Improving efficiency of orthopedic treatment of partial teeth loss in inflammatory pathology of periodont

Abstract

The effectiveness of complex orthopedic treatment of partial loss of teeth in inflammatory periodontal disease is a very serious problem. Of particular importance is the choice of materials for removable dentures, as it can contribute to the adsorption of periodontal pathogens. This paper studied the tolerance of dental alloys (cobalt alloy ‘Gialloy PA Co/Cr’, gold-based ‘CASDEN-B’ cobalt alloy ‘Gialloy PA Co/Cr’ with zircon gold plated ‘Kamadan’) to parodontoceras microflora (Staphylococcus aureus, Escherichia coli, Streptococcus pyogenes, Pseudomonasa eroginosa, Candida albicans). It is established that all the studied samples of dental alloys are subject to colonization by periodontal microorganisms in the oral cavity, while the degree of colonization depends on the chemical composition of the alloys and the type of bacterial cultures. Cobalt-chromium alloy with gold-zirconium coating, which is recommended as a structural material in periodontal pathology, has the lowest tolerance indicators of dental structural alloys to periodontal microflora. Based on the analysis of clinical studies, we have established a high efficiency of the use of prostheses made of cobalt-chromium alloy with gold-zirconium coating in the treatment of chronic generalized periodontitis of moderate severity against the background of tooth loss in comparison with the traditional alloy.