OCCUPATIONAL RISKS IN THE REHABILITATION OF PATIENTS WITH ACQUIRED DEFECTS OF THE FACE AND JAW (REVIEW OF LITERATURE)
A review of current literary information on the problem of occupational risks arising in the activities of dentists during the rehabilitation of cancer patients is presented. The main elements of the rehabilitation process are identified, during the implementation of which situations may arise that are considered from the perspective of professional risks. The factors affecting the effectiveness of the rehabilitation process and increasing the likelihood of occupational risks are identified. Particular attention is paid to the problem of creating high-quality dentures of the jaw and face, their aesthetic characteristics. The questions of the choice of the method of dyeing silicone which was the basic material of the epithesis, the identity of the reproduction of paired organs of the face (auricle, eyeball, orbit), reproduction of multi-organ segments of the face, are examined in detail. An important factor affecting the retention of the prosthesis is the size of the defect of the jaw and face, the length of its borders in functionally active zones. The main mechanisms of fixation of ectoprostheses are considered, including using adhesive systems based on silicones or water-soluble emulsions, as well as using magnetic or bar attachment elements which are oncological and cranial implant-supported.
Arutyunov S.D., Leontiev V.K., Tsimbalistov A.V., Drobyshev A.Yu., Bardenshtein L.M., Kharazyan A.E., Raputa A.C., Tsarev V.N. 2020. Occupational risks in the rehabilitation of patients with acquired defects of the face and jaw (review of literature). Challenges in Modern Medicine, 43 (2): 285–303 (in Russian). DOI 10.18413/2687-0940-2020-43-2-285-303.
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