Клініка, діагностика і особливості лікування зубощелепних деформацій, зумовлених ретенованими та надкомплектними зубами

Клінічні особливості проявів різних типів ретенції надкомплектних та комплектних зубів. Інформативність різних методів рентгенологічної діагностики ретенції. Розробка алгоритму лікування різних типів ретенції, зумовленої надкомплектними зубами.

Рубрика Медицина
Вид автореферат
Язык украинский
Дата добавления 11.08.2015
Размер файла 81,6 K

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Candidate of Medical Science dissertation in speciality 14.01.22 - Dentistry. - Danylo Halytsky Lviv National Medical University. - Lviv, 2011.

The dissertation is dedicated to increasing the efficiency of diagnosis and treatment of retained teeth and strains caused by them.

The detailed examination of 94 patients with retained complete and supernumerary teeth was held.

The main causes and frequency of retained teeth were determined, in depending of the anatomical group belonging of teeth and of patient's age and sex. The basic combinations with other jaw abnormalities were identified.

Found that tooth retention is not a result of bite abnormalities and deformities, because 78.73 ± 4.2% of patients diagnosed physiological bite, but a large number of patient detected deviations from the physiological dimensions and the shape of dental arch. Found that retention of the upper jaw teeth is more typical of its left half.

The integrated approach to diagnosis and treatment of patients with teeth retention and supernumerary teeth is proved.

Depending on the topographical features of location of the retained tooth the six types of retention were proposed.

Based on the cephalometric survey the choice of retained teeth treatment was justified. The necessity of carrying CT to clearly define the spatial location and for choose of adequate treatment in difficult situations was proved.

The treatment algorithm of the retained teeth, caused by supernumerary teeth is created on depending of the patient's age and tooth disposition.

For the first time, if retention is caused by supernumerary tooth for preservation of alveolar process in case of major defects after it removal, bone grafting is proposed. The bone substitute material Bio-Oss and biological membrane were used.

An own original ways of retained tooth movement were developed and suggested.

Key words: teeth retention, etiology, types, diagnosis, treatment.

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