FREQUENCY OF COMPLICATIONS IN PATIENTS WITH ADENTIA (BASED ON ARCHIVAL DATA).

The aim is to evaluate the frequency and nature of complications after orthopedic treatment of partial and complete adentia (according to archival data). A retrospective analysis of the case histories of 310 patients with secondary adentia and complications after orthopedic treatment was performed. The mean age of the patients was 65.1±2.16 years, men accounted for 53.9%, women - 46.1%1. 43.2% of patients had complete secondary adentia and 56.8% of patients had partial secondary adentia. Complications were registered in 36.1% of patients. Mechanical complications occurred in 6.8% of patients with partial adentia and 14.2% of patients with complete adentia (p=0.033). Functional complications in general showed significant differences between groups (2.8% for partial adentia and 8.2% for complete adentia; p=0.035). Biologic complications occurred in 32.8% of patients with complete adentia and in11.9% of patients with partial adentia (p< 0.001). The most frequent complication in both groups was denture bed stomatitis (6.8% in partial and 21.6% in complete adentia, p< 0.001). The highest rate of complications was registered with plate full dentures (39.7%), while the rate of complications in patients with bracket prostheses was 13.0%). The conducted analysis of the archival material for the 10-year period showed that removable dental prostheses remain an actual and demanded method of secondary adentia treatment. However, the frequency of complications, especially in case of complete prosthetics, remains high, which requires: more thorough preparation of supporting tissues; individual selection of the design; regular control and correction of prostheses; teaching patients the rules of hygienic care.