DOI:

10.37988/1811-153X_2022_2_132

Hygiene index, intensity of caries and severity of gingivitis in patients with various orthopedic restorations

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Authors

  • E.O. Bochkovskaya 1, PhD in Medical Sciences, assistant at the Pediatric dentistry Derartment
    ORCID: 0000-0003-3064-6972
  • 1 Mechnikov North-West State Medical University, 195067, Saint-Petersburg, Russia

Abstract

Dental prosthetics is developing very actively and now there are more and more materials for dental restoration in the arsenal of a dentist. Artificial crowns are made on the basis of zirconium dioxide, cobalt-chromium alloy or as all-ceramic structures. The study of the effect of these restorations on oral health lags far behind the study of the evaluation of their effectiveness. The aim is to clarify the index of oral hygiene, clinical signs of gingivitis and the intensity of dental caries in patients with various types of orthopedic structures in the oral cavity.
Materials and methods.
The study involved 50 patients aged 18 to 40 years (average age - 28.7 years), equally men and women. They were divided into 3 groups according to the type of artificial crowns in the oral cavity: I - patients with metal-ceramic crowns (n=18), II - patients with ceramic crowns (n=19), III - patients with crowns based on zirconium dioxide (n=13). The comparison group (IV) consisted of 19 people without artificial crowns. The hygiene index according to O’Leary, CPI index, pH of oral fluid, PMA index, SHS index were determined.
Results.
The O’Leary hygiene index in patients with ceramic-metal crowns was 93.76±4.65, in patients with zirconium crowns - 48.18±4.65. The PMA index in patients with ceramic-metal crowns was 47.12±4.15, in patients with zirconium crowns - 31.18±4.32. The analysis of SHS in patients with cermet crowns was 4.34±1.02, in patients with zirconium crowns - 0.32±0.82.
Conclusion.
The oral hygiene index according to the O’Leary and SHS indices in patients with zirconium dioxide crowns is significantly better than in patients with metal-ceramic and ceramic crowns. The intensity of caries and the pH of the oral fluid in patients with different types of crowns in the oral cavity has no significant differences. The values of the PMA index in patients with zirconium dioxide crowns were significantly lower compared to similar indicators in patients with metal-ceramic and ceramic crowns.

Key words:

oral hygiene, caries, crowns, zirconia, gingivitis

For Citation

[1]
Bochkovskaya E.O. Hygiene index, intensity of caries and severity of gingivitis in patients with various orthopedic restorations. Clinical Dentistry (Russia).  2022; 25 (2): 132—137. DOI: 10.37988/1811-153X_2022_2_132

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Received

February 19, 2022

Accepted

May 10, 2022

Published on

June 1, 2022