Introduction of an integrated approach to the restoration of the occlusal surface of the crown part of the tooth with modern filling materials

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BACKGROUND: The most frequently detected dental pathology, according to the World Health Organization (2019), is dental caries, since about 97% of the world’s population suffers from this disease. The most important factors in maintaining the health of the oral cavity and maintaining the necessary level of quality of life of a dental patient are the prevention and timely treatment of caries.

AIM: To develop a computerized technique for restoring the occlusal surface, taking into account the individual morphometric parameters of the patient’s dental crown. The task was to investigate the dimensional parameters, determine the presence and nature of the relationship between different morphometric indicators of the occlusal surface of teeth in caries-resistant men and women of young (18–35 years) age. Create an innovative computer program for the mathematical substantiation of the process of restoration of the occlusal surface of the tooth, taking into account the correlations between the morphometric parameters of the crown revealed in caries-resistant persons of young age.

MATERIAL AND METHODS: The objects of the study were: caries-resistant patients 82 people aged 18 to 35 years, male and female, and 106 patients, of different sex, who had carious lesions and complications of caries (pulpitis and periodontitis).

RESULTS: Based on the data obtained, an innovative program for calculating the dimensional characteristics of the occlusal surface of the teeth was developed (certificate of state registration of the computer program No. 2018611780 dated 02/07/2018) and introduced. At the end of the treatment with the use of the author’s and traditional methods of restoration of teeth, there is a positive dynamics of clinical indicators of the state of organs and tissues of the mouth.

CONCLUSION: The created innovative program for calculating the lost tissues of the occlusal surface of the tooth allows dentists to reconstruct the hard tissues of the teeth, taking into account the individual dimensional characteristics of the patient’s dentition, which helps to improve the quality of dental care to the population.

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About the authors

Tatiana V. Vayts

RUDN University

Author for correspondence.
SPIN-code: 3100-7936

аssistant of the department of therapeutic dentistry

Russian Federation, 6, Miklukho-Maklay str, Moscow, 117198


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Supplementary files

Supplementary Files
1. Fig. 1. Initial clinical situation of the tooth 15.

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2. Fig. 2. Measuring the height of the hillock.

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3. Fig. 3. Measurement of the mesiodystal parameter of the premolar group.

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4. Fig. 4. The main menu of the computer program for the restoration of the crown of the teeth, getting started with the program.

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5. Fig. 5. Selection of the tooth to be restored (tooth 26).

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6. Fig. 6. The choice of the upper or lower jaw for making the true dimensional characteristics of the teeth.

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7. Fig. 7. Calculation of the index of the length (L) of the buccal tubercle of the tooth 15.

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8. Fig. 8. Calculation of the width index (X) of the buccal tubercle of the tooth 15.

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9. Fig. 9. Calculation of the height index (H) of the buccal tubercle of the tooth 15.

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10. Fig. 10. Saving in the database of the obtained true and calculated values of the dimensional characteristics of the crown of the teeth (height — Hcor, length — MDCOR, thickness — VLCOR) of the patient.

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11. Fig. 11. Printing in order to save information in the medical record of a dental patient.

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12. Fig. 12. Printing in order to save information in the medical record of a dental patient.

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13. Fig. 13. The stage of the overlay of the cofferdam, the matrix system.

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14. Fig. 14. The final result of the fixed tab on the tooth 25.

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15. Fig. 15. The final result of the fixed tab on the tooth 25.

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Свидетельство о регистрации СМИ № 015648 от 14.05.1999 г. выдано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор). 
Свидетельство о регистрации СМИЭЛ № ФС 77 - 80635 от 15.03.2021 г. выдано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).

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