Veliky Novgorod, Veliky Novgorod, Russian Federation
Saint Petersburg, St. Petersburg, Russian Federation
Saint Petersburg, St. Petersburg, Russian Federation
City Dental Clinic No. 33 (Chief Physician)
Saint Petersburg, St. Petersburg, Russian Federation
UDK 616.31 Стоматология. Заболевания ротовой полости и зубов
The subject of the research is the treatment of peri-implant mucositis. The goal is to clinically evaluate the effectiveness of the antiseptic gel “Curasept ADS 350” for initial inflammation of peri-implant tissues. Methodology. The group of subjects included 66 patients (23 men, 43 women) aged from 41 to 64 years (average age 52.17 ± 1.23 years). Their initial peri-implant mucositis was relieved by using the “gum” gel “Curasept ADS 350” (Italy) with 0.5% chlorhexidine bigluconate. To analyze the health status of peri-implant tissues, clinical, radiological, clinical-laboratory and clinical-sociological examination methods were used. Statistical processing of materials was carried out using SAS v9.4 software. Results. After 2–3 weeks of treatment, including day and night applications of the therapeutic antiseptic gel "Curasept ADS 350", individual signs of mucositis remained in only one person (1.52%), who was successfully given a second course of complex therapy, including local antibiotic administration. The depth of the cuff pockets, probably due to swelling, was greatest. After treatment and in the long term, it statistically significantly decreased (p < 0.001). Clinical and social author's methods of examining the expert assessment “TAPATR” and patients' self-assessment of the condition of peri-implant tissues “PARTAT” demonstrated a significant improvement (p < 0.01) in the level of health and its preservation 3 months after treatment (p < 0.02). Conclusion 1. Almost all (pathognomonic and highly specific) signs of inflammation were obvious in the vast majority of those examined (96.97–100%). They had not yet developed pain, which in some patients (4 people, 6.06%) was caused by light pressure or palpation of soft peri-implant tissues. In particular, in this regard, all of them were diagnosed with “initial” peri-implant mucositis. 2. The use of the antiseptic gel “Curasept” demonstrated high efficiency, since after 5 days of taking it, the symptoms of inflammation completely disappeared in the vast majority of those examined (65 people, 98.48%), was partially reduced in another patient (1.52%) and were completely eliminated during a second course of treatment.
therapeutic gel, peri-implant mucositis, implant prosthesis, gingival cuff, Curasept ADS 350
1. Bulycheva E.A., Alpat'eva Yu.V., Dorradzh Iradzh. Vozmeschenie polnoy poteri zubov s pomosch'yu implantacionnyh protezov. Institut stomatologii. 2014;4(65):94-95. [E.A. Bulycheva, Yu.V. Alpatieva, I. Dorraj. Compensation for complete loss of teeth With the help of implantation prostheses. Institute of Dentistry. 2014;4(65):94-95. (In Russ.)]. https://www.elibrary.ru/item.asp?id=22857741
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 recommendations in ensuring the quality of dental care during dental implantation. Dentistry. 2019;98(6):107-111. (In Russ).] doi:https://doi.org/10.17116/stomat201998061107
3. Rozov R.A., Trezubov V.N., Tkacheva O.N. Neposredstvennoe implantacionnoe protezirovanie na nizhney chelyusti protyazhennoy metallopolimernoy konstrukciey so standartnym karkasom i tremya iskusstvennymi oporami u pacientov pozhilogo vozrasta: rezul'taty trehletnego issledovaniya. Uspehi gerontologii. 2022;35(5):755-765. [R.A. Rozov, V.N. Trezubov, O.N. Tkacheva. Direct implantation prosthetics on the lower jaw with an extended metal-polymer structure with a standard frame and three artificial supports in elderly patients: results of a three-year study. The successes of gerontology. 2022;35(5):755-765. (In Russ.)]. https://www.elibrary.ru/item.asp?id=49901732
4. Rozov R.A., Trezubov V.N. Sovershenstvovanie sredstv i metodov professional'noy gigieny polosti rta u pozhilyh pacientov v processe i posle implantacionnogo protezirovaniya. Problemy stomatologii. – 2022; 18 (2). – S. 157-162. – DOIhttps://doi.org/10.18481/2077-7566-2022-18-2-157-162. – EDN YACDPL. [Rozov R.A., Trezubov V.N. Improvement of means and methods of professional oral hygiene in elderly patients during and after implant prosthetics. Problems of Dentistry. - 2022; 18 (2). - P. 157-162 (in Russ.)]. DOIhttps://doi.org/10.18481/2077-7566-2022-18-2-157-162. - EDN YACDPL.
5. Tagizade D.Z., Parshin Yu.V., Trezubov V.N., Rozov R.A. Komp'yuternaya programma samoocenki okoloimplantatnyh tkaney. Problemy stomatologii. 2023; 19, (4): 143-146. DOIhttps://doi.org/10.18481/2077-7566-2023-19-4-143-146. – EDN FTDVRM. [Tagizade D.Z., Parshin Yu.V., Trezubov V.N., Rozov R.A. Computer program for self-assessment of peri-implant tissues. Problems with dentistry. 2023; 19, (4): 143-146. (In Russ).] DOIhttps://doi.org/10.18481/2077-7566-2023-19-4-143-146. – EDN FTDVRM.
6. Tagizade D.Z., Parshin Yu.V., Trezubov V.N., Rozov R.A. Razrabotka komp'yuternoy ekspertnoy programmy ocenki sostoyaniya periimplantatnyh. Problemy stomatologii. 2023; 19, (4): 147-152. DOIhttps://doi.org/10.18481/2077-7566-2023-19-4-147-152. – EDN UPAPEG. [Tagizade D.Z., Parshin Yu.V., Trezubov V.N., Rozov R.A. Development of a computer expert program for assessing the state of peri-implant. Problems of Dentistry. 2023; 19, (4): 147-152. (In Russ).] DOIhttps://doi.org/10.18481/2077-7566-2023-19-4-147-152. – EDN UPAPEG.
7. Rozov R.A., Trezubov V.N., Liddelow G. Clinical and radiographic classification of implant supported prosthesis for edentulous patients // Parodontologiya. – 2019;24(2):157-160. doihttps://doi.org/10.33925/1683-3759-2019-24-2-157-160.
8. Salvi G., Ramseier C. Efficacy of patient-administered mechanical and/or chemical plaque control protocols in the management of peri-implant mucositis. A systematic review // J. Clin. Periodontol. – 2015;42(16):187-201. PMID: 25495416
9. Salvi G., Aglietta M., Eick S. et al. Reversibility of experimental peri-implant mucositis compared with experimental gingivitis in humans // Clin. Oral Implants Res. – 2012;23:182-190. PMID: 21806683
10. Schwarz F., John G., Hege et al. A. Non-Surgical treatment of peri-implant mucositis and peri implantitis at zirconia implants: a prospective case series // J. Clin Periodontol – 2015;42(8):783-788. PMID: 26249545
