Actual problems in dentistry Actual problems in dentistry Проблемы стоматологии 2077-7566 2412-9461 42074 10.18481/2077-7566-20-16-4-13-19 ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ LITERATURE REVIEW ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ ADVANTAGES AND DISADVANTAGES OF DIGITAL SURGERY IN DENTAL REHABILITATION. LITERATURE REVIEW WITH A DESCRIPTION OF THE CLINICAL CASE ПРЕИМУЩЕСТВА И НЕДОСТАТКИ ЦИФРОВОЙ ХИРУРГИИ В СТОМАТОЛОГИЧЕСКОЙ РЕАБИЛИТАЦИИ. ОБЗОР ЛИТЕРАТУРЫ С ОПИСАНИЕМ КЛИНИЧЕСКОГО СЛУЧАЯ Ивашов Александр Сергеевич Ivashov Aleksandr Sergeevich Дементьева Кристина Дмитриевна Dement'eva Kristina D. tinahodges124@gmail.com Нерсесян Петрос Маисович Nersesyan Petros Maisovich https://orcid.org/0000-0002-8439-3272 Мандра Юлия Владимировна Mandra Yuliya V. jmandra@mail.ru

доктор медицинских наук;

doctor of medical sciences;

 Ходько Валерий Викторович Khodko Valery V. Duk-74@mail.ru Уральский государственный медицинский университет Ural State Medical University Уральский государственный медицинский университет Екатеринбург Россия Уральский государственный медицинский университет Екатеринбург Russian Federation Уральский государственный медицинский университет Екатеринбург Россия Ural State Medical University Yekaterinburg Russian Federation 28 12 2020 28 12 2020 16 4 13 19 03 12 2020 10 12 2020 https://dental-press.ru/en/nauka/article/42074/view

Предмет. С появлением передовых технологий визуализации и CAD/CAM-технологий возможность управляемой хирургии стала вызывать широкий интерес среди имплантологов. Статья посвящена реабилитации стоматологического пациента посредством имплантации по хирургическому шаблону. Представлена информация о некоторых преимуществах и недостатках цифрового протокола по сравнению с традиционной дентальной имплантацией. Описаны основные этапы навигационной хирургической операции на клиническом случае. Цель – оценить реальные клинические преимущества и недостатки установки дентальных имплантатов с использованием хирургического шаблона по сравнению с традиционным протоколом лечения. Методология. Поиск литературы проводился в научных поисковых библиографических базах данных, таких как PubMed, eLibrary, Medline, Google Academy. По тематическим рубрикам «Дентальная имплантация» и «Хирургический шаблон» было найдено более 384 исследований до 2014 г. В ходе изучения данных работ в выборку вошли 56 статей и литературных обзоров. Выводы. В последнее время установка имплантата с использованием хирургического шаблона стала популярным методом лечения среди стоматологов-хирургов. Изучение современной литературы позволило сформулировать основные преимущества и недостатки данной методики. Плюсы метода: точное позиционирование имплантатов; безлоскутная операция сокращает время операции и характеризуется благоприятным послеоперационным течением; интеграция реставрационных детерминант в хирургическое планирование, что приводит к более эстетичному, функциональному и предсказуемому результату протезирования; возможность предварительного изготовления протеза, основанного на запланированном положении имплантата; упрощение хирургической процедуры для стоматолога. Однако этот метод не лишен недостатков: сложность для хирурга визуализировать анатомические структуры; требует дополнительного цифрового планирования.

Subject. With the advent of advanced imaging technology and CAD/CAM technologies, the possibility of guided surgery has become of wide interest among implantology. The article is devoted to the use of surgical template implantation in the rehabilitation of a dental patient. It provides information about some advantages and disadvantages of the digital protocol in comparison with traditional dental implantation. The main stages of navigation surgery in a clinical case are described. Goal. To evaluate the actual clinical advantages and disadvantages of dental implant placement using a surgical template compared to the traditional treatment protocol. Methodology. The literature search was conducted in scientific search bibliographic databases such as PubMed, eLIBRARY, Medline, and Google Academy. More than 384 studies up to 2014 were found under the thematic headings "Dental implantation" and "Surgical template". During the study of these works, the sample included 56 articles and literature reviews. Conclusions. Recently, implant placement using a surgical template has become a popular treatment method among dental surgeons. The study of modern literature allowed us to formulate the main advantages and disadvantages of this method. Advantages of the method: precise positioning of implants; flap-free surgery reduces the operation time and is characterized by a favorable postoperative course; integration of restoration determinants in surgical planning, which leads to a more aesthetic, functional and predictable result of prosthetics; the possibility of pre-manufacturing a prosthesis based on the planned position of the implant; simplification of the surgical procedure for the dentist. However, this method is not without its drawbacks: the surgeon's inability to visualize anatomical structures; the risk of axis and depth deviation during implant placement; requires additional digital planning.

 управляемая хирургия дентальная имплантация хирургический шаблон CAD/CAM протезирование guided surgery dental implantation surgical template CAD/CAM prosthetics

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