ИСПОЛЬЗОВАНИЕ МЕТОДОВ ДЕНТАЛЬНОЙ ИМПЛАНТАЦИИ И ЭСТЕТИЧЕСКОЙ МЕДИЦИНЫ ДЛЯ ВОССТАНОВЛЕНИЯ ЭСТЕТИКИ ЛИЦА У ПАЦИЕНТОВ С ПОЛНОЙ АДЕНТИЕЙ

Abstract

Purpose. To evaluate the aesthetic effect of the rehabilitation of edentulous patients, using prostheses on dental implants and injections of hyaluronic acid on perioral wrinkles. Material and methods. In total, we observed 56 patients (women aged 49 to 61 years) with edentulous implantation in the period of 2016–2021. Inclusion criteria: edentulous patients with mild to moderate perioral wrinkles on the Merz Aesthetic Scale (MAS on an approved 5-point scale, where 0 = no wrinkles, 1 – mild wrinkles, 2 – moderate wrinkles, 3 – severe wrinkles and 4 – very strong wrinkles). In order to vitalize (moisturize, increase the elasticity and firmness of the skin), the patients underwent a course of intradermal injections of 1 ml of the Bio Mial Vel preparation for vitalization. Vitalization (vita-s from Lat.: life, revitalization, vitality) means a course of 3-fold administration of SGC gel in order to correct superficial wrinkles. The immediate results were assessed 1 month after the course (M03), and the long-term results - at the 6th month of observation (M06). Results: The long-term X-ray examination of patients (for 1 year or more) revealed an increase in dense bone tissue of the implantation bed. At the same time, an intimate fit of the newly formed bone to the implant was noted, which determined the positive dynamics of the osseointegration process. Compared to the baseline, the average marginal bone loss (MBL) after 6 months of prosthetics is 0.57±0.28, at the end of 1 year – 0.91±0.32, at the end of 3 years –1.27±0.32, and at the end of the 5th year – 1.46±0.64, respectively. On average, over the observation period (58.6±16.4 months), the success rate of implantation was 96.8%. After analyzing the photographs taken before and after a complex and personal conversation with each patient, the following results were obtained: normal wrinkles on the face were smoothed out in 83% of the participants, the oval of the face was tightened in 62% of the participants, the study revealed a large number of positive cosmetic effects. Most patients also showed significant improvement at M12 visit. Conclusions. The results of the study show that the use of implant-rehabilitation and injection therapy with the use of fillers based on hyaluronidase acid increases the effectiveness of treatment, improves skin function, helps to rejuvenate, smoothing wrinkles and skin folds, the face acquires a well-groomed and rejuvenated appearance. The patients were satisfied with the aesthetic and functional result of the treatment.