THE RESULTS OF THE DEVELOPMENT OF AN ALGORITHM FOR A PERSONALIZED METHOD FOR DETERMINING INDICATIONS FOR THE USE OF BRIDGES

Vоkulova Julia Andreevna, Zhulev Evgeny Nikolaevich, Yanova Nina Alexandrovna, Velmakina Irina Vladimirovna

The aim of the study was to develop an algorithm for a personalized methodology for determining indications for the use of bridges. Material and methods. To determine the advantages of the combined use of the method of determining indications developed by us and the digital technology for manufacturing bridges, a survey of 30 patients (20 men and 10 women) aged 32 to 68 years was conducted. To evaluate the results obtained, a point evaluation of the criteria was used. Results. The accuracy of determining indications for the use of bridges when using automated calculation of periodontal endurance coefficients of supporting teeth, taking into account personalized indicators with the combined use of the method of determining indications and digital technology for manufacturing bridges was evaluated as significantly the highest in comparison with the traditional method (p < 0.00714). Conclusion. The developed "Digital methodology for determining indications for the use of bridges" provides an automated process for assessing the clinical picture and planning orthopedic treatment, taking into account a multifactorial analysis of periodontal endurance according to a specially developed program, whose tasks included determining the degree of atrophy of the alveolar part of the socket of the supporting teeth, the extent of the dentition defect, the condition of the supporting teeth, with simultaneous automated calculation of periodontal endurance coefficients, taking into account the surface area of the roots of the teeth and the final formation of a conclusion on the expediency of using a bridge prosthesis or, conversely, on the presence of contraindications for its use in this clinical situation.

Keywords:partial loss of teeth, bridges, periodontal reserve forces