Kostenko S. B.

DENTISTRY

Scentific article

Abstract. The our research presents the principle of targeted preparation of teeth for orthopedic structures in order to reduce the impact of iatrogenic interventions in the treatment of dental patients. It was analyzed that biological and individual-specific orientation are decisive for all types of minimally invasive treatment including orthopedic. The concepts of the target preparation space and the restoration space are complementary but not focused on the prognostic assessment of the tooth condition as a support of the orthopedic structure in the long run. Study Goal. To improve the principle of the target space preparation and restoration in the preparation of teeth for orthopedic structures. Materials and methods of research. The indicators of actual and restorative reduction of tooth hard tissues and levels of relative risk of complications are studied the vector of restoration volume is calculated. Results of the research. A comparative levels analysis of absolute and relative reduction of tooth hard tissues during tooth preparation for different types of orthopedic structures according to classical and minimally invasive protocols. The larger volume preservation of hard tissues of enamel and dentin reducing the levels of relative risk associated complications when using a minimally invasive approach to preparation using the concept of the target space. Conclusion. The proposed modified concept of visual relative target space preparation and restoration corresponding to the basic principles of minimally invasive dental treatment and helps to change the technical orientation of minimally invasive training for biological orientation to take into account aspects of intellectual individual therapy.

orthopedic constructions, minimally invasive preparation, iatrogenic interventions, target preparation space, reduction of tooth hard tissues.

1. Barwacz CA, Hernandez M, Husemann RH. Minimally Invasive Preparation and Design of a Cantilevered, All-Ceramic, Resin-Bonded, Fixed Partial Denture in the Esthetic Zone: A Case Report and Descriptive Review. Journal of Esthetic and Restorative Dentistry. 2014;26(5):314-323.
2. Da Mata C, Cronin M, O’Mahony D, McKenna G, Woods N, Allen PF. Subjective impact of minimally invasive dentistry in the oral health of older patients. Clinical oral investigations. 2015;19(3):681-687.
3. Edelhoff D, Liebermann A, Beuer F, Stimmelmayr M, Güth JF. Minimally invasive treatment options in fixed prosthodontics. Quintessence Int. 2016;47(3):207-16.
4. Fradeani M, Barducci G, Bacherini L. Esthetic rehabilitation of a worn dentition with a minimally invasive prosthetic procedure (MIPP). The international journal of esthetic dentistry. 2016;11(1):16-35.
5. Jingarwar MM, Bajwa N K, Pathak A. Minimal intervention dentistry – a new frontier in clinical dentistry. Journal of clinical and diagnostic research: JCDR. 2014;8(7):4-8.
6. Katz CRT, Andrade MDRB, Lira SS, Ramos Vieira ÉL, Heimer MV. The concepts of minimally invasive dentistry and its impact on clinical practice: a survey with a group of Brazilian professionals. International dental journal. 2013;63(2):85-90.
7. Oliveira DC, Warren JJ, Levy SM, Kolker J, Qian F, Carey C. Acceptance of Minimally Invasive Dentistry Among US Dentists in Public Health Practices. Oral health & preventive dentistry. 2016;14(6):501-508.
8. Prieto LT, Araujo CT, de Oliveira DC, de Azevedo Vaz SL, D’Arce MB, Paulillo LA. Minimally invasive cosmetic dentistry: smile reconstruction using direct resin bonding. Gen Dent. 2014;62(1):28-31.
9. Reis GR, Vilela ALR, Silva FP, Borges MG, de Freitas Santos-Filho PC, de Sousa Menezes M. Minimally invasive approach in esthetic dentistry: composite resin versus ceramics veneers. Bioscience Journal. 2017;33(1):238-246.
10. Tassery H, Levallois B, Terrer E, Manton DJ, Otsuki M, Koubi S, et al. Use of new minimum intervention dentistry technologies in caries management. Australian dental journal. 2013;58(1):40-59.
11. Vanlıoğlu BA, Kulak-Özkan Y. Minimally invasive veneers: current state of the art. Clinical, cosmetic and investigational dentistry. 2014;6:101.
12. Walsh LJ, Brostek AM. Minimum intervention dentistry principles and objectives. Australian dental journal. 2013;58(1):3-16.
13. Wang Y, Sa Y, Liang S, Jiang T. Minimally invasive treatment for esthetic management of severe dental fluorosis: a case report. Operative dentistry. 2013;38(4):358-362.
14. Yuan K, Niu C, Xie Q, Jiang W, Gao L, Huang, Z, et al. Comparative evaluation of the impact of minimally invasive preparation vs. conventional straight line preparation on tooth biomechanics: a finite element analysis. European journal of oral sciences. 2016;124(6): 591-596.

«Bulletin of problems biology and medicine» Issue 2 (160), 2021 year, 307-311 pages, index UDK 616.314-08

10.29254/2077-4214-2021-2-160-307-311