Objective: to investigate the influence of the aesthetic component of dental health on the anxiety level and quality of life of socially active elderly patients. Patients and methods. A total of 32 patients aged 60 to 67 years who had a poor aesthetic appearance of the hard tissues of the front teeth were followed up. All the patients underwent determination of anxiety levels by the Spielberger–Hanin procedure and assessment of quality of life using an abbreviated 26-item version of the World Health Organization Quality of Life (WHOQOL-BREF-26) questionnaire; the updated Oral Health Impact Profile (OHIP-14) was also used. Aesthetic rehabilitation of vital front teeth was carried out using photo composite materials made in Russian and foreign countries. Results. Before treatment, the state anxiety scores were 54±1.4 scores; the trait anxiety ones were 41±1.2 scores; at 1 week after treatment, these were 42±0.5 and 39±0.6, respectively (p ≤ 0.05 for both indicators), and at 6 months, these were 44±0.5 and 43±0.7, respectively. Conclusion. The aesthetic component of dental health in socially active elderly patients is directly proportional to quality of life and inversely proportional to the level of trait or state anxiety. Russian and foreign photo composite restorative materials showed equal sustained performance.
Objective. The chewing group of teeth is intended for equally crusher of food and forming food lump. This group is presented by two kinds of teeth: premolars and molars, and more often affected by caries, because a lot of retention zones are contribute to the active delay of plaque and the appearance of carious cavities. It is happening before 18 years. In the absence of these teeth or badly damaged of the crown part, food is chewed badly and as a result, stomach contain extremely large pieces. But its size is impossible for physiological digestion by the gastrointestinal tract and as a consequence the occurrence of gastrointestinal diseases. According to modern data, to work with lesions of hard tissues of the teeth, namely the chewing group of teeth, it is advisable to use composite light-curing microhybrid materials, which are characterized by particles close to the spherical shape. The aim of this study is determination of the possibility using a budgetary aesthetic composite for restorative restoration of the masticatory group of teeth in patients with a burdened anamnesis. Material and methodology. Was examined 22 people with aesthetic and anatomical disorders of the vestibular and occlusal surface of the hard tissues of the chewing group of teeth (n=154), followed by their recovery. The stability of filling materials was assessed according to Ryge-criteria: color coincidence, discoloration of the marginal segment, marginal adaptation, anatomical shape integrity, restoration surface, secondary caries. Results. Clinical and dental examination showed all the above violations of existing restorations (according to Ryge classification) in patients before restoration manipulations. After 1 week after the restoration, the examination showed that both groups of composites completely restore the anatomical and aesthetic chewing group of teeth and meet all the criteria. After 3 months, the assessmen t of the restoration by the composite of group A and group B did not reveal evidence of secondary caries on the perimeter of the restorations. Clinical and dental examination after 6 months showed minor changes in the restorations of composites of both groups in assessing the stability of color (90.9% and 83.3% in groups A and B) and the stability of surface polishing (89.6% and 81.8%, respectively). Discussion. The main signs of the restoration, which are undergoing changes, are discoloration, as well as the preservation of the smoothness of the surface regardless of the cost and branding of the base material.
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