During examinations the patients we pay attention to a high percentage of periodontal disease and a hard tissue defects of the lateral teeth. This problem is especially important after the restoration of the lateral teeth on a presence of hard tissue defects of different etiologies. A treatment can be successful only if the results are consistent with modern functional and aesthetic requirements and with individual needs of the patient. Take into account all factors that show the impact on the quality of restorations in the treatment process is necessary to use the concept of optimal analysis of the initial clinical situation and treatment planning. Today there is an increase demand for a quality of aesthetic dental restoration with composites. In this case we pay attention not only to the direct result of the doctor but how the dental restoration looks in a 1,2,5 years. Thus, the impact of direct restorations of lateral teeth depends on the condition of periodontal tissues in the later periods after treatment remains relevant and understudied. The aim to analyze the periodontal status of teeth in the long period after direct lateral teeth restorations. We conducted evaluation of restorations status and existence of periodontitis in lateral teeth at 100 patients after 1, 2 and 3 years or more after treatment. Clinical evaluation of restorations we carried out according to the USPHS Ryge, we evaluated the correctness of creation occlusal and lateral contacts, periodontal status of teeth, their mobility, baring the necks of teeth, dental raid, development of secondary caries and gingival condition of interdental papilla and gingival margin. We found that in 79,2±1,9% of observed there are periodontal diseases and in 48,5±2,4% we are looking on contravention of occlusal relationships in a restorations of lateral teeth. Number of patients with periodontal disease (generalized periodontitis 1 and 2 level of severity) among the patients with hard tissue defects was aged in 18-24 years -44,8±5,3% , the index increased in the age of 25-34 years to-69,5±5,1%, and in the age of 35-44 years this index was 85,9±3,6%.We found that the maximum prevalence of periodontal diseases and defects of hard tissue in the age of 45-54 years 96,8 ± 1,8% and in 55-64 years 94,9 ± 2,3% of patients. Assessing periodontal status in 35 patients after oneyear of restoration we can say that the tooth mobility was found in 12 patients (34,3 ± 8,0%),the baring necks in 17 (48,6 ± 8,5%), the presence of plaque -in 27 (77,1 ± 7,1%). We also assessed the status of marginal and alveolar gums. Thus the papillitis was found in 4 patients (11,4 ± 5,4%),the gingivitis 5 (14,3 ± 5,9%), and the generalized periodontitis in 18 cases (51,4 ± 8,5% ). The changes that occurred in the periodontium after a two-year restoration are next: pathological mobility of teeth was observed in 15 patients (37,5 ± 7,7%), baring necks in 19 (47,5 ± 7,9%), presence of plaque, which indicates a poor state of hygiene – in 32 (80, 0 ± 6,3%),and changes in the gums with inflammatory or inflammatory-dystrophic character observed in 32 patients, of which papillitis was found in 2 cases (5,0 ± 3,5%), gingivitis –in 6 (15,0 ± 5,7%) and periodontal disease in 24 (60,0 ± 7,8%). After restoration which took place 3 or more years ago was examined 25 patients, 11 of them were identified with pathological mobility of teeth (44,0 ± 9,9%), baring necks in 17 (68,0 ± 9,3%) , the presence of plaque in 19 (76,0 ± 8,5%). In examined patients papillitis was not observed that indicates the lesion is not only on the marginal edge of the gums, but including alveolar gumsgingivitis was found in 3 cases (12,0 ± 6,5%) and inflammatorydystrophic disease (generalized periodontitis) were found in 18 (72,0 ± 9,0%) patients. So, examined patients in the later periods after restorations by conventional methods predominate inflammatory-degenerative and inflammatory periodontal disease, especially periodontitis and gingivitis, which is in accordance of 60,0±4,9% and 14,0±3,5%.

Цель исследования – проанализировать состояние пародонта зубов в отдаленные сроки после прямых реставраций боковых зубов. На обследовании стоматологических пациентов обращает на себя внимание высокий процент сочетания заболеваний пародонта и дефектов твердых тканей боковых зубов. Особенно острой эта проблема становится после проведения реставраций боковых зубов по поводу наличия дефектов твердых тканей разной этиологии. Нами проведено оценку состояния реставраций и пародонта боковых зубов у 100 пациентов через 1, 2, 3 года и больше после лечения. У 79,2±1,9% обследованных выявлены заболевания пародонта, а у 48,5±2,4% наблюдается нарушение окклюзионных соотношений при наличии реставраций боковых зубов. У обследованных больных в отдаленные сроки после реставраций по общепринятым методикам преобладают воспалительно-дистрофические и воспалительные заболевания пародонта, в частности пародонтит и гингивит, процент которых составлял соответственно 60,0±4,9% и 14,0±3,5%.