DOI: https://doi.org/10.22263/2312-4156.2019.3.99
Novak N.V.1, Baitus N.A.2
Assessment of the efficiency of the introduction of methods of devitalized teeth aesthetic treatment
1Belarusian Medical Academy of Post-Graduate Education, Minsk, Republic of Belarus
2Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2019;18(3):99-105.
Abstract.
Improving the quality of dental restorations is the most significant direction of development in conservative dentistry.
Objectives. To evaluate the effectiveness of the clinical implementation of the developed methods of aesthetic treatment of devitalized teeth.
Material and methods. Comparative clinical studies of the quality and color conformity of 520 restorations of devitalized teeth performed in 500 male and female patients over the period 2014-2019 were conducted. Within the framework of a clinical study, the effectiveness of teeth whitening after endodontic treatment was further evaluated, 194 teeth were examined in 190 patients.
Results. Clinical evaluation of aesthetic structures showed that the proportion of restorations performed using the new methods of aesthetic restoration of devitalized teeth developed by us was estimated in 84.8% of cases as an excellent result of treatment, in 15.2% as good. The evaluation of constructions performed prior to the introduction of the developed methods over the period 2014-2016 showed that 47.69% of them were noted as excellent, 22.31% – as good; 10.77% of works were assessed as satisfactory, but requiring correction, and 19.23% as unsatisfactory, requiring replacement (p<0.01). In the course of research, on evaluating the effectiveness of devitalized teeth whitening, 3 groups were identified. In the 1st group after whitening, there was a complete restoration of the color and fluorescent properties of the devitalized teeth in 37.11% of cases. In the 2nd group after whitening, the color and fluorescence of the devitalized teeth recovered partially, this happened in 35.05%. In the 3rd group of teeth the color and fluorescent properties of the devitalized teeth after whitening did not recover in 27.84% of cases.
Conclusions. The effectiveness of the clinical implementation of the proposed methods of aesthetic restoration of devitalized teeth with defects in the hard tissues made up 19.23%, which enabled the reduction in the number of unsatisfactory fillings, the improvement in the quality of aesthetic structures production, maximally approximating them to the natural teeth.
Key words: restoration, aesthetic quality index, whitening, devitalized tooth.
References
1. Lutskaya IK, Novak NV. Color correction of depulped teeth. Sovremen Stomatologiia. 2013;(1):32-6. (In Russ.)
2. Lutskaya IK, Novak NV. The importance of the planning stage in aesthetic tooth restoration. Sovremen Stomatologiia. 2015;(1):65-8. (In Russ.)
3. Atrushkevich VG, Vasyukova OM, Zyuzina TV, Dadaeva AR, Tsymbal TN. Clinical aspects of the treatment of tooth colour changes after depulpiration. Endodontiia Today. 2009;(3):36-8. (In Russ.)
4. Novak NV. Aesthetic dentistry: restoration of teeth with carious and non-carious hard tissue defects. Minsk, RB: BelMAPO; 2011. 255 р. (In Russ.)
5. Novak NV, Baytus NA. Development of additional shades to the VITA scale to determine the color of the depulped teeth. Stomatolog. 2017;(4):68-73. (In Russ.)
6. Novak NV, Baytus NA. Characteristics of fluorescent properties of depulped teeth before and after bleaching. Stomatolog. 2016;(3):58-62. (In Russ.)
7. Radlinskiy S. Fluorescence property of a restored tooth. Maestro Stomatologii. 2008;(3):45-9. (In Russ.)
8. Beloivanenko IO. Clinical case of direct photocomposite restoration of the central upper incisors. Sovremen Stomatologiia. 2017;(1):32-3. (In Russ.)
9. Klimko KA, Naumovich SA. Possibilities of using composite materials for extensive restorations as an alternative to orthopaedic structures, consequences for occlusion and temporomandibular joint. Sovremen Stomatologiia. 2017;(1):12-6. (In Russ.)
10. Chernyavskiy YuP, Kavetskiy VP. Modern approaches to the elimination of small defects of the dental row. Vestn VGMU. 2011;10(1):145-8. (In Russ.)
11. Chernyavskiy YuP, Kavetskiy VP. Clinical efficiency of innovative adhesive structures. Stomatologiia Estetika Innovatsii. 2017;1(1):17-21. (In Russ.)
12. Sharapkova AM, Chernyavskiy YuP. Fixing dental hard tissue defects with composite materials. Stomatologiia Estetika Innovatsii. 2018;2(2):243-50. (In Russ.)
13. Lutskaya IK, Novak NV, Baytus NA, Gorbachev VV. Methods of aesthetic treatment of depulped teeth: instruktsiia po primeneniiu № 127-1216: utv 17.02.2017 g. Minsk, RB; 2016. 14 р.
14. Lutskaya IK, Novak NV, Zapashnik TA, Kavetskiy VP. Criteria for evaluating aesthetic restorations: instruktsiia po primeneniiu № 078-0906: utv 26.06.2007 g. V: Sovremennye metody diagnostiki, lecheniia i profilaktiki zabolevanii: sb instruktiv-metod dok. Minsk, RB: RNMB; 2007. Vyp 8, t 5. Р. 75-9. (In Russ.)
Information about authors:
Novak N.V. – Doctor of Medical Sciences, associate professor of the Chair of Restorative Dentistry, Belarusian Medical Academy of Post-Graduate Education;
Baitus N.A. – lecturer of the Chair of Restorative Dentistry with the course of the Faculty for Advanced Training & Retraining, Vitebsk State Order of Peoples’ Friendship Medical University,
ORCID: https://orcid.org/0000-0003-3728-5815
Correspondence address: Republic of Belarus, 210029, Vitebsk, 66-1 Pravdy str., 143. E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Nina A. Baitus.
