Terekhov S. Clinical analysis of marginal periodontal tissues and its correction with nonremovable tooth replacement

Українська версія

Thesis for the degree of Doctor of Philosophy (PhD)

State registration number

0825U000035

Thesis Registration Form

0825U000035.pdf

Applicant for

Specialization

  • 221 - Стоматологія

24-02-2025

Specialized Academic Board

PhD 7566

Bogomolets National Medical University

Essay

The dissertation evaluated the aesthetic results of orthopedic dental treatment of the frontal group of teeth on the upper jaw with the help of soft tissue correction and the formation of the gingival margin with the use of orthopedic fixed dentures. The tasks of the dissertation work were to identify and analyze the main reasons for patients to apply for the purpose of improving the aesthetics of the visible part of the teeth; determine the indications and methods of orthopedic correction of soft tissues of the gums in accordance with the restoration of teeth with aesthetic designs of fixed dental prostheses; determine the indications and conduct a clinical evaluation of the effectiveness of the correction of the gingival margin with different gum biotypes when using manual, laser and radio wave techniques; evaluate the hemodynamics of the marginal periodontium after correction before and after prosthetics with fixed orthopedic structures in dynamic observation in the near and distant terms; justify the expediency of manufacturing, terms of use and material for orthopedic fixed structures for correction of the gingival margin. In order to achieve the set goal and objectives of the research, from 2014 to 2024, a comprehensive examination and treatment of 178 patients was carried out with the aim of orthopedic treatment of the frontal group of teeth of the upper jaw with aesthetic defects of individual teeth, volume, shape of tooth crowns, gum color, and asymmetry of the gingival margin. The tasks were solved using the questionnaire method; clinical examination (subjective and objective; index assessment of periodontal tissue condition - CPITN, РМА, Russel, Muhllemann, PBI indices); by analyzing diagnostic models and scanning with an intraoral scanner; functional research (computerized precision analysis of occlusion - T-scan, study of the hemodynamics of the mucous membrane of the gums by laser Doppler flowmetry (LDF), synchromyography), radiological (orthopantomography, aiming radiography, computer tomography) and statistical methods. Clinical examination of the studied patients was performed dynamically after the start of treatment for 1, 3, 7, 14, 28 days. The regeneration of the gingival margin after the intervention was evaluated on a point scale based on the criteria of hyperemia, bleeding, edema, cyanosis, fibrinous plaque, and pain. After the installation of temporary orthopedic fixed prostheses, as well as in dynamics after 2 weeks and after a month, the gingival margin was evaluated according to the criteria of color stability and marginal fit in patients of the radioscalpel group.

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Research papers

Терехов С.С. Показання до застосування різних видів лазерів для корекції контура ясен в ортопедичній стоматології // Медицина сьогодні і завтра. - 2018. - T. 81, №4. - C. 23-26. Print ISSN 2414-4495. Online ISSN 2710-1444.

Неспрядько В.П., Терехов С.С. Вплив ретракції на мікроциркуляторне русло у тканиах крайового пародонта перед отриманням відбитка для незнімних конструкцій // Медицина сьогодні і завтра. - 2019. - T. 82, №1. - С. 87-90. Print ISSN 2414-4495. Online ISSN 2710-1444.

Терехов С.С., Хрол Н.С. Система цифрового об’ємного сканування для підвищення якості ретракції ясенного краю // Експериментальна і клінічна медицина. - 2019. T. 85, № 4. С. 96-99. Print ISSN 2414-4517. Online ISSN 2710-1487

Palamar S., Vaskivska H., Nazarenko L., Nezhyva L., Korniienko I., Terekhov S. Psychocultural training of senior pupils to adequely perceive the media space challenges// Wiadomości Lekarskie Medical Advances. - 2020.- Vol. 73(11). P. 2515-2522. ISSN 0043-5147 e-ISSN 2719-342X

Palyvoda I., Osnach R., Terekhov S., Proshchenko A., Chertov S. Prosthetic Treatment Optimization with the use of All-Ceramic Constructions under Synchroelectromyography Method Supervision // Journal of International Dental and Medical Research. - 2021. - Vol. 14, № 1. - P. 24-32. ISSN 1309-100X (Online)

Неспрядько В.П., Терехов С.С. Методи ретракції ясен в ортопедичній стоматології: сучасний стан проблеми // Art of Medicine. - 2022. - Vol. 24, №4. - P. 176-80. SSN2521-1455 (Print) ISSN2523-4250 (Online)

Неспрядько В.П., Терехов С.С. Безпосередні та віддалені результати застосування лазерної корекції ясенного краю в ортопедичній стоматології // Клінічна та експериментальна патологія. - 2023. -Т. 22, № 1. С. 20-23. ISSN 2521-1153 (Online) ISSN 1727-4338 (Print)

Терехов С.С., Прощенко А.М., Прощенко Н.С. Ефективність методу фотоактивованої обробки поверхні у підвищенні стабільності зубного імплантату // Медицина сьогодні і завтра. - 2023. - T. 92, №1. С. 47-54. Print ISSN 2414-4495. Online ISSN 2710-1444.

Terekhov S. Short-term and long-term results of marginal periodontal tissues correction at frontal teeth area //Scientific World Journal. - 2024. - Vol. 3(24)2)). - P. 76-78. ISSN 2663-5712 (Online).

Domysche M., Terekhov S., Astapenko O., Vefelev S., Tatarina O. The Use of 3d Printers in Dental Production Practice: Possibilities for the Manufacture of Individual Dental Prostheses and Elements // Archives des Scienes. - 2024. - Vol. 74, №2. - P. 185-194. ISSN 1661-464X (Print) https://doi.org/10.62227/as/74225

Terekhov S.S., Proshchenko A.M., Proshchenko N.S. Kasіanenko D. Development of New Methods and Materials for the Restoration of Tooth Pulp // International Journal of Statistics in Medical Research. - 2024. -Vol. 13. - P. 116-123. ISSN : 1929-6029.

Terekhov S.S., Proshchenko A.M., Proshchenko N.S. Analysis of the use of complex digital technologies in the diagnosis and treatment of occlusal anomalies // Georgian medical news. - 2024 Jun. - Vol. 35. - P. 23-32.ISSN 1512-0112 (Print)

Proshchenko A., Terekhov S., Vesova O., Kaminskyy V., Kryvosheieva A. Utilization of artificial intelligence for predictive modeling in dental implantology // Georgian medical news. - 2024 May. - Vol. 350. - P. 6-15. ISSN 1512-0112 (Print)

Terekhov S.S., Proshchenko A.M., Proshchenko N.S., Shorikova D.V. Clinical efficiency and stability of surface-modified implants: acid modification versus photoactivation // Polski Merkuriusz Lekarski. - 2024. - Vol. 52, № 1. - P. 42-48. ISSN 1426-9686

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Files

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Терехов_С_С_дисертація.pdf

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