TREATMENT OF PATIENTS WITH GENERALIZED PERIODONTITIS USING TOOTH-SAVING TECHNIQUES AND IMPLANTATION

Anastasia Shtorina; Arkady Sevastyanov; Tatyana Berezkina; Sergey Fischev; Maria Rogkova; Svetlana Pavlova; Andrey Klimov; Margarita Puzdyreva; Irina Orlova; Larisa Tunekova

doi:10.18481/2077-7566-2025-21-4-130-137

VAK Russia 3.1.7 UDC 616.31

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TREATMENT OF PATIENTS WITH GENERALIZED PERIODONTITIS USING TOOTH-SAVING TECHNIQUES AND IMPLANTATION

Published in Actual problems in dentistry · Volume 21, Issue 4 · Pages 130–137 · Rubric: PERIODONTIC DENTISTRY

DOI: https://doi.org/10.18481/2077-7566-2025-21-4-130-137

Received: 09.11.2025 Accepted: 29.01.2026 Published: 29.01.2026 Language of publication: RUS

Authors

Anastasia Shtorina

Arkady Sevastyanov

Tatyana Berezkina

Sergey Fischev

et al.

Maria Rogkova

Svetlana Pavlova

Andrey Klimov

Margarita Puzdyreva

Irina Orlova

Larisa Tunekova

Anastasia Shtorina

Academic degree: candidate of medical sciences

Saint Petersburg State Pediatric Medical University Associate Professor · Department of Pediatric Dentistry and Orthodontics · Russian Federation · Saint Peterburg

Arkady Sevastyanov

Academic degree: doctor of medical sciences

Science rang: docent

Saint Petersburg State Pediatric Medical University Professor of the Department · Department of Pediatric Dentistry and Orthodontics · Russian Federation · Saint Petersburg

Tatyana Berezkina

Saint Petersburg State Pediatric Medical University, Saint Petersburg, Russia Assistant of the Department · Department of Pediatric Dentistry and Orthodontics · Russian Federation · Saint Peterburg

Sergey Fischev

Academic degree: doctor of medical sciences

Science rang: professor

Saint Petersburg State Pediatric Medical University Head of the Department · Pediatric Dentistry and Orthodontics · Russian Federation · Saint Peterburg

Maria Rogkova

Academic degree: candidate of medical sciences

Saint Petersburg State Pediatric Medical University Associate Professor · Department of Pediatric Dentistry and Orthodontics · Russian Federation · Saint Peterburg

Svetlana Pavlova

Academic degree: candidate of medical sciences

Saint Petersburg State Pediatric Medical University Associate Professor · Department of Pediatric Dentistry and Orthodontics · Russian Federation · Saint Peterburg

Andrey Klimov

Academic degree: doctor of medical sciences

Science rang: docent

St. Petersburg State Pediatric Medical University Head of the Department · Department of Dentistry · Russian Federation · Saint Peterburg

Margarita Puzdyreva

Academic degree: candidate of medical sciences

Saint Petersburg State Pediatric Medical University Associate Professor · Department of Pediatric Dentistry and Orthodontics · Russian Federation · Saint Peterburg

Irina Orlova

Academic degree: candidate of medical sciences

Saint Petersburg State Pediatric Medical University Associate Professor of the Department · Department of Pediatric Dentistry and Orthodontics · Russian Federation · Saint Peterburg

Larisa Tunekova

Sankt-Peterburgskiy gosudarstvennyy pediatricheskiy medicinskiy universitet Assistant of the Department · Department of Pediatric Dentistry and Orthodontics · Russian Federation · Санкт-Петербург

ABSTRACT

Currently, tooth-preserving techniques aimed at preserving teeth are used in patients with generalized periodontitis. These include antimicrobial therapy, professional hygiene, curettage, flap surgeries, and splinting with fiberglass materials. Along with these methods, implantation is the most reliable and predictable treatment option for severe periodontal pathology. It is important to note that long-term inflammatory processes in the periodontium lead to bone resorption, which is unfavorable for implant placement. Therefore, the management of patients with generalized periodontitis requires the coordinated work of a periodontist, a general practitioner, and an implant surgeon. Therefore, timely and effective treatment planning is essential for successful rehabilitation. The presented clinical case illustrates an example of collaboration between dentists of different specialties, which included both conservative and surgical treatment using implants. Given the patient's relatively young age and the absence of any underlying medical conditions, a decision was made, in consultation with the patient, to optimize occlusion using implant therapy and tooth-preserving techniques (in this case, dental splinting using a fiberglass material based on an inorganic matrix). Dental splinting is considered a tooth-preserving procedure and is used in periodontology, orthodontics, and microprosthetics. In all cases, it is a modern, sought-after treatment method in dentistry. The indication for dental splinting is pathological tooth mobility due to periodontitis or acute dental trauma. It limits tooth mobility by fusing them into a single unit, thereby redistributing the functional load on the teeth and restoring blood circulation and nutrition in the tissues surrounding the teeth.

KEYWORDS

generalized periodontitis, implantation, dental splinting, implants, occlusion disorders, tooth-saving techniques

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GOST

Shtorina A. A., Sevastyanov A. V., Berezkina T. N., Fischev S. B., Rogkova M. G., Pavlova S. G., Klimov A. G., Puzdyreva M. N., Orlova I. V., Tunekova L. A. TREATMENT OF PATIENTS WITH GENERALIZED PERIODONTITIS USING TOOTH-SAVING TECHNIQUES AND IMPLANTATION // Actual problems in dentistry. 2025. no. 4. pp. 130-137. DOI: https://doi.org/10.18481/2077-7566-2025-21-4-130-137. (Date of access 04.11.2026).

MLA

Anastasia Shtorina, Sevastyanov A. V., Berezkina T. N., Fischev S. B., Rogkova M. G., Pavlova S. G., Klimov A. G., Puzdyreva M. N., Orlova I. V., Tunekova L. A.. "TREATMENT OF PATIENTS WITH GENERALIZED PERIODONTITIS USING TOOTH-SAVING TECHNIQUES AND IMPLANTATION." Actual problems in dentistry 21.4 (2025): 130-137. DOI: https://doi.org/10.18481/2077-7566-2025-21-4-130-137.

APA

Shtorina A. A., Sevastyanov A. V., Berezkina T. N., Fischev S. B., Rogkova M. G., Pavlova S. G., Klimov A. G., Puzdyreva M. N., Orlova I. V., Tunekova L. A. (2025). TREATMENT OF PATIENTS WITH GENERALIZED PERIODONTITIS USING TOOTH-SAVING TECHNIQUES AND IMPLANTATION. Actual problems in dentistry, 21(4), 130-137. https://doi.org/10.18481/2077-7566-2025-21-4-130-137

Chicago

Anastasia Shtorina, Sevastyanov A. V., Berezkina T. N., Fischev S. B., Rogkova M. G., Pavlova S. G., Klimov A. G., Puzdyreva M. N., Orlova I. V., Tunekova L. A.. "TREATMENT OF PATIENTS WITH GENERALIZED PERIODONTITIS USING TOOTH-SAVING TECHNIQUES AND IMPLANTATION." Actual problems in dentistry 21, no. 4 (2025): 130-137. https://doi.org/10.18481/2077-7566-2025-21-4-130-137.

WIKI

{{cite journal | author = Shtorina A. A., Sevastyanov A. V., Berezkina T. N., Fischev S. B., Rogkova M. G., Pavlova S. G., Klimov A. G., Puzdyreva M. N., Orlova I. V., Tunekova L. A. | title = TREATMENT OF PATIENTS WITH GENERALIZED PERIODONTITIS USING TOOTH-SAVING TECHNIQUES AND IMPLANTATION | journal = Actual problems in dentistry | year = 2025 | volume = 21 | issue = 4 | pages = 130-137 | doi = 10.18481/2077-7566-2025-21-4-130-137 }}

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