ASPECTS OF PLANNING ORTHOPEDIC TREATMENT IN PATIENTS WITH MUCOPERIODONTAL LESIONS

Mucoperiodontal lesions (MPD) are a heterogeneous group of pathological conditions (desquamative gingivitis, lichen planus, and pemphigus vulgaris) characterized by the combined involvement of both the oral mucosa (OM) and periodontal tissues in the pathological process. Objectives. To systematize scientific information on aspects of orthopedic treatment planning in patients with mucoperiodontal lesions, presented in modern Russian and foreign literature. Methodology. The data of special literature was studied using scientific library search databases: Google Scholar, PubMed, eLibrary.ru. The search for original scientific publications was carried out by keywords. This review includes an analysis of 31 scientific sources. Results. The review allowed us to identify a number of general aspects of planning orthopedic treatment of mucoperiodontal lesions, to substantiate the practical significance of the problem, which is associated with the need to control orthopedic treatment in patients with this group of diseases. Conclusion. Dental orthopedic treatment is an integral part of the comprehensive treatment of patients with MPP, which, in turn, can contribute to the exacerbation of MPP due to mechanical injury, changes in the microbial composition of the oral cavity and violations of hygiene control. Allergic reactions to metals, acrylates and other structural materials play an essential role in the development of pathological changes. Modern research indicates the need to use minimally invasive methods of orthopedic treatment, namely the use of a cordless retraction technique, the use of retraction pastes, the creation of the edge of the structure supragingivally or at the gum level, the use of biocompatible ceramic and CAD/CAM structures that reduce the severity of inflammatory and allergic complications of orthopedic treatment.