risks of complications associated with temporary dentures

L.B Shubin,V.A Bagryantsev,N.V Bagryantseva,O.V Bagryantseva,S.I Gazhva,A.A Baranov

doi:10.24075/brsmu.2019.050

Abstract

Contemporary prosthetic dentistry has a vast arsenal of solutions for completely edentulous patients. However, it is crucial to consider a variety of factors that can cause complications in patients wearing temporary dentures in the osseointegration period. The aim of this study was to retrospectively analyze the medical records of completely edentulous patients wearing temporary removable or fixed dentures in the osseointegration period, to identify the risk factors for complications and to calculate the odds of adverse events. We performed a multivariate analysis and developed a computerized algorithm that could be used to facilitate selection of the proper denture type and material. The algorithm demonstrates high sensitivity and specificity: 94.37 (76.2 : 98.7) and 92.56 (79.8 : 97.6), respectively; the AUC value is 0.921 (0.843 : 0.963). We are planning to develop a software based on the proposed algorithm that would help the dentist to make a more objective decision when selecting the type of temporary denture and its material.

Highlights

Contemporary prosthetic dentistry has a vast arsenal of solutions for completely edentulous patients
The initial analysis revealed that in the osseointegration period, the patients developed a variety of complications associated with temporary dentures
The density of cortical and cancellous bone was the leading risk factor for complications associated with temporary dental prostheses, because the success of denture placement is largely determined by bone density

Summary

Introduction

Contemporary prosthetic dentistry has a vast arsenal of solutions for completely edentulous patients. The aim of this study was to retrospectively analyze the medical records of completely edentulous patients wearing temporary removable or fixed dentures in the osseointegration period, to identify the risk factors for complications and to calculate the odds of adverse events. Планируется создать компьютерную программу для повышения степени объективности при выборе способа временного протезирования и материала протеза. В. Багрянцева — разработка дизайна исследования, получение данных, анализ и интерпретация данных, редактирование рукописи; С. The analysis of the literature reveals the need for an adequate algorithm that would facilitate the right choice of a provisional denture and stresses the importance of a mathematically accurate approach to the rehabilitation of edentulous patients [2] that will minimize the risks of poor outcomes or complications and improve the quality of life for such parents

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