Actual problems in dentistry Actual problems in dentistry Проблемы стоматологии 2077-7566 2412-9461 40251 10.18481/2077-7566-20-16-4-97-103 ХИРУРГИЧЕСКАЯ СТОМАТОЛОГИЯ И ИМПЛАНТОЛОГИЯ SURGICAL DENTISTRY AND IMPLANTOLOGY ХИРУРГИЧЕСКАЯ СТОМАТОЛОГИЯ И ИМПЛАНТОЛОГИЯ CLINICAL STUDIES OF THE STABILITY AND PROCESS OF OSTEOINTEGRATION OF DENTAL IMPLANTS DURING IMMEDIATE AND DELAYED IMPLANTATION КЛИНИЧЕСКИЕ ИССЛЕДОВАНИЯ СТАБИЛЬНОСТИ И ПРОЦЕССА ОСТЕОИНТЕГРАЦИИ ДЕНТАЛЬНЫХ ИМПЛАНТАТОВ ПРИ ПРОВЕДЕНИИ НЕПОСРЕДСТВЕННОЙ И ОТСРОЧЕННОЙ ИМПЛАНТАЦИИ Гришин Петр Олегович Grishin Petr Olegovit phlus8@mail.ru

кандидат медицинских наук;

candidate of medical sciences;

 Калинникова Елена Александровна Kalinnikova Elena Aleksandrovna elena-vilkova@inbox.ru Казанский государственный медицинский университет Kazan State Medical University Казанский государственный медицинский университет Казань Россия Kazan State Medical University Kazan Russian Federation 28 12 2020 28 12 2020 16 4 97 103 03 12 2020 10 12 2020 https://dental-press.ru/en/nauka/article/40251/view

Предмет. Анализ литературных данных подтверждает, что существует определенная связь между микроструктурой поверхности, геометрией имплантата, дизайном резьбы и первичной стабильностью, а также процессами остеоинтеграции. К настоящему времени накопилось достаточное количество работ по непосредственной и отсроченной имплантации. Однако убедительных клинических данных количественной оценки первичной стабильности в различные сроки остеоинтеграционного процесса недостаточно. Несмотря на наличие экспериментальных и клинических наблюдений, составить определенное суждение о механизме такой связи не представляется возможным. В настоящей главе представлены клинические исследования стабильности и остеоинтеграции дентальных имплантатов при проведении по показаниям у 414 пациентов непосредственной и отсроченной имплантации с использованием имплантационных систем с различной микроструктурой поверхности. Цель – провести клинические исследования количественных показателей стабильности и остеоинтеграции имплантатов c различной микроструктурой поверхности при проведении непосредственной и отсроченной имплантации. Методология. Для клинического исследования первичной стабильности и процесса остеоинтеграции при проведении непосредственной и отсроченной имплантации с немедленной функциональной нагрузкой использовались имплантационные системы с различной микроструктурой поверхности: Alfa Bio, Mis, Astra-Tech, Dentium, Ostem, Antogher, а также Humana Dental c инновационной поверхностью. Остеоинтегрированные имплантаты были использованы для достижения предсказуемого результата лечения в клинических случаях с частичной или полной адентией, а также при наличии одиночных, включенных дефектов. Результаты. Существенных различий показателей стабильности в момент установки имплантатов в альвеолярную кость в зависимости от типа имплантата и метода проведения имплантации не выявлено. Выводы. В процессе интеграции имплантата в костной ткани на более поздних сроках показатели стабильности и остеоинтеграции улучшаются. Выявлена связь между видом поверхности имплантата, первичной стабильностью и временем его адаптации.

Subject. Analysis of the literature confirms that there is a definite relationship between surface microstructure, implant geometry, thread design and primary stability, and osseointegration processes. To date, a sufficient number of works on direct and delayed implantation have accumulated. However, there is not enough convincing clinical data on the quantitative assessment of primary stability at different periods of the osseointegration process. Despite the existence of experimental and clinical observations, it seems impossible to make a definite judgment about the mechanism of such a relationship. This chapter presents clinical studies of the stability and osseointegration of dental implants when performing, according to the indications, in 414 patients of direct and delayed implantation using implant systems with different surface microstructures. Goal. Conduct clinical studies of quantitative indicators of stability and osseointegration of implants with different microstructure of the surface during direct and delayed implantation. Methodology. For the clinical study of primary stability and the process of osseointegration during direct and delayed implantation with immediate functional loading, implant systems with different surface microstructures were used: Alfa Bio, Mis, Astra-Tech, Dentium, Ostem, Antogher, and also Humana Dental with an innovative surface. Osseointegrated implants have been used to achieve a predictable treatment outcome in clinical cases with partial or complete adentia, as well as in the presence of single, included defects. Results. There were no significant differences in stability indicators at the time of implant placement in the alveolar bone, depending on the type of implant and the method of implantation. Conclusions. In the process of integration of the implant into the bone tissue at a later date, the indicators of stability and osseointegration improve. The relationship between the appearance of the implant surface, primary stability and the time of its adaptation was revealed.

 частотно-резонансный анализ демпфирование стабильность остеоинтеграция фиксация имплантаты периотестометрия непосредственная имплантация стоматология клинические исследования frequency resonance analysis damping stability osseointegration fixation implants periotestometry immediate implantation dentistry clinical study

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