ANALYSIS OF LONG-TERM RESULT OF IMPLANTATION AFTER RECONSTRUCTION OF THE MANDIBLE
Abstract and keywords
Abstract (English):
Predmet. Na sovremennom etape preimuschestvo pri vosstanovlenii zhevatel'noy funkcii u pacientov posle rekonstruktivnyh operaciy na nizhney chelyusti dolzhny imet' protezy s oporoy na dental'nye implantaty. Vopros vybora sistemy implantatov, a takzhe analiz otdalennyh rezul'tatov ustanovki implantatov v kostnuyu tkan' posle rekonstrukcii nizhney chelyusti razlichnymi vidami transplantatov trebuyut dal'neyshih issledovaniy. Cel'. Obosnovat' vybor sistemy implantatov i opredelit' effektivnost' dental'noy implantacii u pacientov s defektami nizhney chelyusti, zameschennymi allogennymi transplantatami serii «Alloplant». Metodologiya. Byl proveden meta-analiz dannyh literatury dlya opredeleniya sistemy implantatov, obladayuschey nailuchshimi pokazatelyami vyzhivaemosti implantatov (VI) i minimal'nymi izmeneniyami urovnya marginal'noy kostnoy tkani (UMK) po zadannym kriteriyam: srok nablyudeniya — 5 let i bolee, ne menee 2 prospektivnyh issledovaniy, nalichie kontrol'nyh rentgenogramm. Na vtorom etape my proanalizirovali sobstvennye klinicheskie dannye 8 pacientov, kotorym bylo ustanovleno 23 implantata v allogennyy regenerat posle rekonstrukcii defektov nizhney chelyusti. Rezul'taty. Bylo ustanovleno, chto tol'ko 3 sistemy implantatov sootvetstvovali zadannym kriteriyam. Pokazatel' izmeneniya UMK u implantatov Brånemark sostavil -0,78 mm, Straumann — -0,50 mm, Astra Tech — -0,26 mm so statisticheski dostovernoy raznicey. Srednee znachenie pokazatelya VI Brånemark (95,0±3,2 %) okazalos' znachimo nizhe, chem u Straumann (98,0±1,9 %) i Astra Tech (98,3±1,9 %). Analiz sobstvennyh otdalennyh rezul'tatov dental'noy implantacii v allogennyy regenerat demonstriruet, chto VI sostavlyaet 100 %, a pokazatel' izmeneniya UMK — v srednem 0,67±0,32 mm, pri etom srednie ezhegodnye pokazateli UMK ne prevyshayut 0,1 mm v god. Vyvody. Poluchennye dannye prodemonstrirovali, chto naibolee optimal'nymi i izuchennymi dental'nymi implantatami yavlyayutsya Astra Tech. Oni pozvolyayut poluchit' prognoziruemyy polozhitel'nyy rezul'tat implantologicheskogo lecheniya posle rekonstrukcii nizhney chelyusti allogennymi transplantatami serii «Alloplant», obespechivayuschiy minimal'nye izmeneniya UMK vokrug ustanovlennyh implantatov i vysokuyu vyzhivaemost' implantatov.

Keywords:
dental'naya implantaciya, Astra Tech, rekonstrukciya chelyusti, rezekciya chelyusti, osteoplastika, allogennye transplantaty
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