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CONCLUSIONS

1. Prevalence of the okkljuzionno-caused diseases of the chewing apparatus in the youthful, mature, elderly and senile periods of a life of the adult person essentially differs, that is bound, mainly, to loss of a natural teeth, and also absence of in due time executed treatment-and-prophylactic actions.

The greatest occurrence of partial loss of a teeth is observed in II period of mature age (53,1 %), full loss of a teeth - at senile age (34,2 %). The greatest percent of the raised erasability of a teeth is characteristic for older persons, especially women (21,5 %). Prevalence parodontita reaches the greatest value at persons of senile age, especially at men (77,2 %), occurrence of a parodontosis makes no more than 1,5 %.

2. At the okkljuzionno-caused diseases of the chewing apparatus dysfunction temporally-nizhnecheljustnogo a joint becomes perceptible during the various age periods of a life of the adult person: in I period of mature age in 40 % of cases, in II period of mature age in 47,1 % of cases, in advanced age in 61,8 % of cases, in senile - in 81,2 %. Its reason is the depression of interalveolar height caused by partial and full absence of teeth, the raised erasability of a teeth and generalised parodontitom.

3. At an intact occlusion at the adult person during the various age periods II class arhitektoniki an osteal tissue of jaws (59,3 % on the top jaw and 66,2 % - on bottom) becomes perceptible mainly. Sexual differences morfometricheskih signs at the given occlusion are characteristic for height and a thickness of an alveolar process of the top jaw and a body of the mandible, sample differences concern an angle of a mandible and height of an alveolar process of the top jaw.

4. At loss of a teeth essentially change morfometricheskie characteristics of an alveolar process of the top jaw (the height decreases on 5,8±0,5 mm, a thickness - on 4,6±0,6 mm) and bodies bottom jaws (height
The mm, thickness - on 3,6±0,6 mm), and also arhitektonika their osteal tissue decreases on 9,6±0,8. The big prevalence of III type arhitektoniki an osteal tissue of jaws at full loss of a teeth (35,5 % on the top jaw and 53,4 % on bottom), appreciable reduction morfometricheskih characteristics of an alveolar process of the top jaw and an alveolar part of a mandible, the hyperpneumatization of genyantrums and augmentation of an angle of an inclination of a body of the mandible frame appreciable difficulties at the equipment of artificial legs of tooth prostheses.

5. The form, a structure and degree of a pneumatization of genyantrums depend on a floor, value verhnelitsevogo the index and degree of safety of dentitions. Irrespective of a condition of an occlusion of value of width and height of a sinus men in comparison with women have more on 4,0±0,2 mm and on 3,6±0,2 mm accordingly. In group leptoprozopov the greatest prevalence have gipopnevmatizirovannye sinuses (49,6 %), in group euriprozopov - giperpnevmatizirovannye (51,3 %). At full loss of a teeth in comparison with an intact occlusion (62,5 %) the share giperpnevmatizirovannyh sinuses is enlarged to 87 %.

6. Appreciable diffusion of dysfunction visochnoyonizhnecheljustnogo a joint at loss of a teeth at women (55,8 %) in comparison with men (44,2 %) is bound to presence at them a superficial mandibular fossa (less than 7 mm) and concerning low articulate bugorka (less than 11 mm), and also more essential changes of articulate surfaces.

Adult people have sample features of topography of a kamenisto-drum-type cleft within a mandibular fossa - at euriprozopov the cleft settles down in its medial third, at lepto - and mezoprozopov - on back edge of a mandibular fossa. Cleft localisation in a medial third of mandibular fossa can be contributing factor of development of syndrome Kostena.

7. Partial unilateral, bilateral and full loss of a teeth, an occlusion pathology are accompanied by changes of the basic morfometricheskih parametres of articulate surfaces of temporally-nizhnecheljustnogo joint -
Cross-section and sagittalnogo diameters of a head of a mandible, depth of a mandibular fossa, height articulate bugorka. The specified changes of articulate surfaces lead to disturbance of position of a head of a mandible in a mandibular fossa and to development of dysfunction of a joint.

8. The developed working classification of the okkljuzionno-caused diseases of the chewing apparatus, including partial, full loss of the teeth, the raised erasability of a teeth, an occlusion and illness pathology parodonta allows already at stages of primary survey and diagnosis statement to suspect presence of additional diseases of dentoalveolar system and to optimise a treatment planning, considering possible complications and basic disease consequences.

9. Dysfunction of temporally-nizhnecheljustnogo joint after the spent orthopedic treatment is taped in 33,3 % of cases. Its untimely revealing is caused by disturbance of algorithm of diagnostics in 24 % of cases, and also errors in definition of interalveolar distance - in 9,3 % of cases. The developed addition - the index estimation of severity level of dysfunction visochnoyonizhnecheljustnogo a joint is referred to a medical card of the stomatologic patient on obektivizatsiju morfofunktsionalnyh disturbances in a joint and preventive maintenance of occurrence of complications after the spent treatment.

10. At an appreciable atrophy of an alveolar process of the top jaw and an alveolar part of a body of the mandible optimum conditions for the equipment dentalnyh implantatov are available in their forward departments. In lateral departments the risk of damage of a mucosa of a bottom of a genyantrum or the mandible channel is enlarged. Prevalence of these complications makes 8 % and 3,4 % accordingly, that demands the differentiated approach to a choice of a basic design and the account of anatomic features in zones of a reduction of the top and bottom jaws.

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Scientific source GAJVORONSKAYA Maria Georgievna. ANATOMO-CLINICAL SUBSTANTIATIONS of TREATMENT of the OKKLJUZIONNO-CAUSED DISEASES of the CHEWING APPARATUS. The dissertation on competition of a scientific degree of the doctor of medical sciences. St.-Petersburg - 2014. 2014

Other medical related information CONCLUSIONS:

  1. THE CONCLUSION
  2. THE CONCLUSION
  3. CONCLUSIONS
  4. THE CONCLUSION
  5. Conclusions of the first section
  6. 4.3 Conclusions of the fourth section
  7. Conclusions under chapter 1
  8. Conclusions under chapter 3
  9. CONCLUSIONS UNDER CHAPTER 1
  10. CONCLUSIONS UNDER CHAPTER 2
  11. Conclusions under Chapter 1
  12. Conclusions on the second chapter
  13. the Conclusion
  14. Conclusions under chapter 1