Evaluation of metal-ceramic non-removable dentures, prosthetic bed and field during warranty periods

Using the clinical and radiological methods of investigation, the results of an assessment of the state of 287 metal-ceramic prosthetic structures were presented during the warranty period of their use in 186 people (53 men and 133 women) aged from 29 to 62 years who were made dental treatment and prophylactic institutions, located in the city (1 group of patients, 120 people) and rural areas (2 patients, 66 people) in the Krasnodar Territory of various forms of ownership. When assessing the condition of denture prosthesis, prosthetic bed and field, inflammatory changes in the periodontium, mobility and inflammation of the pulp of supporting teeth, recession of the gum, pressure ulcers in the region of the body of the bridge, contact between the prosthesis and antagonizing teeth in the central occlusion or overstrain of the occlusion in several units of dental prostheses structures, the presence of a large washing space in the area of the body of the bridge in the front sections of the dentition rows of the jaws, fracture castings, chips ics, chronic periapical foci of odontogenic infection of teeth under single, welded or supporting artificial crowns, as well as cementing of structures and the presence of hypersensitivity of teeth under artificial crowns. The frequency of occurrence of defects in dentures and complications of prosthetics, which were more often detected in persons who were prosthetically tested in health facilities, was determined, regardless of the form of their property located in rural areas. It is shown that at the moment many of the possible complaints and complaints of patients, in connection with the manufacture of metal-ceramic dentures, can prove to be justified. It is concluded that the introduction of internal quality control of medical care in all dental hospitals, clinics and offices, regardless of their territorial location and form of ownership, is a requirement of the time.