CONTEMPORARY THERAPEUTIC DECISIONS IN THE TREATMENT OF VARIOUS TYPES OF EDENTATION

The choice of a removable therapeutic solution is the result of a careful analysis of the prosthetic field particularities, a special attention being paid to the evaluation of the odonto-periodontal support, of the mucous-bone support and of the presence of local, loco-regional or general complications. Aim: The study aimed at the individualization of flexible removable therapeutic methods represented by acrylic elastic prosthesis made up of various elastic materials, namely Flexite and Biodentaplast as a long term provisory therapeutic method, with well defined roles. Materials and Methods: Based on a lot of patients, we selected and investigated a group made up of 11 patients - 7 women and 4 men, coming from the urban environment in a proportion of 54.55% and from the rural environment in a proportion of 45.45%, who were examined within the clinical facility of Dental Medical Education of the Faculty of Dental Medicine -"Gr. T. Popa" University of Medicine and Pharmacy of Iasi. All patients had a diagnosis of partial edentation, of a varied etiology and with various complications in the absence of an efficient therapy or even due to faulty prosthetics. Results: The sum of clinical-biological indices is an undisputable marker of successful clinic finality in the case of various types of fixed or removable restorations. With regard to the edentation classes at the maxillary level, one can notice a prevalence of total edentation, followed by subtotal edentation in a proportion of 23.5 %, the next one being represented by Class I Kennedy, in a proportion of 20.6%, class III Kennedy having a percentage of 14.7% while Class II and IV Kennedy had equal percentages. With regard to the odontal support, we notice a prevalence of the odonto-periodontal support in 35% of the cases, followed by a less favorable odontal support in 25% of the cases, an unfavorable odontal support in 20% and a very favorable support in 20% of the cases.. Conclusions: Elastic removable dentures are a successful therapeutic alternative, the therapeutic decision for this treatment being in full agreement with the status of the clinical-biological and odonto-periodontal indices, as well as the type of occlusion.