Kopytov A. A., Volkova O. A., Ovchinnikov I. V. Socio-medical aspects of dental prosthetics of elderly patients who have had COVID-19. Remedium. 2021;(4):72–78. (In Russ.). doi: 10.32687 ...

Abstract

The intensity of the spread of COVID-19 leads to the formation of. individual groups dependent on the nature of the pandemic, both somatically and psychologically. It is proved that obsessive thoughts about the likelihood of COVID-19 disease or the condition after the disease are powerful factors for the appearance of stress. They negatively affect people's social activity. It was revealed that the current situation leads to the provision of dental care to former patients with COVID-19, including through the manufacture of removable plate prostheses. Getting used to dentures in the oral cavity and their use leads to the emergence and increase of stress. It has been demonstrated that the complex effects of psychological stress, post-ovoid somatics and the body's reaction to a foreign body in the mouth entail a synergistic effect. It manifests itself in an imbalance of physiological, psychological and social constants. From the point of view of rehabilitation of dental patients who have previously had COVID-19 and received complete removable prostheses, we attribute sleep and breathing disorders to strong changes. It is concluded that intrusive thoughts and post-cortical somatics, enhanced by the imposition of prostheses, cause acute insomnia and motivate patients to remove prostheses. This leads to a calmer state characterized by habitual articulation and breathing. But the need to return to appearance and chewing functions lead patients to additional somatic and psychological experiences, causing acute insomnia, which entails additional stress effects and, as a result, a decrease in social activity