Changes in Immunological Parameters in Patients Treated Using Direct and Indirect Restorations of the Hard Tissues of the Anterior Teeth in Combination with an Antioxidant

Abstract

The problem of aesthetic restoration of the hard tissue defects in the anterior teeth and the choice of materials

for quality restorations, which can include direct composite or indirect ceramic restoration, in particular

ceramic veneers, is currently extremely important in clinical dental orthopedics. Currently used composite

and ceramic materials are known to have different effects on the conditions of the marginal periodontium

and the local immunity in the oral cavity. Therefore, we propose a new approach to treatment, which is

the use of indirect ceramic restorations in combination with an antioxidant. The purpose of this article is

to increase the effectiveness of treatment in patients with defects in anterior teeth using indirect ceramic

restorations with antioxidants. To study the intensity of immune reactivity in patients with existing defects

of the coronal part of the anterior teeth, we analyzed the levels of lysozyme and sIgA in the oral fluid. The

results of the studies confirm the advantages of indirect ceramic restorations over direct composite ones in

the treatment of hard tissue defects in the anterior teeth, taking into account the levels of immunological

reactivity and using an antioxidant drug Resverasin.