Деякі аспекти протезування хворого після повної резекції верхньої щелепи, обумовлені клінічним станом протезного ложа

Abstract

Основним методом лікування хворих з повною резекцією верхньої щелепи є виготовлення резекційну протеза. Однак, його конструктивні особливості залежать від меж резекції та клінічної ситуації в кожному конкретному випадку. Метою нашої роботи було виготовлення резекційного протезу верхньої щелепи, який має хорошу фіксацію і стабілізацію виключно за рахунок анатомічної ретенціїї, об’ємного моделювання та функціонального присмоктування під частиною базису протеза, в той же час, не травмує слизову оболонку протезного ложа. Для досягнення поставленої мети був розроблений та здійснений алгоритм клінічних і лабораторних етапів виготовлення резекційних протезів; Основным методом лечения больных с полной резекцией верхней челюсти является изготовление резекционного протеза. Однако, его конструктивные особенности зависят от границ резекции и клинической ситуации в каждом конкретном случае. Целью нашей работы было изготовление резекционного протеза верхней челюсти, который имеет хорошую фиксацию и стабилизацию исключительно за счет анатомической ретенциии, объемного моделирования и функционального присасывания под частью базиса протеза, и в то же время не травмирует слизистую оболочку протезного ложа. Для достижения поставленной цели был разработан и осуществлен алгоритм клинических и лабораторных этапов изготовления резекционных протезов; Morphological violations arising from complete resection of the upper jaw, are not only functional changes directly in the dentition, but further accompanied by changes in other systems of the body. The таюd of treatment of patients with complete resection of the upper jaw is making resection prosthesis, particularly Oksman, bay Vares and Knotko. However, its design features depend on the limits of resection and the clinical tion in each case. The aim of our work was to manufacture the prosthesis resection of the upper jaw, which has a good hold and ' dize only by anatomical retention, spatial modeling and functional suction during part of the denture base atthe 2 time, does not injure the mucous membrane of the prosthetic bed. To achieve this goal has been designed and implemented an algorithm clinical and laboratory stages of jwfacturing resection prostheses. Complete anatomical prints alginate material and casting models. Rt a tough individual spoons on the upper jaw and receiving functional differentiation print. Determination of the central value of the jaws using wax patterns. The feature of this phase was the implementation redistribution interalveolar height in the side sections between resection of the upper jaw denture and partial vable denture mandible resection in favor of the upper denture with further consideration of it while setting ial teeth. Check the design of prostheses was performed by standard rules. Correction and overlay partial dentures plate of clasp fixation on the lower jaw. Ob ‘capacious simulation finished prosthesis resection of the upper jaw by clarifying prosthetic bed relief and boundaries using silicone correcting weight using your own chewing pressure patient. Design feature of the ^thesis was used as an additional point of fixation relief palate defect. Further replacement silicone plastic mass in the hot polymerization. This tactic orthopedic treatment due to the creation of stronger locking valve between the outer limit of the thesis and the limit in the area of the defect palate and dense adhesion to the mucosa of the denture base use of its flexibility. Inorderto reduce the weight of the prosthesis made it hollow. Oral palatine plate made separately and connected •к main baseline plate by melting plastic polymerization hot, not cold, as was done previously. This provides a seal and prevents leakage of fluid in the orai cavity of the hollow. Asa result prosthesis made hermetic separation of the nasal and oral cavities, restored chewing function, speech aesthetic appearance. Resection prosthesis has good fixation and stabilization, does not injure the mucosa, ig adaptation to dentures patient complaints did not show and did not take uniform correction. Observation ong-term results of prosthetic is 10 months. During this period, the patient did not have any AP decubital ulcer ether traumatic damage to the mucosa, and the fixation and stabilization of the upper jaw resection prosthesis . ains high. Conclusion. To achieve good fixation and stabilization of the prosthesis after complete resection of the upper Ї not applied magnetics latches or reliance on the internal bone implants should be given particular importance the following aspects: obtaining highly differentiated functional impression with regard to the difference of mag- te of compliance in the areas of prosthetic bed; implement the redistribution between alveolar height in the side s for the benefit of resection prosthesis with further consideration of it during the setting of artificial teeth; solid eling the finished prosthesis resection and involvement in fixing the defect relief palate, including postoperative vs and coarse strands; Plug oral palatal plate with the main baseline plate by melting plastic polymerization hot, cold, as was done previously.