EVALUATION OF THE CLINICAL CONDITION OF THE ORAL CAVITY BEFORE ADHESIVE SPLINTING OF MOVABLE TEETH

The purpose of the study is to analyze the condition of the oral cavity tissues to choose the method of adhesive splinting of the anterior teeth. Increasing the efficiency of patient curation strategies and tactics based on forecasting the functional capabilities of the dental and periodontal complex. In the period from 2017 and 2021, 81 male and female patients aged 35 to 45 years were examined and treated for preventive examination and rehabilitation at the University Clinic Educational and Medical Center of Bukovinian State Medical University and diagnosed with periodontitis of varying severity. The following criteria were taken into account when forming patient groups: type of bite, absence of foci of chronic infection in the body, absence of multiple lesions of hard dental tissues, depth of periodontal pocket. During the examination, attention was paid to the shape of the dental arch, the inclination of the crowns of the teeth in the anterior region, the location of individual teeth, occlusion, the state of the oral vestibule (places of attachment of the transitional fold, depth, presence of gingival recession). Among the pathological conditions that interfere with splinting, the following were identified: traumatic occlusion (95.7%), anomalies in the location of individual teeth, fan-shaped tooth separation, crowded teeth (73.5%), pathology of the oral vestibule (46.7%), and the third degree of tooth mobility. These pathological conditions required preliminary orthodontic preparation or surgical treatment. The predominant complaints in periodontal tissue diseases were gum bleeding when brushing teeth (82.7%), tooth mobility of varying degrees (80.2%), bad breath (40.7%), and tooth bleeding when eating (30.8%). Oral hygiene was not maintained by 45.6% of the surveyed. The pathology of the attachment of the transitional fold of the oral cavity was detected in 46.7% of patients, that is, almost half of the examined. Abnormalities of the position of individual teeth were found in 73.5% of the examined. Traumatic occlusion was detected in 95.7% of the subjects.