TOPOGRAPHICAL AND FUNCTIONAL SCHEME APPLICATION FOR EXAMINATION DATA REGISTRATION IN PATIENTS’ WITH MANDIBULAR SINGLE REMAINING TEETH

Abstract

Research оbjective. To complement the conventional manner of patients’ clinical examination in prosthetic dentistry with the new data, that will facilitate treatment plan selection for the patients with mandibular single remaining teeth. Materials and methods. An outpatient examination was conducted of 126 patients (89–70.6 % women, 37–29.4% men, aged 49–92). All of them encountered with complaints when using acrylic or cast-base partial and complete overdentures on the lower jaw, respectively – 108(85,7%) and 18 (14.3%) cases. Due to the need for repeated orthopedic treatment, 42 patients (23–54.8% women, 19–45.2% men, aged 56–89) were indicated for the use of complete overdentures. The primary medical documentation (form 0-43o) of these patients was supplemented with the data of the self-developed topographical and functional chart of examination data registration. Analysis of one-dimensional distribution of data was carried out by calculating percentages in the Excel program for Microsoft 365. Scientific novelty. It was revealed, that insufficient number of diagnostic codes, related to “Other disorders of teeth and supporting structures” (K08) among “Diseases of the digestive system” (K00-K95) of the MKH-10, and the lack of the level of prosthetic treatment complexity in outpatient dental records, are troubling in the daily practice of dental prosthetists. For the first time, a topographical-functional chart of examination data registration was used, dividing the whole clinical signs into 6 groups. It was found, that the morpho-functional status of the dento-maxillary system was more favorable (groups I–III) in 24 (57.1%) and less favorable (groups IV–VI) in 18 (42.9%) patients, and the level of prosthetic treatment complexity by the diagnostic criteria in all 42 patients was high (Class 3–4). The obtained data made up the ground for the selection of reasonable treatment plan. Conclusions. Specifying the degree of prosthetic treatment complexity in the extension of the ICD-10-AM code perfectly meets the task of harmonizing the Ukrainian diagnostic methodology with the international one. The use of a topographical and functional chart in the analysis of examination data improves the reasonable treatment plan selection for the patients with mandibular single remaining teeth.