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 <front>
  <journal-meta>
   <journal-id journal-id-type="publisher-id">Actual problems in dentistry</journal-id>
   <journal-title-group>
    <journal-title xml:lang="en">Actual problems in dentistry</journal-title>
    <trans-title-group xml:lang="ru">
     <trans-title>Проблемы стоматологии</trans-title>
    </trans-title-group>
   </journal-title-group>
   <issn publication-format="print">2077-7566</issn>
   <issn publication-format="online">2412-9461</issn>
  </journal-meta>
  <article-meta>
   <article-id pub-id-type="publisher-id">50170</article-id>
   <article-id pub-id-type="doi">10.18481/2077-7566-22-18-1-37-45</article-id>
   <article-categories>
    <subj-group subj-group-type="toc-heading" xml:lang="ru">
     <subject>ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ</subject>
    </subj-group>
    <subj-group subj-group-type="toc-heading" xml:lang="en">
     <subject>LITERATURE REVIEW</subject>
    </subj-group>
    <subj-group>
     <subject>ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ</subject>
    </subj-group>
   </article-categories>
   <title-group>
    <article-title xml:lang="en">ADVANTAGES AND DISADVANTAGES OF NAVIGATION SURGERY FOR DENTAL IMPLANTATION</article-title>
    <trans-title-group xml:lang="ru">
     <trans-title>ПРЕИМУЩЕСТВА И НЕДОСТАТКИ НАВИГАЦИОННОЙ ХИРУРГИИ ПРИ ДЕНТАЛЬНОЙ ИМПЛАНТАЦИИ</trans-title>
    </trans-title-group>
   </title-group>
   <contrib-group content-type="authors">
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Мельников</surname>
       <given-names>Юрий Андреевич</given-names>
      </name>
      <name xml:lang="en">
       <surname>Melnikov</surname>
       <given-names>Yuri A.</given-names>
      </name>
     </name-alternatives>
     <email>yuramelnikov69@gmail.com</email>
     <xref ref-type="aff" rid="aff-1"/>
    </contrib>
    <contrib contrib-type="author">
     <name-alternatives>
      <name xml:lang="ru">
       <surname>Жолудев</surname>
       <given-names>Сергей Егорович</given-names>
      </name>
      <name xml:lang="en">
       <surname>Zholudev</surname>
       <given-names>Sergey Egorovich</given-names>
      </name>
     </name-alternatives>
     <email>zholudev_se@mail.ru</email>
     <bio xml:lang="ru">
      <p>доктор медицинских наук;</p>
     </bio>
     <bio xml:lang="en">
      <p>doctor of medical sciences;</p>
     </bio>
     <xref ref-type="aff" rid="aff-2"/>
    </contrib>
   </contrib-group>
   <aff-alternatives id="aff-1">
    <aff>
     <institution xml:lang="ru">АНО «Объединение «Стоматология», филиал № 6</institution>
     <city>Екатеринбург</city>
     <country>Россия</country>
    </aff>
    <aff>
     <institution xml:lang="en">АНО «Объединение «Стоматология», филиал № 6</institution>
     <city>Екатеринбург</city>
     <country>Russian Federation</country>
    </aff>
   </aff-alternatives>
   <aff-alternatives id="aff-2">
    <aff>
     <institution xml:lang="ru">Уральский государственный медицинский университет</institution>
    </aff>
    <aff>
     <institution xml:lang="en">Ural State Medical University</institution>
    </aff>
   </aff-alternatives>
   <pub-date publication-format="print" date-type="pub" iso-8601-date="2022-05-17T21:19:55+03:00">
    <day>17</day>
    <month>05</month>
    <year>2022</year>
   </pub-date>
   <pub-date publication-format="electronic" date-type="pub" iso-8601-date="2022-05-17T21:19:55+03:00">
    <day>17</day>
    <month>05</month>
    <year>2022</year>
   </pub-date>
   <volume>18</volume>
   <issue>1</issue>
   <fpage>37</fpage>
   <lpage>45</lpage>
   <history>
    <date date-type="received" iso-8601-date="2022-05-05T00:00:00+03:00">
     <day>05</day>
     <month>05</month>
     <year>2022</year>
    </date>
   </history>
   <self-uri xlink:href="https://dental-press.ru/en/nauka/article/50170/view">https://dental-press.ru/en/nauka/article/50170/view</self-uri>
   <abstract xml:lang="ru">
    <p>В этом обзоре освещаются преимущества и недостатки различных методов навигационной хирургии при операции дентальной имплантации, способствующих точному хирургическому размещению имплантатов. Данную методику можно разделить на динамическую (ДН) и статическую навигацию, а статическую навигацию можно разделить на полную (ПН) (полный хирургический протокол) и пилотную хирургию. Динамическая навигация (ДН) включает в себя подходы, управляемые сверлением, и подходы, управляемые без вычислений. При динамической навигации формирование костного ложа и установка имплантата полностью отслеживаются с помощью специального программного обеспечения, в то время как статическая навигация относится к использованию статических навигационных шаблонов. Полный хирургический протокол, связанный с «безлоскутной» хирургией и направляющими для фрез, продемонстрировал высочайшую точность, за которой следует и пилотная хирургия, способная обеспечить сопоставимые результаты, в то время как установка имплантатов без компьютера обеспечивает наименьшую точность при передаче позиционирования имплантата от предоперационного планирования пациенту. Кроме того, хирургический этап без откидывания лоскута связан с уменьшением боли, меньшим потреблением обезболивающих, меньшим отеком, сокращением времени пребывания в кресле и снижением риска кровотечения при одновременном достижении большей удовлетворенности пациента. Тем не менее, другие методы, такие как некомпьютерные процедуры имплантации, требуют большего хирургического опыта для преодоления их ограничений. По-прежнему имеется мало доказательств в поддержку динамической хирургии, и необходимы дальнейшие исследования.</p>
   </abstract>
   <trans-abstract xml:lang="en">
    <p>This review highlights the advantages and disadvantages of various methods of navigation surgery during dental implantation surgery, which contribute to the precise surgical placement of implants. This technique can be divided into: dynamic (DN) and static navigation (SN), and static navigation can be divided into full (FN) (full surgical protocol) and pilot surgery (PS). Dynamic navigation (DN) includes drilling-driven approaches and non-computing-driven approaches. In dynamic navigation, bone formation and implant placement are fully monitored using special software; while static navigation refers to the use of static navigation patterns. The complete surgical protocol associated with flapless surgery and milling cutter guides has demonstrated the highest accuracy, followed by pilot surgery, which can provide comparable results, while the installation of implants without a computer provides the least accuracy when transferring the implant positioning from preoperative planning to the patient. In addition, the surgical stage without folding the flap is associated with a reduction in pain, less consumption of painkillers, less swelling, shorter time in the chair and a reduced risk of bleeding while achieving greater patient satisfaction. However, other methods, such as non-computer implantation procedures, require more surgical experience to overcome their limitations. There is still little evidence to support dynamic surgery, and further research is needed.</p>
   </trans-abstract>
   <kwd-group xml:lang="ru">
    <kwd>дентальная имплантация</kwd>
    <kwd>навигационная хирургия</kwd>
    <kwd>прецизионность положения имплантата</kwd>
    <kwd>динамическая навигация</kwd>
    <kwd>имплантологические шаблоны</kwd>
   </kwd-group>
   <kwd-group xml:lang="en">
    <kwd>dental implantation</kwd>
    <kwd>navigation surgery</kwd>
    <kwd>accuracy of the implant position</kwd>
    <kwd>dynamic navigation</kwd>
    <kwd>implantological templates</kwd>
   </kwd-group>
  </article-meta>
 </front>
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