WORLD SCIENCE ISSN 2413-1032 http://ws-conference.com/ № 7(35), Vol.4, July 2018 41 ǪǰǩǟǸDzǶǪǭ ǷǸǰȀdzǟǼǶǪǻǪǨǵǵȇ ǯǻǩǟǪ ȇDz ǷǟǬǫǶǺǶǪǿǰDZ ǭǺǨǷ ǶǸǺǶǷǭǬǰǿǵǶǫǶ dzǟDzǻǪǨǵǵȇ ǷǨǾǟЄǵǺǟǪ ǟǯ ǯǨǽǪǶǸȆǪǨǵǵȇǴǰ ǹDzǸǶǵǭǪǶ-ǵǰǮǵȄǶȁǭdzǭǷǵǶǫǶ ǹǻǫdzǶǩǨ Ƚɚɜɚɥɟɲɤɨ ȼ. ɉ., ɤ. ɦɟɞ.ɧɚɭɤ, ɚɫ., ɤɚɮɟɞɪɚ ɨɪɬɨɩɟɞɢɱɧɨʀ ɫɬɨɦɚɬɨɥɨɝɿʀ Ɋɨɠɤɨ ȼ. І., ɚɫ., ɤɚɮɟɞɪɚ ɬɟɪɚɩɟɜɬɢɱɧɨʀ ɫɬɨɦɚɬɨɥɨɝɿʀ ȼȾɇɁ ɍɤɪɚʀɧɢ “Ȼɭɤɨɜɢɧɫɶɤɢɣ ɞɟɪɠɚɜɧɢɣ ɦɟɞɢɱɧɢɣ ɭɧɿɜɟɪɫɢɬɟɬ” Ɇɚɥɟɧɞɟɜɢɱ Ɍ. Ʌ., ɚɫ., ɤɚɮɟɞɪɚ ɯɿɪɭɪɝɿɱɧɨʀ ɫɬɨɦɚɬɨɥɨɝɿʀ Іɜɚɧɨ-Ɏɪɚɧɤɿɜɫɶɤɢɣ ɧɚɰɿɨɧɚɥɶɧɢɣ ɦɟɞɢɱɧɢɣ ɭɧɿɜɟɪɫɢɬɟɬ ɍɤɪɚʀɧɚ, ɦ.Іɜɚɧɨ-Ɏɪɚɧɤɿɜɫɶɤ DOI: https://doi.org/10.31435/rsglobal_ws/12072018/6027 ARTICLE INFO Received: 10 May 2018 Accepted: 18 June 2018 Published: 12 July 2018 ABSTRACT The article highlights the role of selective grinding procedures before special prosthodontic treatment of patients with rheumatoid arthritis and dental row deformations. Teeth are altered by selective grinding to make simultaneous cusp tip to cusp tip contact on both sides of the arch when the jaws are in left or a right lateral position, balanced occlusion in a static eccentric position exists. Nowadays, the question of choosing the best prosthodontic treatment for patients with dental row deformations on a background of rheumatoid arthritis is not studied enough. Prosthodontic treatment of patients with partial tooth loss and temporomandibular joint disorders should be true strictly individually and complex after general treatment and at the period of rheumatoid arthritis remission. KEYWORDS prosthodontics; selective grinding; rheumatoid arthritis; dental rows; temporomandibular joint. Citation: Ƚɚɜɚɥɟɲɤɨ ȼ. ɉ., Ɋɨɠɤɨ ȼ. ȱ., Ɇɚɥɟɧɞɟɜɢɱ Ɍ. Ʌ. (2018) Vybirkove Pryshlifovuvannia Zubiv yak Pidhotovchyi Etap Ortopedychnoho Likuvannia Patsiientiv iz Zakhvoriuvanniamy Skronevo- Nyzhnoshchelepnoho Suhloba. World Science. 7(35), Vol.4. doi: 10.31435/rsglobal_ws/12072018/6027 Copyright: © β018 Ƚɚɜɚɥɟɲɤɨ ȼ. ɉ., Ɋɨɠɤɨ ȼ. І., Ɇɚɥɟɧɞɟɜɢɱ Ɍ. Ʌ. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. ȼɫɬɭɩ. Ʉɥɿɧɿɱɧɢɣ ɚɧɚɥɿɡ ɨɤɥɸɡɿɣɧɢɯ ɜɡɚєɦɨɜɿɞɧɨɲɟɧɶ є ɧɟɜɿɞ’єɦɧɨɸ ɱɚɫɬɢɧɨɸ ɨɛɫɬɟɠɟɧɧɹ ɩɪɢ ɫɤɥɚɞɚɧɧɿ ɩɥɚɧɭ ɨɪɬɨɩɟɞɢɱɧɨɝɨ ɥɿɤɭɜɚɧɧɹ ɩɚɰɿєɧɬɿɜ ɿɡ ɫɭɩɭɬɧɿɦɢ ɡɚɯɜɨɪɸɜɚɧɧɹɦɢ. Ɋɿɜɧɨɦɿɪɧɢɣ ɪɨɡɩɨɞɿɥ ɠɭɜɚɥɶɧɨɝɨ ɬɢɫɤɭ ɞɚє ɦɨɠɥɢɜɿɫɬɶ ɡɨɫɟɪɟɞɢɬɢ ɜɟɤɬɨɪɢ ɮɭɧɤɰɿɨɧɚɥɶɧɢɯ ɬɚ ɩɚɪɚɮɭɧɤɰɿɨɧɚɥɶɧɢɯ ɫɢɥ, ɜɢɤɥɸɱɢɜɲɢ ɦɨɠɥɢɜɿɫɬɶ ɤɨɧɰɟɧɬɪɚɰɿʀ ʀɯ ɧɚ ɨɤɪɟɦɢɯ ɡɭɛɚɯ, ɬɢɦ ɫɚɦɢɦ ɩɨɩɟɪɟɞɢɬɢ ɪɨɡɜɢɬɨɤ ɬɪɚɜɦɚɬɢɱɧɨʀ ɨɤɥɸɡɿʀ ɬɚ ʀʀ ɭɫɤɥɚɞɧɟɧɧɹ Д1,β,4Ж. Ⱥɧɚɥɿɡ ɦɿɠɨɤɥɸɡɿɣɧɢɯ ɜɡɚєɦɨɜɿɞɧɨɲɟɧɶ ɡɚɤɥɸɱɚєɬɶɫɹ ɜ ɞɟɬɚɥɶɧɨɦɭ ɨɛɫɬɟɠɟɧɧɿ ɤɨɧɬɚɤɬɿɜ ɡɭɛɿɜ ɭ ɡɚɞɧɿɣ ɤɨɧɬɚɤɬɧɿɣ ɩɨɡɢɰɿʀ, ɫɟɪɟɞɢɧɧɿɣ ɨɤɥɸɡɿɣɧɿɣ ɩɨɡɢɰɿʀ, ɚ ɬɚɤɨɠ ɩɪɢ ɬɪɚɧɫɜɟɪɡɚɥɶɧɢɯ ɿ ɫɚɝɿɬɚɥɶɧɢɯ ɪɭɯɚɯ ɧɢɠɧɶɨʀ ɳɟɥɟɩɢ. Ɉɬɪɢɦɚɧɿ ɞɚɧɿ ɞɨɡɜɨɥɹɸɬɶ ɡɪɨɡɭɦɿɬɢ ɨɫɨɛɥɢɜɨɫɬɿ ɜɡɚєɦɨɞɿʀ ɡɭɛɿɜ, ɩɨɜ’ɹɡɚɧɢɯ ɡ ʀɯ ɮɭɧɤɰɿєɸ, ɧɚ ɹɤɿɣ ɛɭɞɟ ɨɛɭɦɨɜɥɟɧɟ ɧɚɫɬɭɩɧɟ ɨɪɬɨɩɟɞɢɱɧɟ ɥɿɤɭɜɚɧɧɹ. ɑɢɫɥɨ ɦɿɠɡɭɛɧɢɯ ɤɨɧɬɚɤɬɿɜ ɧɚ ɜɫɶɨɦɭ ɡɭɛɧɨɦɭ ɪɹɞɿ ɧɚɩɪɹɦɭ ɩɨɜ’ɹɡɚɧɟ ɡ ɚɤɬɢɜɧɿɫɬɸ ɠɭɜɚɥɶɧɢɯ ɦ’ɹɡɿɜ Дγ,4Ж. ȼɿɞɨɦɨ, ɳɨ ɭ ɩɚɰɿєɧɬɿɜ ɫɬɚɪɲɨɝɨ ɜɿɤɭ ɡɚɞɨɜɿɥɶɧɚ ɠɭɜɚɥɶɧɚ ɮɭɧɤɰɿɹ ɦɨɠɟ ɡɛɟɪɿɝɚɬɢɫɹ ɧɚɜɿɬɶ ɩɪɢ ɜɬɪɚɬɿ ɦɨɥɹɪɿɜ Д6,8Ж. Ɋɟɜɦɚɬɨʀɞɧɢɣ ɚɪɬɪɢɬ (ɊȺ) – ɰɟ ɫɢɫɬɟɦɧɟ ɡɚɯɜɨɪɸɜɚɧɧɹ ɫɩɨɥɭɱɧɨʀ ɬɤɚɧɢɧɢ, ɹɤɟ ɩɪɨɹɜɥɹєɬɶɫɹ ɫɭɝɥɨɛɨɜɢɦ ɫɢɧɞɪɨɦɨɦ, ɹɤɢɦ ɡɚ ɞɚɧɢɦɢ ȼɈɈɁ (β005) ɫɬɪɚɠɞɚɸɬɶ ɧɟ ɦɟɧɲɟ 1% ɧɚɫɟɥɟɧɧɹ ɿ ɩɨɱɢɧɚєɬɶɫɹ ɡ ɩɟɪɢɮɟɪɢɱɧɢɯ ɞɪɿɛɧɢɯ ɫɭɝɥɨɛɿɜ (ɫɭɝɥɨɛɢ ɩɚɥɶɰɿɜ ɪɭɤ ɿ ɧɿɝ) ɿ ɩɨɲɢɪɸєɬɶɫɹ ɧɚ ɜɟɥɢɤɿ (ɩɥɟɱɨɜɢɣ ɿ ɤɨɥɿɧɧɢɣ). ɍɪɚɠɟɧɧɹ ɫɤɪɨɧɟɜɨ-ɧɢɠɧɶɨɳɟɥɟɩɧɨɝɨ ɫɭɝɥɨɛɚ (ɋɇɓɋ) ɦɨɠɭɬɶ ɩɪɨɹɜɥɹɬɢɫɹ ɹɤ ɭ ɜɢɝɥɹɞɿ ɫɚɦɨɫɬɿɣɧɨɝɨ ɡɚɯɜɨɪɸɜɚɧɧɹ, ɬɚɤ ɿ ɪɨɡɜɢɜɚɬɢɫɹ ɩɪɢ