CLINICAL ASPECTS OF APPLICATION OF THE INDIVIDUAL RECONSTRUCTIVE IMPLANT FROM THE MATERIAL LYOPHILIZED BY ALLOGENNOGO AT THE EXPRESSED ATROPHY OF THE BONE TISSUE OF JAWS-Reference-Cited by-同舟云学术

CLINICAL ASPECTS OF APPLICATION OF THE INDIVIDUAL RECONSTRUCTIVE IMPLANT FROM THE MATERIAL LYOPHILIZED BY ALLOGENNOGO AT THE EXPRESSED ATROPHY OF THE BONE TISSUE OF JAWS

Published:2018-07-25 Issue:2 Volume:14 Page:86-92
ISSN:2077-7566
Container-title:Actual problems in dentistry
language:en
Short-container-title:

Author:

Попов Николай¹,Popov Nikolay²

Affiliation:

1. ФГБОУ ВО «Самарский государственный медицинский университет» Минздрава России, г. Самара,

2. Samara State Medical University,

Abstract

Importance. The success of complex rehabilitation of patients by the method of dental implantation in conditions of deficit of the jaw bone in the field of dentition defects is determined by a number of factors that play an important role at various stages of treatment. Dental implantation with complex defects of the alveolar bone of the jaw requires preliminary reconstruction using bone replacement materials, the success of which depends on the contact area of the reconstructive bone implant with autologous bone tissue, the degree of its revascularization and primary stabilization. Objectives. Expansion of indications for dental implantation with pronounced atrophy of the jaw bone in the area of dentition defect by applying individual reconstructive implants from lyophilized allogenic material. Methods. The production of a precision reconstructive bone implant from an allogenic biomaterial was carried out using digital reconstruction techniques based on the construction of virtual digital 3D models based on computed tomography. To assess the results of treatment of patients with severe atrophy of the jaw bone in the area of defects in the dentition, general clinical and special research methods were used: cone-ray computer tomography, densitometry of the jaw bone tissue, perotestmetry; reoparodontography; studying the quality of life. Results. The use of a reconstructive implant from lyophilized allogenic material leads to an increase in the contact area of the reconstructive implant with autologous bone tissue of the alveolus, an increase in the revascularization of the reconstructive implant, an increase in the osteoconductive potential, a decrease in the probability of rejection of the reconstructive implant, a reduction in the probability of complications in the postoperative period, and expansion of indications for dental implantation. Conclusion. The use of individual reconstructive implants from lyophilized allogenic material with pronounced bone tissue atrophy in the area of dentition defects of jaws can significantly expand the indications for dental implantation and reduce the overall duration of treatment by an average of 6 months due to one-step augmentation and implantation.

Publisher

TIRAZH Publishing House

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