Subject. Removable dentures have a negative impact on supporting tissues, biochemical parameters and composition of the microflora of the oral cavity, secretory activity of the salivary glands and other processes of the maxillofacial region and the body as a whole. One of the methods that can be used in the treatment and prevention of prosthetic stomatitis is balneotherapy. In the article, using the clinical, biochemical, microbiological and histological methods, the effectiveness of the use of mineral water "Fateevskaya" in patients using removable orthopedic structures was studied. Objectives of the study was to evaluate the effectiveness of procedures for small balneotherapy with the use of mineral water "Fateevskaya" in patients with removable dentures. Methods.We examined 158 elderly and senile age patients with removable dentures. Correction of removable dentures was carried out to all patients at the initial stage. All examined patients are divided into two groups. The group received the treatment with the low balneotherapy with “Fateevskaya” mineral water (78 patients, and the clinical control group (80 patients). The clinical condition of oral cavity was assessed before and after the course of low balneotherapy. Were researched: changes of mucous membrane of prosthetic bed, salivation rates, disturbance of salivary secretion, oral microbiocenosis. Results.Of the research showed that in both groups were increase of pH value, appears lower values of total protein and glucose, decrease in activity of some enzymes. This explanation is due to a decrease in the stress response to using the removable dentures, normalization of salivary glands functioning, decrease in the intensity of the phlogiston process. The results of a histological research also confirm this. The results of microbiological crops before and after the low balneotherapy indicate the oral biocenosis normalization. The positive changes in the researched parameters had significantly larger statistically valid values in the group received the treatment with the low balneotherapy with “Fateevskaya” mineral water. The results of the complex research allow us to recommend the “Fateevskaya” mineral water to low balneotherapy in dental practice.
Subject. Removable orthopedic dentures able to have a negative effect on oral cavity homeostasis. Removable partial dentures bases directly situated on soft tissues which cover toothless alveolar part and partly hard palate. Dentures bases has a direct action on mucosa, causing abnormal changes from exudation to chronic inflammation. The work reviewed morphology structure changes of the prosthesis bed mucosa under mechanical action of removable orthopedic dentures construction. Further benchmark analysis of mucosa structure feature after low balneotheraphy with "Fateevskaya" mineral water. (well number 6, Fateevskoye village, Kirovo-Chepetsky District, Kirov region). Objective ― make benchmarking study of oral mucosa structure features when exposed to balneology factors. Methods. For this purpose, bioptates from 45 patients of prosthetic dentistry clinic have been investigated. 40 patients using removable dentures no more than 4 years was devided 2 groups of 20 people. One of them is group recived the threatment with low balneotheraphy. 5 patients not used removable dentures. As a result 25 patients out of the total included in the clinical control group without balneology procedures. The medicines were subject to histological inspection. Results. Data evaluation: The findings of morphometric parameters testified about prosthetic bed mucosa changes, wich characteristic for chronic inflammatory gingival enlargement. Noted, using of mineral water improves histogenesis of oral mucosa and increases epithelization rate. Conclusions. Thu, positive effects of balneology factors in violation of the morphological structure of the mucosa were established. Based on the results obtained the patent for an invention RU 2015 114 198 A «Treatment modality of oral mucosa traumatic lesions».
Subject: In view of decreased protective and adaptive functions of the body in elderly patient using of removable dentures are accompany by a number of negative moments. Balneotherapy is the effective method of physiotherapy for prevention and treatment of many dental diseases, including in gerontostomatology. The article devoted to the study of oral cavity microbial flora changing after low balneotherapy with “Fateevskaya” mineral water in elderly patients with removable dentures. The importance of preventive control in after-adaptation period in orthopedic rehabilitation by removable dentures. Object: To trach quality of life changes in patients with removable dentures which use low balneotherapy with the “Fateevskaya” mineral water. Methodology. 158 elderly and senile age patients witch use removable dentures more than 3 years was examined. All examined patients was divide into two groups. The group received the treatment with the “Fateevskaya” mineral water (78 patients), and the clinical control group (80 patients). The quality of life level was conducted with The Oral Health Impact Profile-14 questionnaire (OHIP-14). Subjective qualities were analyzed and compared with the results of clinical and laboratory indicators and biochemical parameters of saliva. Results. Positive influence of low balneotherapy in short-term and long-term results of treatment was established. This are confirmed by higher growth rate of clinical and laboratory indicators and biochemical parameters Effect was confirm by acquired digital data. Objectivity of the evaluation of dental status verified by means of OHIP-14 questionnaire. Findings. The results of the complex research allow us to recommend the “Fateevskaya” mineral water for wide application in dental practice with the quality of life improving in patients with removable dentures.
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