DOI:

10.37988/1811-153X_2023_2_58

Actual and potential iatrogeny during restoration masticatory teeth occlusion surface

Downloads

Authors

  • N.N. Abolmasov 1, PhD in Medical Sciences, full professor of the Prosthodontics and orthodontics Department
    ORCID ID: 0000-0002-1676-0501
  • K.A. Prygunov 2, PhD in Medical Sciences, associate professor of the Surgery Department
    ORCID ID: 0000-0002-3402-5594
  • I.A. Adaeva 1, PhD in Medical Sciences, associate professor of the Prosthodontics and orthodontics Department
    ORCID ID: 0000-0001-9105-9611
  • O.Yu. Chebotarenko 1, assistant at the Prosthodontics and orthodontics Department
    ORCID ID: 0000-0001-5773-9824
  • N.V. Anisov 1, postgraduate at the Prosthodontics and orthodontics Department
    ORCID ID: 0000-0002-7318-9890
  • I.N. Abolmasov 1, dentist, resident in the Prosthodontics and orthodontics Department
    ORCID ID: 0000-0001-8145-6461
  • T.A. Peters 1, assistant at the Prosthodontics and orthodontics Department
    ORCID ID: 0000-0002-2101-3228
  • 1 Smolensk State Medical University, 214019, Smolensk, Russia
  • 2 Tsiolkovsky Kaluga State University, Kaluga, Russia, 248023

Abstract

The aim of this study is to assess the quality of posterior teeth restorations in to identify the iatrogenic cause of primary traumatic occlusion.
Materials and methods.
306 participants with physiological bite were examined. They were separated into 4 groups according to iatrogenic factors: unacceptable posterior restorations, 3-rd molar affection, combination of these factors.
Results.
Only 45 (14.7%) people did not have symptoms of primary traumatic occlusion, all the other examined (261 people, or 85.3%) had violations of occlusal relief of posterior teeth of various origins. It was found that 76.5% of fillings did not meet clinical requirements, in most cases due to poor representation of occlusal surface, contact point, presence of a marginal gap. It can be explained that many dentists do not pay attention to morphology of occlusal surface and correct relation with antagonists. The most common symptoms of primary traumatic occlusion were: hard tissue abrasion facets, enamel cracks, wedge-shaped defects, changes in the gingival margin and periodontal pockets, supracontacts on the working or balancing sides.
Conclusion.
 Authors considered that iatrogenic unacceptable occlusal relief should be interpreted not only as a mistake, but also as a potential cause of severe dental diseases in long term.

Key words:

iatrogeny, occlusion, occlusial-articulatory relations, primary traumatic occlusion, supracontacts, prophylaxis of dental diseases

For Citation

[1]
Abolmasov N.N., Prygunov K.A., Adaeva I.A., Chebotarenko O.Yu., Anisov N.V., Abolmasov I.N., Peters T.A. Actual and potential iatrogeny during restoration masticatory teeth occlusion surface. Clinical Dentistry (Russia).  2023; 26 (2): 58—65. DOI: 10.37988/1811-153X_2023_2_58

References

  1. Avetisyan A.Ya., Grinin V.M. The impact of a healthy lifestyle on the dental health of patients. Military Medical Journal. 2020; 4: 64—66 (In Russian). eLIBRARY ID: 42615173
  2. Flis P.S., Miao H. The frequency of maxillo-dental anomalies, deformations and defects of dentitions among patients, having asked for orthodontic aid. Bulletin of Dentistry. 2012; 4 (81): 91—94 (In Russian). eLIBRARY ID: 23244288
  3. Lendengolts Z.A., Karton E.A., Slabkovskaya A.B., Gordina E.S. The concept of occlusion. Searching for the truth… (review). Part 1. Orthodontics. 2014; 2 (66): 3—9 (In Russian). eLIBRARY ID: 23216328
  4. Ikeda K., Kawamura A. Assessment of optimal condylar position with limited cone-beam computed tomography. Am J Orthod Dentofacial Orthop. 2009; 135 (4): 495—501. PMID: 19361736
  5. Saleev R.A., Fedorova N.S., Saleeva L.R. Oral health and quality of life: historical milestones and future research directions and opportunities (Literature review). Clinical Dentistry (Russia). 2020; 4 (96): 92—98 (In Russian). eLIBRARY ID: 44476506
  6. Ishmurzin P.V., Danilova M.A., Khalova Yu.S. Estimation of therapeutic results in patients with dental-jaw anomalies complicated by temporomandibular joint dysfunction by the data of roentgenological investigations. Perm Medical Journal. 2012; 1: 82—85 (In Russian). eLIBRARY ID: 17440282
  7. Mamedova L.A., Efimovich O.I. Combined use of electromyography and T-scan program for occlusal disorders correction in case of periodontal diseases and myofascial syndrome. Military Medical Journal. 2014; 6: 65—67 (In Russian). eLIBRARY ID: 22289389
  8. Perova E.G., Levenets A.A. Characteristic of childrens dentoalveolar anomalies and deformities with various state of locomotor apparatus. The Dental Institute. 2010; 1 (46): 74—75 (In Russian). eLIBRARY ID: 14342943
  9. Rubleva I.A., Slabkovskaya A.B, Persin L.S. The influence of orthodontic devices for the extension of the lower jaw on postural balance. Bulletin of Medical Internet Conferences. 2013; 9: 1094—1096 (In Russian). eLIBRARY ID: 20419294
  10. Khan M.T., Verma S.K., Maheshwari S., Zahid S.N., Chaudhary P.K. Neuromuscular dentistry: Occlusal diseases and posture. J Oral Biol Craniofac Res. 2013; 3 (3): 146—50. PMID: 25737904
  11. Mason M., Spolaor F., Guiotto A., De Stefani A., Gracco A., Sawacha Z. Gait and posture analysis in patients with maxillary transverse discrepancy, before and after RPE. Int Orthod. 2018; 16 (1): 158—173. PMID: 29452908
  12. Makeeva I.M., Avdeenko O.E. Peculiarities of oral health of organized collectives and professional communities. Stomatology. 2016; 1: 63—66 (In Russian). eLIBRARY ID: 25675499
  13. Abolmasov N.N., Prygunov K.A., Abolmasov N.G., Adaeva I.A. Assessment of occlusive and articulatory dentition interrelation in determination of etiological factors and symptoms of various pathological conditions. The Dental Institute. 2018; 1 (78): 62—63 (In Russian). eLIBRARY ID: 34964790
  14. Abolmasov N.N., Prygunov K.A., Abolmasov N.G., Adaeva I.A. Assessment of occlusive and articulatory dentition interrelation in determination of etiological factors and symptoms of various pathological conditions. The Dental Institute. 2018; 2 (79): 96—99 (In Russian). eLIBRARY ID: 35340583
  15. Prygunov K.A., Abolmasov N.N., Adaeva I.A., Kovaleva I.A., Abolmasov I.N. Digital method of index evaluation of occlusal contacts of lateral teeth. Clinical Dentistry (Russia). 2023; 1: 132—137 (In Russian). eLIBRARY ID: 50465580

Downloads

Received

March 23, 2023

Accepted

May 19, 2023

Published on

July 6, 2023