QUALITY OF ORTHOPEDIC REHABILITATION OF PATIENTS WITH POST-TRAUMATIC DEFECTS OF THE UPPER JAW BY CHARACTERISTICS OF BIOCENOSIS OF THE ORAL CAVITY.

OBJECTIVE: The aim of the research was to study the dynamics of the microbiota's features of oral mucosal membrane during orthopedic rehabilitation of patients with removable dentures which has an obturating part with two-layer bases. PATIENTS AND METHODS: Materials and methods: To achieve this goal, our bacteriological examination of oral cavity mucosa was performed for 25 patients with partial adentia of the upper jaw and defect of hard palate and alveolar process. RESULTS: Results and conclusions: Of the conducted studies indicate significant shifts in the qualitative and quantitative composition of microbiocenosis in the oral cavity in patients with partial adenia of the upper jaw and a defect of hard palate and alveolar process due to representatives of moraksel, enterobacteria (representatives of the kinds Klebsiella and E. coli). The сomparing of frequency of extraction and the density of microbial colonization showed us the persistence in biotope of representatives near 13 kinds of bacteria and yeast-like fungi of the kind Candida in averages from lg (2,5 ± 0,19) to lg (5,4 ± 0,17) CFU/g. For patients who have been made a two-layered basis, materials of which are based on carboxymethylcellulose and polyvinialacetate in the period of adaptation to removable dentures, showed us that the detection of 5 component associations at 30 days was reduced by 2 times (χ2 = 5,991; ν = 2; p <0,05) . The frequency of removal and density of microbial colonization of the experimental group did not differ statistically. Among patients in the control group, the microbial colonization density increased for Enterococcus spp, for Klebsiella spp and for Candida spp. Yeast-like fungi. A significant decrease in the microbial density of the resident microflora was 1.4 times for Neisseria spp, 1.6 timesfor Lactobacillus spp (p <0,05).

WEAR RESISTANCE OF DENTAL MATERIALS WHICH ARE USED FOR ANTERIOR TEETH RESTORATIONS.

OBJECTIVE: The aim of this study was to compare the wear resistance of such restorative materials as composite resin, feldspathic ceramic, leucite glass ceramic with intact enamel and to draw an analogy with some similar researches. PATIENTS AND METHODS: Materials and methods: In this research 20 extracted human teeth (maxillary incisors) without fillings and carious cavities were used as samples. All samples were disinfected and stored in saline in order to prevent dehydration. Teeth roots were cut off for the measure of fixation on an organic glass plate using chemically polymerizable resin. If necessary, the teeth were also cut on their lateral sides in order to give them equal size. The samples were placed in a frame-holder, located on the lever of the machine MI-2, which determines abrasion resistance under slipping. RESULTS: Results: The research has revealed that the average wear resistance of natural teeth was 122,67±4.9 J/mm3 (Tab 1). The archived result overcomes dental composite resin twice more (62.8±1.21 J/mm3), feldspathic ceramic 6.5 times more (16.32±1.2 J/mm3) and leucite ceramic over the half (73.79±3.12 J/mm3). CONCLUSION: Conclusion: Thus, according to this performed research and the analysis of the relative literature sources it can be stated that dental composite resin and leucite ceramics may be proposed as the materials of choice for anterior restoration of teeth. They have shown the good wear resistance and tolerance to antagonizing natural teeth.