Actual problems in dentistry Actual problems in dentistry Проблемы стоматологии 2077-7566 2412-9461 56822 10.18481/2077-7566-2022-18-4-73-79 ХИРУРГИЧЕСКАЯ СТОМАТОЛОГИЯ И ИМПЛАНТОЛОГИЯ SURGICAL DENTISTRY AND IMPLANTOLOGY ХИРУРГИЧЕСКАЯ СТОМАТОЛОГИЯ И ИМПЛАНТОЛОГИЯ IMPROVING THE PROTOCOL FOR THE OPERATION OF ONE-STAGE DENTAL IMPLANTATION OF PATIENTS WITH TOOTH LOSS УСОВЕРШЕНСТВОВАНИЯ ПРОТОКОЛА ОПЕРАЦИИ ОДНОМОМЕНТНОЙ ДЕНТАЛЬНОЙ ИМПЛАНТАЦИИ ПАЦИЕНТОВ ПРИ ПОТЕРЕ ЗУБОВ Дьячкова Екатерина Юрьевна Diachkova Ekaterina Yur'evna secu2003@mail.ru

кандидат медицинских наук;

candidate of medical sciences;

 Тарасенко Светлана Викторовна Tarasenko Svetlana Viktorovna prof_tarasenko@rambler.ru

доктор медицинских наук;

doctor of medical sciences;

 Судьев Сергей Анатольевич Sudiev Sergey Anatol'evich sergeisudiev@yandex.ru Иванов Сергей Сергеевич Ivanov Sergey S. ivan-swim@yandex.ru

кандидат медицинских наук;

candidate of medical sciences;

 Кузнецов Алексей Игоревич Kuznetsov Alexei Igorevich a.kuznetcov@mail.ru Атеф Сокар Ахмет Atef Sokar Ahmet ahmedsokkar123@yahoo.com Бекасов Илья Сергеевич Bekasov Il'a Sergeevich iliabekasoff@gmail.com Первый Московский государственный медицинский университет имени И.М. Сеченова Москва Россия First Moscow State Medical University named after I.M. Sechenov Moscow Russian Federation Первый Московский государственный медицинский университет имени И.М. Сеченова Москва Россия First Moscow State Medical University named after I.M. Sechenov Moscow Russian Federation Первый Московский государственный медицинский университет имени И.М. Сеченова Москва Россия First Moscow State Medical University named after I.M. Sechenov Moscow Russian Federation Российский Университет Дружбы Народов им. Патриса Лумумбы Москва Россия Peoples' Friendship University of Russia Moscow Russian Federation ООО "Лазурит" Россия ООО "Лазурит" Russian Federation Первый Московский государственный медицинский университет имени И.М. Сеченова Москва Россия First Moscow State Medical University named after I.M. Sechenov Moscow Russian Federation Первый Московский государственный медицинский университет имени И.М. Сеченова Москва Россия First Moscow State Medical University named after I.M. Sechenov Moscow Russian Federation Первый Московский государственный медицинский университет имени И.М. Сеченова Москва Россия First Moscow State Medical University named after I.M. Sechenov Moscow Russian Federation 28 12 2022 28 12 2022 18 4 73 79 03 12 2022 10 12 2022 https://dental-press.ru/en/nauka/article/56822/view

Предмет исследования — одномоментная имплантация, анализы результатов ее применения и совершенствование протоколов лечения. Цель — повысить эффективность реабилитации пациентов с хроническим периодонтитом и травматическим переломом зубов (с показаниями к удалению) на основании усовершенствования протокола операции одномоментной дентальной имплантации. Методология. В период с 2020 по 2022 гг. на базах кафедр хирургической стоматологии и челюстно-лицевой хирургии РУДН и Сеченовского университета была произведена немедленная дентальная имплантация 20 пациентам с хроническим периодонтитом и переломом зуба (К.04.5, S02.5 МКБ-10) (с показаниями к их удалению) с установкой 20 дентальных имплантатов: Osstem Implant (Ю. Корея) — 10 единиц (50%), IRIS (Россия) — 10 единиц (50%). Во всех случаях одновременно устанавливали формирователи десневой манжеты. При необходимости применяли костнопластические материалы и десневые аутотрансплантаты. Установку дентальных имплантатов проводили с заглублением на 2–3 мм в зависимоти от отдела челюстей и смещали орально с минимимальным расстоянием до вестиублярной кортикальной пластинки 1,5 мм. Результаты. В исходе нашего исследования не было выявлено ни одного случая осложнений, получена 100% интеграция имплантатов, а также их 100% выживаемость и стабильность как по данным КЛКТ, так и по результатам контрольного осмотра через 12 месяцев после постоянного протезирования. Выводы. По результатам нашего исследования, немедленная имплантация позволила провести полноценную реабилитацию пациентов при необходимости удаления зубов, сократить общие сроки лечения при отсутствии осложнений в послеоперационном периоде.

Subject. The technique of immediate dental implantation, analysis of its results and treatment protocol improvement. Aim. To increase the effectiveness of the rehabilitation of patients with chronic periodontitis and traumatic tooth fracture (with indications for extraction) based on the improvement of the protocol for the operation of one-stage dental implantation. Methodology. In the period from 2020 to 2022, on the basis of the Department of Oral Surgery and Maxillofacial surgery department of the RUDN University and Sechenov University, the immediate dental implantation was performed in 20 patients with a diagnosis of Chronic periodontitis and tooth fracture (K.04.5, S02.5 ICD-10) (with indications for their removal ) with the installation of 20 dental implants: Osstem Implant (South Korea) – 10 units (50%), IRIS (Russia) – 10 units (50%). In all cases, the gingival cuff shapers were installed simultaneously. If necessary, osteoplastic materials and gingival autografts were used. The installation of dental implants was carried out with a depth of 2–3 mm, depending on the jaw section, and was displaced orally with a minimum distance to the vestibular cortical plate of 1.5 mm. Results. At the end of our study, no complications were identified, 100% integration of implants was obtained, as well as their 100% survival and stability, both according to CBCT data, and according to the results of a follow-up examination 12 months after permanent prosthetics restorations. Conclusion. According to the results of our study, immediate implantation made it possible to carry out a full-fledged rehabilitation of patients if tooth extraction was necessary, to reduce the overall treatment time in the absence of complications in the postoperative period.

 дентальная имплантация одномоментная имплантация первичная стабильность атравматичное удаление хронический периодонтит dental implantation immediate implantation primary stability atraumatic tooth extraction chronic periodontitis

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Immediate implant placement and provisionalization of maxillary anterior single implants // Periodontology 2000. - 2018;77(1):197-212. https://doi.org/10.1111/prd.12212 Joseph Yun Kwong Kan, Kitchai Rungcharassaeng, Matteo Deflorian, Tommaso Weinstein, Hom-Lay Wang, Tiziano Testori. Immediate implant placement and provisionalization of maxillary anterior single implants // Periodontology 2000. - 2018;77(1):197-212. https://doi.org/10.1111/prd.12212