Received: 8.12.2025
Accepted: 15.12.2025
Published online: 30.12.2025
UDC: 616.314-76:089.28
DOI: 10.70113/1815-9443.2025.80.18.003
INCREASING THE EFFICIENCY OF PROSTHETIC DENTAL CARE BY COMBINING DIRECT RESTORATIONS AND METAL-FREE CERAMIC STRUCTURES
Belenova Irina Aleksandrovna, Svistunov Anton Borisovich, Ermolova Albina Igorevna, Popova Olesya Borisovna, Solovyova Alisa Lvovna, Belenov Ivan Sergeevich
N.N.Burdenko Voronezh State Medical University, Voronezh, Russian Federation
Background. Metal-free ceramic restorations are widely used in modern prosthetic dentistry due to their favorable biomechanical and aesthetic properties. However, the adaptive and compensatory responses of the stomatognathic system following prosthetic rehabilitation on teeth restored by direct methods remain insufficiently studied.
Aim. To evaluate the clinical effectiveness and adaptive responses of the dentoalveolar system after prosthetic rehabilitation using metal-free ceramic constructions combined with direct restorations.
Materials and Methods. A prospective observational clinical study was conducted involving 30 patients (15 males and 15 females) aged 21–35 years with partial tooth loss. All patients underwent prosthetic rehabilitation with metal-free ceramic constructions placed on teeth previously restored by direct techniques. Clinical, radiographic, microbiological, and biochemical assessments were performed before treatment and after prosthetic rehabilitation. The condition of dental arches, periodontal tissues, temporomandibular joint, oral fluid mineral composition, and acid-base balance were evaluated. Statistical analysis was performed using descriptive and inferential methods.
Results. Adaptive and compensatory changes of the dentoalveolar system associated with partial tooth loss were manifested by alterations in tooth position, deformation of dental arches, and occlusal disturbances. With an increase in the extent of dental defects, functional changes of the temporomandibular joint and shifts in oral microbiocenosis were observed, creating favorable conditions for the proliferation of pathogenic and opportunistic microorganisms. Prosthetic rehabilitation with metal-free ceramic constructions contributed to partial normalization of functional and biochemical parameters of the oral cavity.
Conclusion. The combination of direct restorations and metal-free ceramic prosthetic constructions promotes functional adaptation of the dentoalveolar system and improves the clinical effectiveness of prosthetic dental care in patients with partial tooth loss. Further studies using extended functional diagnostic methods are required.
Keywords: metal-free ceramic restorations, prosthetic dentistry, adaptive mechanisms, dentoalveolar system.
