Velikiy Novgorod, Veliky Novgorod, Russian Federation
Saint Petersburg, St. Petersburg, Russian Federation
employee
Moscow, Moscow, Russian Federation
Velikiy Novgorod, Veliky Novgorod, Russian Federation
Saint Petersburg, St. Petersburg, Russian Federation
Saint Petersburg, St. Petersburg, Russian Federation
Moscow, Moscow, Russian Federation
Saint Petersburg, St. Petersburg, Russian Federation
Velikiy Novgorod, Veliky Novgorod, Russian Federation
UDK 616 Патология. Клиническая медицина
GRNTI 76.29 Клиническая медицина
OKSO 31.05.03 Стоматология
BBK 566 Стоматология
Currently, there are two dental approaches to the oral rehabilitation of elderly patients before implant prosthetics. One of them is conservative, based on a purely sparing approach, inspired by the classical dental prosthetics canons with commonplace replacement structures, the other is radical, empirically confirmed by unfavourable long–term prosthetic results, taking into account chronic diffuse periodontitis being a relative contraindication for implantation due to the abundance of periodontogenic and anaerobic flora in the oral cavity and in the periapical foci, as well as – polymorbidity of the elderly. This increases the risk of mucositis, peri-implantitis, leading to failure of implants, replacement of prostheses within warranty periods, and repeated prosthetics. The purpose of this work was to create a measuring instrument for a target preliminary choice of an alternative from two available approaches to oral health improvement in elderly patients before implant prosthetics. The object of the study was 10 expert software programs for assessing the quality of various dental and jaw prosthesis designs, including extended implant restorations with a few artificial supports. The methods and criteria used in these systems were studied. A portable computer program has been created that allows making a target choice between conservative, radical and moderately radical approaches to preparing the oral cavity of elderly patients for immediate implant prosthetics.The program is used to assess the morphofunctional state of those teeth whose prognosis is doubtful, and the indications for extraction are not absolute. The program implements a scoring system for evaluating the answers received according to a questionnaire of 20 criteria with the possibility of automatic summation and the issuance of a final conclusion.
gerodontology, oral cavity, dental implant, prosthetic dentistry, oral sanation
1. Olesova V.N., Bronshteyn D.A., Uzunyan N.A. i dr. Biomehanika nes'emnogo proteza na implantatah pri polnom otsutstvii zubov na verhney chelyusti. Stomatologiya. 2018;97(6):53-56. [V.N. Olesova, D.A. Bronstein, N.A. Uzunyan et al. Biomechanics of a fixed prosthesis on implants in the complete absence of teeth in the upper jaw. Dentistry. 2018;97(6):53-56. (In Russ.)]. https://doi.org/10.17116/stomat20189706153
2. Kulakov A.A., Andreeva S.N. Rol' klinicheskih rekomendaciy v obespechenii kachestva stomatologicheskoy pomoschi pri dental'noy implantacii. Stomatologiya. 2019;98(6):107-111. [A.A. Kulakov, S.N. Andreeva. The role of clinical guidelines in ensuring the quality of dental care in dental implantation. Dentistry. 2019;98(6):107-111. (In Russ.)]. https://doi.org/10.17116/stomat201998061107
3. Grigor'ev S.S., Sablina S.N., Elovikova T.M. i dr. Patogeneticheskie paralleli osteoporoza i hronicheskogo parodontita. Literaturnyy obzor. Problemy stomatologii. 2022;18(1):19-28. [S.S. Grigoriev, S.N. Sablina, T.M. Elovikova et al. Pathogenetic Parallels of Osteoporosis and Chronic Periodontitis. Literature review. Actual problems in dentistry. 2022;18(1):19-28. (In Russ.)]. https://doi.org/10.18481/2077-7566-22-18-1-19-28
4. Homenko I.N. Issledovanie kachestva zhizni pacientov, pol'zuyuschihsya perekryvayuschimi protezami. Problemy stomatologii. 2022;18(1):148-153. [I.N. Khomenko. A study of the quality of life of patients using overlapping prostheses. Actual problems in dentistry. 2022;18(1):148-153. (In Russ.)]. https://doi.org/10.18481/2077-7566-22-18-1-148-153
5. Tkacheva O.N., Kotovskaya Yu.V., Krylov K.Yu. i dr. Mal'nutriciya kak faktor, usugublyayuschiy techenie hronicheskoy serdechnoy nedostatochnosti v pozhilom i starcheskom vozraste. Rossiyskiy kardiologicheskiy zhurnal. 2022;27(S1):25-32. [O.N. Tkacheva, Yu.V. Kotovskaya, K.Yu. Krylov et al. Malnutrition as a factor aggravating the course of chronic heart failure in the elderly and senile age. Russian journal of cardiology. 2022;27(S1):25-32. (In Russ.)]. https://doi.org/10.15829/1560-4071-2022-4583
6. Tkacheva O.N., Runikhina N.K., Mkhitaryan E.A. et al. The Effects of Physical Health and Functional Status on Cognitive Functions in Women at Ages of 55-64 Years // Advances in Gerontology. - 2022;12(1):41-46. https://doi.org/10.1134/S2079057022010155
7. Frolova E.V. Geriatricheskaya medicina: dostizheniya i perspektivy. Rossiyskiy semeynyy vrach. 2021;25(3):7-16. [E.V. Frolova. Geriatric medicine: achievements and prospects. Russian family doctor. 2021;25(3):7-16. (In Russ.)]. https://doi.org/10.17816/RFD71284
8. Mahanov D.I., Veber V.R., Karibaev K.R. Rol' analiza pokazateley vegetativnoy regulyacii v prognozirovanii ishoda hirurgicheskogo lecheniya ostrogo koronarnogo sindroma. Vestnik Novgorodskogo gosudarstvennogo universiteta. 2022;1(126):86-91. [D.I. Makhanov, V.R. Weber, K.R. Karibaev. The role of analysis of indicators of autonomic regulation in predicting the outcome of surgical treatment of acute coronary syndrome. Bulletin of the Novgorod State University. 2022;1(126):86-91. (In Russ.)]. https://doi.org/10.34680/2076-8052.2022.1(126).86-91
9. Rozov R.A., Trezubov V.N., Gerasimov A.B., Kopylov M.V., Azarin G.S. Klinicheskiy analiz blizhayshih i otdalennyh rezul'tatov primeneniya implantacionnogo protezirovaniya «Trefoyl» v Rossii. Stomatologiya. 2020;99(5):50-57. [R.A. Rozov, V.N. Trezubov, A.B. Gerasimov, M.V. Kopylov, G.S. Azarin. Clinical analysis of the immediate and long-term results of the use of implant prosthetics "Trefoil" in Russia. Dentistry. 2020;99(5):50-57. (In Russ.)]. https://doi.org/10.17116/stomat20209905150
10. Trezubov V.N., Rozov R.A. Dekompensirovannyy zubnoy ryad (filosofskiy etyud). Parodontologiya. 2020;25(2):134-139. [V.N. Trezubov, R.A. Rozov. Decompensated dentition (philosophical study). Periodontology. 2020;25(2):134-139. (In Russ.)]. https://doi.org/10.33925/1683-3759-2020-25-2-134-139
11. Balibasacis G., Manoil D. Microbial community-driven etiopathogenesis of peri-implantitis // J. Dent. Res. - 2021;100(1):21-28. https://doi.org/10.1177/0022034520949851
12. Tomasi S., Alboni J., Schaller D., Navarro R., Derks J. Efficacy of rehabilitation of stage IV periodontitis patients with full-arch fixed prostheses: tooth-supported versus implant-supported - a systematic review // J. Clin. Periodontal. - 2022;49(24):248-271. https://doi.org/10.1111/jcpe.13511
13. Rozov R.A., Trezubov V.N. Komp'yuternaya programma ekspertizy kachestva protyazhennyh implantacionnyh protezov s malym chislom opor «ROZA». Svid. RosPatenta o gos. registracii novoy programmy dlya EVM. № 2020665102. 08.12.2020. [R.A. Rozov, V.N. Trezubov. Computer program for the examination of the quality of extended implant prostheses with a small number of supports "ROZA". Certificate RosPatent about the state. registration of a new computer program. № 2020665102. 08.12.2020. (In Russ.)]. https://www.elibrary.ru/item.asp?id=44444465
14. Rozov R.A., Trezubov V.N., Bystrova Yu.A. i dr. Razrabotka, validaciya i klinicheskaya aprobaciya avtorskogo sposoba ocenki kachestva implantacionnyh protezov u pacientov pozhilogo i starcheskogo vozrasta. Parodontologiya. 2021;26(3):197-202. [R.A. Rozov, V.N. Trezubov, Yu.A. Bystrova. Development, validation and clinical testing of the author's method for assessing the quality of implant prostheses in elderly and senile patients. Periodontology. 2021;26(3):197-202. (In Russ.)]. https://doi.org/10.33925/1683-3759-2021-26-3-197-202
15. Trezubov V.N., Volkovoy O.A. Komp'yuternaya programma ekspertnoy ocenki kachestva zubnogo implantacionnogo protezirovaniya «TREVOL». Svid. RosPatenta o gos. registracii novoy programmy dlya EVM. №2017663483. 05.12.2017. [V.N. Trezubov, O.A. Volkovoy. Computer program for expert assessment of the quality of dental implant prosthetics "TREVOL". Certificate RosPatent about the state. registration of a new computer program. №2017663483. 05.12.2017. (In Russ.)]. https://www.elibrary.ru/item.asp?id=39374276
16. Trezubov V.N., Simonenko A.A., Rozov R.A. i dr. Programma ocenki kachestva implantacionnogo lecheniya «TRESIM». Svid. RosPatenta o gos. registracii novoy programmy dlya EVM. № 2019661193. 21.08.2019. [V.N. Trezubov, A.A. Simonenko, R.A. Rozov et al. The program for assessing the quality of implantation treatment "TRESIM". Certificate RosPatent about the state. registration of a new computer program. № 2019661193. 21.08.2019. (In Russ.)]. https://www.elibrary.ru/item.asp?id=40879869
17. Rozov R.A., Kabanov M.Yu., Trezubov V.N. Utrata zven'ev zhevatel'nogo apparata - invalidnost' ili invalidizaciya? Uspehi gerontologii. 2021;34(2):232-238. [R.A. Rozov, M.Yu. Kabanov, V.N. Trezubov. Loss of parts of the chewing apparatus - disability or disability? Advances in Gerontology. 2021;34(2):232-238. (In Russ.)]. https://doi.org/10.34922/AE.2021.34.2.007
18. Arutyunov S., Kirakosyan L., Dubova L. et al. Microbial Adhesion to Dental Polymers for Conventional, Computer-Aided Subtractive and Additive Manufacturing: A Comparative In Vitro Study // Journal of Functional Biomaterials. - 2022;13(2):42. https://doi.org/10.3390/jfb13020042
