vmireavizВестник медицинского института «РЕАВИЗ». Реабилитация, Врач и ЗдоровьеBulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)2226-762X2782-1579РЕАВИЗ10.20340/vmi-rvz.2021.4.DENT.2vmireaviz-277Research ArticleВопросы стоматологииDentistryОсновные принципы одонтопрепарирования под несъемные ортопедические конструкции (обзор литературы)Basic principles of odontopreparation for non-removable orthopedic structures (literature review)https://orcid.org/0000-0001-5522-0420ДмитриевД. И.DmitrievD. I.

Дмитриев Дмитрий Игоревич, врач-стоматолог-ортопед, главный врач

Новокуйбышевск

Novokuibyshevsk

s1131149@yandex.ruhttps://orcid.org/0000-0001-9227-4188НестеровА. М.NesterovA. M.

Нестеров Александр Михайлович, доктор медицинских наук, профессор кафедры ортопедической стоматологии

Самара

Samara

ivachencoaveg@yandex.ruhttps://orcid.org/0000-0002-9448-8232БуенцовИ. О.BuentsovI. O.

Буенцов Игорь Олегович, клинический ординатор кафедры ортопедической стоматологии

Самара

Samara

bubiksport@gmail.comНовокуйбышевская стоматологическая поликлиникаРоссияNovokuibyshevsk Dental ClinicRussian FederationСамарский государственный медицинский университетРоссияSamara State Medical UniversityRussian Federation20212707202104139143Copyright © Дмитриев Д.И., Нестеров А.М., Буенцов И.О., 20212021Дмитриев Д.И., Нестеров А.М., Буенцов И.О.Dmitriev D.I., Nesterov A.M., Buentsov I.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://vestnik.reaviz.ru/jour/article/view/277

Актуальной проблемой стоматологов-ортопедов в настоящее время является нарушение протокола одонтопрепарирования и, как следствие, некачественная фиксация различных несъемных ортопедических конструкций. Для прочной и надежной фиксации несъемных ортопедических конструкций к ним необходимо предъявлять особые требования по форме и поверхности опоры обрабатываемого зуба. К таким требованиям относятся: параллельность стенок препарированного зуба (должна быть цилиндрической формы); параллельность вертикальных стенок культей зубов, качественный придесневой уступ [1, 2]. Качественно отпрепарированные зубы под ортопедические конструкции, соблюдение параллельности стенок создают оптимальные условия для стабильной фиксации ортопедических конструкций. Правильно выполненный придесневой уступ способствует долговечной фиксации коронки и нивелирует вероятность возникновения инфекции под ней. Проанализировав большой объем отечественной и иностранной литературы можно заключить, создание различных методик проведения одонтопрепарирования с задачей создания наиболее благоприятной наддесневой части зуба для дальнейшей фиксации ортопедической конструкции, является значимой проблемой в современной стоматологии. Создание и клиническая апробация дентальных навигационных технологий (ДНТ) позволяет проводить точный качественный контроль проведенного одонтопрепарирования. Целью данной статьи являлся анализ существующих методов одонтопрепарирования и выявление наиболее эффективных среди них.

Introduction. The actual problem of dentists-orthopedists at the present time is a violation of the odontopreparation protocol and, as a result, poor-quality fixation of various non-removable orthopedic structures. For a strong and reliable fixation of non-removable orthopedic structures, special requirements must be imposed on them in terms of the shape and surface of the support of the processed tooth. These requirements include: parallelism of the walls of the prepared tooth (must be cylindrical); parallelism of the vertical walls of the stumps of the teeth, high-quality gingival ledge [1, 2]. Qualitatively prepared teeth for orthopedic structures, observance of parallelism of the walls create optimal conditions for stable fixation of orthopedic structures. Correctly executed gingival ledge promotes durable fixation of the crown and eliminates the likelihood of infection under it. After analyzing a large volume of domestic and foreign literature, it can be concluded that the creation of various methods of odontopreparation with the task of creating the most favorable supragingival part of the tooth for further fixation of the orthopedic structure is a significant problem in modern dentistry. The creation and clinical testing of DNT (dental navigation technologies) allows for accurate quality control of the performed odontopreparation. The purpose of this article was to analyze the existing methods of odontopreparation and identify the most effective ones among them.

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The authors declare that there are no conflicts of interest present.