Brekhlichuk, P. P.
    Analysis of quality of life and dental health criteria components within the structure of complex expert assessment of the prosthetic treatment among patients with maxillofacial trauma in anamnesis [Текст] = Аналіз компонентів критеріїв якості життя та здоров’я зубів у структурі комплексної експертної оцінки протезування у хворих на щелепно-лицьову травму в анамнезі / P. P. Brekhlichuk // Biomedical and Biosocial Anthropology. - 2020. - № 39. - С. 17-22. - Bibliogr. at the end of the art.


MeSH-головна:
ЧЕЛЮСТНО-ЛИЦЕВЫЕ ТРАВМЫ -- MAXILLOFACIAL INJURIES
НЕСЧАСТНЫЕ СЛУЧАИ ТРАНСПОРТНЫЕ -- ACCIDENTS, TRAFFIC
ЗУБНОЕ ПРОТЕЗИРОВАНИЕ -- DENTAL PROSTHESIS
КАЧЕСТВО ЖИЗНИ -- QUALITY OF LIFE
Анотація: Lesions of the dento-alvelolar system, which develop in cases of traffic accidents, domestic, industrial or other traumatic injuries, leads to a sharp decrease in dental health, and consequently to the decrease in quality of life associated with post-traumatic changes in dental status. Purpose of work – to analyze the indicators of the integrated quality of life criterion associated with the state of dental health among dental prosthetically-rehabilitated patients with a history of maxillofacial (MF) traumatic injuries. The study sample was formed on the basis of the University Dental Clinic from a cohort of patients who sought dental care with the need for comprehensive prosthetic rehabilitation. According to the analysis of medical records of dental patients, 66 persons with a history of maxillofacial traumatic injuries were selected. In order to assess the integrated criterion of quality of life associated with dental health, among dental patients with a history of maxillofacial traumatic injuries, who received appropriate prosthetic treatment, surveys were conducted taking into account all domains of OHIP-14 (abbreviated to 14 questions version of the Oral Health Impact Profile questionnaire). Mandibular fractures and traumatic injuries of individual teeth (dislocations, fractures) were the most prevalent among study sample and corresponded to 31.8 % and 27.3 %, respectively. The main causes of maxillofacial traumatic injuries were domestic injuries (43.9 %), road traffic accidents (RTA) (37.9 %), criminal injuries (10.6 %), industrial-associated (4.5 %) and sports-associated injuries (3.0 %). Prosthetic rehabilitation of the vast majority of patients, which correspond to 56 persons (84.8 %), was performed using different types of fixed prosthetic constructions, such as crowns, bridges supported by natural teeth, or installed dental implants. Majority of patients 84.9-95.5 % demonstrated high indicators of the integrated criterion of quality of life associated with changes in dental health, despite the fact of previous surgical treatment of maxillofacial traumatic lesions. Thus, in the absence of secondary deformities after surgical treatment of maxillofacial traumatic lesions, prosthetic rehabilitation of patients with the use of fixed types of prosthetic constructions supported by natural teeth or installed dental implants helps to achieve high quality of life associated with changes in dental health. The use of complete or partial removable dentures for a similar purpose provokes a relative decrease within the integral criterion of quality of life in the structure of such domains, as physical pain, psychological discomfort and social incapacity, which is due to the peculiarities of removable prosthetic construction exploitation, retention and functioning
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