Affiliation:
1. Moscow Region Research Clinical Institute (MONIKI) n.a. M.F.Vladimirsky
Abstract
The article presents the results of the outcomes analysis of osteoplasty in the rehabilitation of patients using dental implants, examines its various types and biological factors affecting the success of these operations. An attempt has been made to find possible solutions to the problem of bone insufficiency in the treatment of patients with missing teeth.The aim of the study is to study the results of various bone grafting techniques in patients in preparation for dental implantation and the success factors of this surgery.Materials and methods: the results of 281 osteoplasties were evaluated. The patients were divided into 4 groups according to the surgery technique performed: guided bone regeneration (GBR); bone block transplantation (BBT); open sinus-lifting (OSL); local bone modifying (LBM). Complications and results of these surgeries were evaluated.Results: significant and critical complications were more common in the operations of GBR (61.7% and 21.28%, respectively) and BBT (28.57%). After evaluating the outcomes of osteoplastic surgery, it was found that the acceptable result of OSL was 93.27%, LBM 88.43%; while we noted an unacceptable result during GBR in 76.59%, and BBT 57.14%. Complications in the form of non-critical reversible ones were more common during OSL (42.3%), however, significant and critical complications were detected after operations of GBR (61.7%) and BBT (28.57%). The results of the analysis of the outcomes of bone plastic surgery in the oral surgery indicate a significant percentage of unsuccessful outcomes of the GBR (76.59%) and BBT (57.14%).Conclusion: the study demonstrates the clinical value and effectiveness of various osteoplasties’ methods. In our opinion, outcomes and complications is associated, among other things, with a different factors, the main of which are the number of existing bone walls of the defect (atrophy), the volume of replacement, age and localization, which must be taken into account when predicting the results of this surgery.
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