AESTHETICALLY - FUNCTIONAL REHABILITATION IN PATIENTS WITH BRUXISM BY DESIGNING NIGHT DENTURES
Budima Pejkovska Shahpaska* and Biljana Kapusevska
ABSTRACT
Introduction: Patients with bruxism and partial edentuloissness are a chalenge for multidisciplinarory treatment in every day clinical praxis. Purpose: Creating individually designed night dentures for aesthetic-functional rehabilitation of patients with bruxism is the purpose of the research of this paper. Material and method: Patients with partial edentuloissness and diagnosed night bruxism were classified into 2 subgroups depending on the type of prosthetic devices that were rehabilitated with: 15 patients rehabilitated with fixed constructions and 15 patients rehabilitated with complex fixed-mobile constructions. The treatment was supplemented with individually designed night dentures. Also for the purpose of the research control group of patients with bruxism were examined who were divided in two groups: 15 patients treated with older fixed prosthetic constructions and 15 patients treated before coming to the dental office with older removable dental appliances. Results and discussion: From the results obtained from the prosthetically rehabilitated patients, also treated with night dentures, it can be observed that there are not changes in the indexes by Smith and Knight, and Ramfjord, indicating no statistical significance and thus approving the manufacturing of individually designed night dentures. The control group of patients have different consequences from the destructive forces that develop in night bruxism. Conclusions: The improvement of the quality of life of patients justifies the production and usage of individually designed night dentures, to the mutual pleasure and success of the patient and the prosthetic team.
Keywords: bruxism, partial edentuloissness, individually designed night dentures.
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