JUSTIFICATION OF THE FINANCIAL COMPONENT AND ECONOMIC FEASIBILITY OF EARLY ORTHOPEDIC TREATMENT OF DEFECTS IN HARD TISSUES OF TEETH AND DENTITION ROWS AT A YOUNG AGE

Abstract

There is a well-known significant incidence of defects in the hard tissues of the root part of teeth and dentition rows at a young age, which in turn cause the early appearance of secondary dental anomalies and deformities. At the same time, the speed of their occurrence, the complexity of newly formed clinical situations and various combinations, is very active and anatomically and topographically manifested, exclusively at a young age. Materials and methods of research. Taking into account the situation, we have analyzed a number of clinical cases that require preliminary orthopedic treatment up to 1 year after tooth extraction with the determination of the anatomical and topographic structure, design of orthopedic devices, rings with additional elements, braces, etc.and their cost in accordance with the existing price lists for orthopedic services in our country in a number of dental clinics, departments, offices. As an example, we took the “price list of prices for orthodontic services in the municipal non- profit enterprise of the dental Polyclinic No. 3 of the Odesa city council. Clinical and laboratory studies were conducted in 163 young people with dental anomalies and deformities associated with tooth extraction and defects in the hard tissues of the crown part of the teeth, using panoramic computed tomography. The most significant types and volume of their pre-prosthetic preparation of orthodontic, surgical and therapeutic nature are determined, and their total cost is calculated, which is 5.2–11.0 times more significant than the main type of direct prosthetics. It is eloquently proved on the basis of data on their high cost, financial interest in the expediency of this category of the population to conduct early orthopedic treatment of such defects in teeth and dentition rows.Conclusions. There is a rapid formation of various dentalanomalies and deformities associated with both tooth extraction and restoration of hard tissues of the crown part of teeth at a young age. A very significant value of the cost of pre-prosthetic services for the treatment of dental anomalies and deformities of a secondary nature is proved, which exceeds the cost of direct prosthetics by 5.2–11.0 times, depending on the volume of prosthetics, compared with the amount of costs for timely orthopedic treatment of defects in the dentition and crown of teeth at a young age. Taking into account the latter, it is desirable for dentists of all specialties to conduct directed agitation about the mandatory early orthopedic treatment of defects in dentition and hard tooth tissues at a young age, to include the financial factor of the feasibility of using it and saving their own funds for its implementation, not to mention the significant cost of time and visits and its receipt.