Actual problems in dentistry Actual problems in dentistry Проблемы стоматологии 2077-7566 2412-9461 42426 10.18481/2077-7566-20-17-1-91-98 ХИРУРГИЧЕСКАЯ СТОМАТОЛОГИЯ И ИМПЛАНТОЛОГИЯ SURGICAL DENTISTRY AND IMPLANTOLOGY ХИРУРГИЧЕСКАЯ СТОМАТОЛОГИЯ И ИМПЛАНТОЛОГИЯ FACTORS INFLUENCING THE LONG-TERM SUCCESS OF DENTAL IMPLANTATION ФАКТОРЫ, ВЛИЯЮЩИЕ НА ДОЛГОВРЕМЕННЫЙ УСПЕХ ПРОВЕДЕНИЯ ДЕНТАЛЬНОЙ ИМПЛАНТАЦИИ Салеев Ринат Ахмедуллович Saleev Rinat A. rinat.saleev@gmail.com

доктор медицинских наук;

doctor of medical sciences;

 Гришин Петр Олегович Grishin Petr Olegovit phlus8@mail.ru

кандидат медицинских наук;

candidate of medical sciences;

 Салеева Гульшат Тауфиковна Saleeva Gul'shat Taufikovna rin-gul@mail.ru

доктор медицинских наук;

doctor of medical sciences;

 Калинникова Елена Александровна Kalinnikova Elena Aleksandrovna elena-vilkova@inbox.ru Мубаракова Лариса Нурвахитовна Mubarakova Larisa Nurvahitovna mubarakova@yandex.ru Казанский государственный медицинский университет Kazan State Medical University Казанский государственный медицинский университет Казань Россия Kazan state medical university Kazan Russian Federation Казанский государственный медицинский университет Казань Россия Kazan State Medical University Kazan Russian Federation Казанский государственный медицинский университет Казань Россия Kazan State Medical University Kazan Russian Federation 17 1 91 98 https://dental-press.ru/en/nauka/article/42426/view

Цель. Изучить роль и степень влияния различных клинических факторов на остеоинтеграцию и успешность проведения непосредственной и отсроченной дентальной имплантации с использованием имплантационных систем с разной микроструктурой поверхности. Материал и методы. Для клинического исследования использовались имплантационные системы с различной микроструктурой поверхности: Alfa Bio, Mis, Astra Tech, Dentium, Osstem, Antogher и Humana Dental. Под наблюдением находились 414 пациента в возрасте от 20 до 70 лет. Все пациенты, вовлеченные в исследование, были распределены на две группы. Первая группа состояла из 109 пациентов, которым после экстракции была проведена непосредственная имплантация в лунку удаленного зуба с последующей немедленной нагрузкой. Второй группе из 305 пациентов была проведена отсроченная имплантация. Всего было установлено 1302 имплантата. Всем пациентам до начала оперативного вмешательства проводилось тщательное клинико-лабораторное, рентгенологическое исследование, в том числе компьютерная томография. Динамическое наблюдение проводили на основании клинико-рентгенологических и функциональных методов. В процессе лечения, начиная с момента установки имплантатов, на разных сроках приборами «Periotest» и «Osstel Mentor» определяли стабильность имплантатов и динамику качества процесса остеоинтеграции. Результаты. В результате исследования выявлено, что имплантаты, установленные в нижнюю челюсть, имели более высокие показатели успеха, чем имплантаты на верхней челюсти. Не была выявлена прямая связь между длиной и диаметром имплантатов с уровнем их выживаемости. Тем не менее, имплантаты с большей длиной и диаметром являются лучшим вариантом для повышения первичной стабильности. Наиболее высокий процент неудач имплантации отмечен при одновременной установке имплантатов и проведении синус-лифтинга, а также при горизонтальном увеличении объема костной ткани. Выводы. Полученные результаты исследования продемонстрировали, что долгосрочный успех дентальной имплантации зависит от сочетания многих факторов, включая объем и качество костной ткани, форму, геометрию, дизайн имплантата и микроструктуру поверхности.

Aim. To study the role and degree of influence of various clinical factors on osseointegration and the success of direct and delayed dental implantation using implant systems with different surface microstructure. Material and methods. Implant systems with different surface microstructures were used for the clinical study: Alfa Bio, Mis, Astra Tech, Dentium, Osstem, Antogher and Humana Dental. The study included 414 patients aged 20 to 70 years. All patients involved in the study were divided into two groups. The first group consisted of 109 patients who, after extraction, underwent direct implantation into the socket of the extracted tooth, followed by immediate loading. The second group, out of 305 patients, underwent delayed implantation. A total of 1302 implants were installed. Before the start of surgery, all patients underwent a thorough clinical and laboratory, X-ray and functional examination, as well as computed tomography. Dynamic observation was carried out on the basis of clinical, radiological and functional methods. In the course of treatment, starting from the moment of implantation at different times, the devices "Periotest" and "Osstel Mentor" were used to determine the stability of the implants and the dynamics of the quality of the osseointegration process. Results. The study found that implants placed in the lower jaw had higher success rates than implants placed in the upper jaw. There was no direct relationship between the length and diameter of implants and their survival rate. However, implants with a longer length and diameter are the best option for increasing primary stability. The analysis of implantation methods showed no statistically significant difference between the percentage of implant survival during immediate and delayed implantation. The highest percentage of implantation failures was noted with simultaneous implantation and sinus lifting, as well as with a horizontal increase in bone tissue volume. Conclusions. The findings of the study demonstrated that the long-term success of dental implantation depends on a combination of many factors, including bone volume and quality, shape, geometry, implant design, and surface microstructure.

 стабильность остеоинтеграция успешность дентальная имплантация дизайн геометрия микроструктура регенерация кости stability osteointegration success dental implantation design geometry microstructure bone regeneration

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