THE APPLICATION OF THE MODIFIED METHOD FOR THE PRODUCTION OF REPLACEMENT DENTURES TO A PATIENT WITH JAW DESOMORPHINE OSTEONECROSIS

The article shows the application efficiency and the modified production technology of the replacement acrylic dentures for acquired defects and deformities of the maxillofacial region after dezomorfiс osteonecrosis of the jaws. Long-term use of desomorphine causes recession of the gum, progressive destruction of the facial bones, accompanied by sequestration, and exposure of the alveolar processes. It leads to disability, facial disfigurement and social disadaptation of patients. For such patients need to choose a rational method of prosthetic treatment to improve the functions of chewing and speech formation, complete removable acrylic dentures are used as a preferred method more often. The problem is that this method of prosthetic rehabilitation has both advantages and disadvantages, as a result of which an individual approach to its application is necessary. For the study, a clinical study of patient N., 1977 year of birth, with a drug abuse in background was taken. In the oral cavity- a status after the resection of the alveolar processes of the maxilla and mandibula. Correction of deformations was carried out by replacing removable acrylic dentures, which were manufactured using the modified method. The use of modified method of manufacturing a replacement acrylic dentures allowed to achieve the accuracy of the dentures fitting to the prosthetic field, acceptable jaws defect replacement and satisfactory hygienic properties. The use of such prosthetic structures allows patients to adapt more quickly to the social environment and to fill the anatomical and functional shortcomings of the maxillofacial system.