Abstract
Rationale for the study. Today, there is a growing number of patients with complaints of intolerance to the structural materials of dentures. However, there are a number of diseases and conditions that have similar symptoms. The purpose of the present study was to evaluate the current view on the problems of diagnosing intolerance caused by the structural materials of dentures. Materials and methods. A systematic review of modern studies devoted to the problem of diagnosing intolerance to structural materials of dentures, as well as diseases and conditions with similar symptoms, was carried out. Results. We have analyzed 547 modern literary sources presented in the electronic eLIBRARY, covering the problems of diagnosing intolerance to structural materials, on the basis of which 58 publications were selected, the main results are presented in this article. It was revealed that elderly and senile patients are most susceptible to the occurrence of symptoms of intolerance and to a greater extent in the presence of dentures made of dissimilar alloys, which is reflected in the indicators of the difference in electrochemical potentials, the rate of salivation and the pH of mixed saliva. Modern devices and diagnostic methods make it possible to conduct a high-quality differential diagnosis of intolerance to the structural materials of dentures from other pathological conditions caused by general somatic diseases, or medications, and select the optimal materials for further prosthodontic treatment. Conclusion. Knowledge of relevant pathologies and their application in clinical practice will help to reduce the number of conflict situations between doctors and patients, which will increase the level of quality of dental treatment provided.