The incidence of complications in patients after orthopedic treatment with removable dentures

Abstract

During the adaptation period of removable dentures, various complications can arise, the study of which is useful to ensure a good clinical result. Objectives — to assess the frequency and type of prosthetic complications depending on the type and properties of removable dentures in patients with partial and complete adentia. Materials and methods. The study included 74 patients (28 men and 46 women) with partial and complete adentia, the average age was 60.9±3.42 years. The patients were divided into 2 groups: Group I — 36 patients who received removable acrylic dentures with silver nanoparticles; Group II — 38 patients with traditional removable plate acrylic dentures. Used acrylic plastic Ftorax. The state of the oral mucosa was assessed according to Supple, the edentulous upper jaw — according to Schroeder, and the toothless lower jaw — according to Keller. 0.01—0.03 wt% nanocrystalline silver was introduced into the acrylic polymer. Statistica software was used for statistical analysis. Results. The most common complications in the present study were loss of retention of the prosthesis (24.3%), pain (18.9%), irritation or ulceration of the oral mucosa (17.6%). Poor prosthesis stabilization was noted in group I in 22.2%, in group II — in 26.3% of patients. The frequency of prosthetic stomatitis and traumatic periodontitis in group II was 4.7 times higher than in group I (p<0.001) and 1.4 times (p<0.05), respectively. In most cases, there were no significant differences between the incidence of complications and types of prostheses. Conclusion. Based on the results of this study, it can be concluded that loss of retention of the prosthesis is the most common complication associated with subsequent ulceration. There was little difference between the types of prostheses and complications. Comparatively fewer complications are observed when silver nanoparticles are included in removable acrylic dentures.