Actual problems in dentistry Actual problems in dentistry Проблемы стоматологии 2077-7566 2412-9461 57776 10.18481/2077-7566-2023-19-1-5-11 ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ LITERATURE REVIEW ЛЕКЦИИ / ЛИТЕРАТУРНЫЕ ОБЗОРЫ FEATURES AND DIFFERENCES OF BIOFILM FORMATION IN THE FIELD OF CERAMIC AND TITANIUM IMPLANTS ОСОБЕННОСТИ И ОТЛИЧИЯ ФОРМИРОВАНИЯ БИОПЛЕНКИ В ОБЛАСТИ КЕРАМИЧЕСКИХ И ТИТАНОВЫХ ИМПЛАНТАТОВ Довгерд Александр Александрович Dovgerd Aleksandr Aleksandrovich Vitadent421@mail.ru Сиволапов Константин Анатольевич Sivolapov Konstantin A. K.A.Sivolapov@mail.ru

доктор медицинских наук;

doctor of medical sciences;

 Новокузнецкий государственный институт усовершенствования врачей — филиал Российской медицинской академии непрерывного профессионального образования Новокузнецк Россия Novokuznetsk State Institute for Postgraduate Medical Education - branch of the Russian Medical Academy of Continuous Professional Education Novokuznetsk Russian Federation ООО «Стома» Кемерово Россия Stoma Kemerovo Russian Federation , Новокузнецкий государственный институт усовершенствования врачей — филиал Российской медицинской академии непрерывного профессионального образования Новокузнецк Россия Novokuznetsk State Institute for Postgraduate Medical Education - branch of the Russian Medical Academy of Continuous Professional Education Novokuznetsk Russian Federation Региональное общество челюстно-лицевых хирургов Новокузнецк Россия Regional Society of Maxillofacial Surgeons Novokuznetsk Russian Federation 22 05 2023 22 05 2023 19 1 5 11 17 03 2023 https://dental-press.ru/en/nauka/article/57776/view

Предмет исследования — формирование биопленки в области керамических и титановых имплантатов. Цель — провести системный анализ современных отечественных и зарубежных литературных источников для определения основных особенностей и отличий формирования биопленки в области керамических и титановых имплантатов. Методология. Исследование проведено на основе поиска и изучения оригинальных статей по вопросам дентальной имплантации в базах данных: Российская государственная библиотека, eLibrary, PubMed, The Cochrane Library, Google Scholar. Отбор материалов осуществлялся по ключевым словам. Результаты. Реабилитация беззубых промежутков у пациентов остеоинтегрированными зубными имплантатами — научно признанный метод лечения. Бактериальная адгезия на имплантатах может вызывать такие воспалительные заболевания, как мукозит и периимплантит, способные привести к резорбции кости и, в конечном итоге, к потере имплантата. Установлено, что оксид циркония обладает меньшей бактериальной способностью к адгезии и воспалительной инфильтрации по сравнению с титаном, имеет значительные преимущества при удержании уровня мягких тканей эстетической зоны и сохранении уровня альвеолярной кости. Многочисленные исследования показывают, что клиническое применение оксидциркониевых имплантатов практически не сопровождается проявлениями периимплантита, а эпителиальные ткани десны способны прочно и надежно прикрепляться к их поверхности. Диоксид циркония обладает биоинертностью по отношению к другим материалам и особенно подходит пациентам, имеющим аллергические реакции на металлы или страдающим их непереносимостью. Его использование в качестве материала дентальных имлантатов значительно повышает клиническую эффективность лечения. Выводы. Проведенный литературный обзор по вопросам формирования биопленки в области дентальных имплантатов показал, что оксид циркония обладает меньшей бактериальной способностью к адгезии и воспалительной инфильтрации по сравнению с титаном и благодаря гигиеническим свойствам имеет значительные преимущества при удержании уровня мягких тканей эстетической зоны и сохранении уровня альвеолярной кости.

The subject of the study is the formation of a biofilm in the area of ceramic and titanium implants. Objectives. A systematic analysis of modern domestic and foreign literature sources to determine the main features and differences in the formation of a biofilm in the field of ceramic and titanium implants. Methodology. The study was based on the search and study of original articles on dental implantation in databases: Russian State Library, eLibrary, PubMed, The Cochrane Library, Google Scholar. The main selection of materials was carried out by keywords. Results. Rehabilitation of edentulous spaces in patients with osseointegrated dental implants is a scientifically recognized and well-documented treatment method. Bacterial adhesion on dental implants can cause inflammatory conditions such as mucositis and peri-implantitis. Peri-implantitis can lead to bone resorption and eventual loss of the implant. It has been established that zirconium oxide has a lower bacterial capacity for adhesion and inflammatory infiltration compared to titanium, and due to its hygienic properties, it has significant advantages in maintaining the level of soft tissues of the aesthetic zone and maintaining the level of the alveolar bone. Numerous studies show that the clinical use of zirconium oxide implants is practically not accompanied by manifestations of peri-implantitis, and gum epithelial tissues are able to firmly and reliably attach to their surface. Zirconia is bioinert to other materials found in the oral cavity and is particularly suitable for patients who are allergic or intolerant to metals. The latest techniques and materials, which include zirconium dioxide, have important advantages, and its use as a material for dental implants significantly increases the clinical effectiveness of treatment. Conclusions. A review of the literature on the formation of a biofilm in the area of dental implants showed that zirconium oxide has a lower bacterial ability for adhesion and inflammatory infiltration compared to titanium, and due to hygienic properties has significant advantages in maintaining the level of soft tissues of the aesthetic zone and maintaining the level of the alveolar bone.

 биопленка микробная адгезия дентальная имплантация диоксид циркония титан керамические имплантаты biofilm microbial adhesion dental implantation zirconium dioxide titanium ceramic implants

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