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  • Author: A.V. Gradoboev x
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Abstract

Currently in the modern pedagogical process at a higher medical institution, teachers often shift emphasis towards the new technologies and methods for treating diseases. In this case, classical techniques, their development, and scientists who influenced the formation of orthopaedic dentistry are undeservedly downplayed in the training process. In order to preserve the interest of dental students in the historical process, it is necessary to teach the material taking into account modern processes that occur in orthopaedic dentistry. We searched for materials on the history of prosthetic dentistry in the scientific and historical literature. A special attention was paid to those moments of history that had been reflected in the present through modern materials, schools or methods of treating patients. After the selection of the materials and their discussion, the teaching staff of the KrasSMU Department-Clinic for Prosthetic Dentistry made proposals regarding each of the nine training cycles. In each study cycle, we included some information about historical moments and personalities that are known to be important for students’ moral education and learning. Specifically, we used information taken from the scientific and historical literature, autobiographies, memoirs of contemporaries, and presentations containing material suitable for assimilation. Thus, we managed to naturally include the history of prosthetic dentistry into the educational process.

The applied approach to teaching the history of medicine had many positive aspects. Following up the development of views on various prosthetic dentistry issues allowed us to provide a more natural introduction to complex clinical disciplines. We emphasized the scientific experience continuity and the interdisciplinary approach to professional issues. A number of positive moral and ethical qualities were discussed that have allowed scientists to achieve significant results in their activities. Through the demonstration of domestic scientists’ achievements, we carried out promotion of patriotism among the students. Considering the above advantages, we emphasize the importance of teaching the history of prosthetic dentistry in educating future dentists.

Abstract

One of the key modern orthopaedic dentistry problems related to rehabilitation of patients with complete edentulism is the process of their adaptation to artificial orthopaedic constructions. According to fundamental and modern scientific research, the biological factor, i.e. the complex of all reactions of the organism to the prosthesis including psychological reactions that is individual for each user, is the most important one.

Development of new conditioned-reflex connections and formation of cortical inhibition of active stimulus, that a full removable denture is, depends directly on the balance and dynamics of patient’s neural processes despite having several common characteristics including chronometric ones that can be revealed in the majority of patients of this category.

Furthermore, previous experience of full removable denture usage is of great importance, specifically its presence or absence and whether it was positive or negative etc., which in its entirety influences the degree and intensity of phases in patient’s adaptation to a new artificial construction.

In this connection, it is important to note the role of patients’ psychological preparation, their familiarisation with corresponding illustrative material, establishment of the psychological contact aimed to form positive but at the same time realistic view on the provided prosthetic care in terms of functional and aesthetic optimum restoration, which is an essential part of successful rehabilitation for this category of patients.

On the grounds of many years’ practical experience, a number of most frequent complaints and questions of patients provided with rehabilitation using full removable dentures which frequently accompany adaptation process and demand careful doctor’s attention while performing explanatory work has been developed. Thereafter, it is necessary to make a corresponding note in patient’s medical record with signature confirmation in order to prevent further conflicts associated with the process of adaptation to dentures and its peculiarities related to this specific patient.

Abstract

The article presents results of a concise analysis of domestic and foreign literature addressing the problem of determining of distinctive diagnostic features in patients with Clouston syndrome as an orphan disease rarely encountered in clinical practice of dentistry. A clinical case of effective orthopaedic rehabilitation of a 10-years-old patient with Clouston syndrome and congenital edentulism using minimally invasive orthopaedic dentistry measures: removable dentures application using shape memory materials is presented. Technological peculiarities and advantages of the chosen approach to treatment are described. Photographic documents of orthopaedic dental treatment results including long-term results within the follow-up period of 10 years are presented providing strong evidence of effective aesthetic, functional and social rehabilitation of the patient. Detailed analytical conclusion is drawn according to the study results.