The effect of fixing cream for dentures on the adaptive stage of wearing a removable immediate prosthesis in patients with complete adentia

Relevance. Currently, an increasing number of people with complete adentia resort to prosthetics using dental implants. There are techniques for restoring the entire dentition with conditionally removable dentures supported by implants. These technologies make it possible to restore chewing efficiency to 100%, which distinguishes them from removable dentures. At the same time, the integration of dental implants is a lengthy process. This means that during their integration, the patient needs temporary prostheses to maintain an acceptable standard of living. Removable immediate dentures are most often used as temporary prostheses, which are manufactured and applied immediately after the implantation operation. Removable immediate dentures, in their essence, are complete removable plate prostheses and, as a result, require time to adapt to them.

Goal. The aim of the study was to study the effect of the oral hygiene product «Prosthetics fixing cream Protefix Premium 7 (Protefix®)» in patients after upper jaw implantation surgery at the adaptive stage of wearing a removable immediate prosthesis.

Materials and methods. The study involved 60 male and female patients with complete maxillary adentia in the adaptation period to removable immediate dentures. The patients were divided into two equal groups. Patients in group 1 used «Prosthetics fixing cream Protefix Premium 7 (Protefix®)» during the period of adaptation to the prosthesis. Group 2 patients received only standard therapy. All patients were interviewed using the OHIP-14 RU questionnaire, before the study and at the stages of adaptation. The occurrence of adverse events, such as injury to the mucous membrane of the prosthetic bed, was also assessed.

Results and discussion. According to the results of the study, it was found that the use of the investigated oral remedy «Prosthetics fixing cream Protefix Premium 7 (Protefix®)» in patients after surgery for complete prosthetics of the upper jaw on implants at the adaptive stage of wearing a removable immediate prosthesis leads to a significant improvement in the quality of life, as indicated by the results of the survey on 1, 14 and 30 days after the prosthesis was applied. Specifically, in group 1, the average value of OHIP14 decreased from 59 points on the first day to 39 points on the 14th day, and by day 30, the average value was 22 points, which corresponds to a good level of quality of life. In group 2, the dynamics of the decrease in scores was less pronounced, namely, on the first day, the values of OHIP-14 were 59 points, on the 14th day 47 points, and on the 30th day 30 points, which corresponds to a satisfactory level of quality of life. Also, during the research work, it was confirmed that the use of the studied agent leads to a significant reduction or absence of damage to the oral mucosa in the area of the prosthesis during the adaptation period of its use.

Conclusions. Thus, the use of a fixing cream does not exclude the occurrence of undesirable phenomena, such as hyperemia and trauma to the oral mucosa, but significantly reduces the likelihood of their occurrence. In addition, the use of the investigated oral remedy «Prosthetics fixing cream Protefix Premium 7 (Protefix®)» significantly reduces the psychological discomfort of patients during the period of adaptation to a removable prosthesis, which improves the quality of life of this group of patients and may reduce the likelihood of not using a removable prosthesis.

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