ОСОБЕННОСТИ РЕГЕНЕРАЦИИ КОСТНОЙ ТКАНИ В ПЕРИАПИКАЛЬНОЙ ЗОНЕ У РЕПЛАНТИРОВАННЫХ ЗУБОВ

Abstract

Subject. In this article, the problem of integrating the repaid teeth has been studied. Data on the fibroosteointegration of the replanted teeth were obtained on the basis of clinical and additional research methods.
 Goal. To study the features of the regeneration of bone tissue in the periapical zone of the implantable teeth.
 Methodology. The patient, C., 41, complained of a partial absence of teeth. As a result of examination of the mouth and analysis of the orthopantomogram, significant destruction of the crown part of the teeth of the upper and lower jaws was revealed. Based on the data obtained, a decision was made to remove them with subsequent replantation. Three months after the implantation, an orthopantomogram was performed. According to the data of roentgenography, uniform filling of the root canal with cement along the entire length was revealed, trabecular bone tissue in the region of the tips of the roots of the resplanted teeth is consistent. With the support of the implantable teeth, non-removable cermet structures were installed. Later, prosthetics was performed with removable orthopedic prostheses.
 Results. After 2 years as a result of a follow-up examination, there was no pathological mobility in the resplanted teeth, the patient did not present any complaints. On intraoral virological images of the teeth 1.1, 1.2, 1.3, 3.4, the trabecular bone tissue in the projection of the apex of the roots is consistent, the inflammatory foci are not revealed. On the whole surface of the roots of the teeth 1.1-1.3 periodontal space can be traced throughout the root. Bone tissue in the region of the roots of these teeth without pathology. This observation may allow us to make an assumption about fibroosteointegration of these teeth.
 Conclusions. Based on the results of the treatment and analysis of X-ray data from two-year follow-up, we found no abnormal mobility in the resplanted teeth, bone tissue in the apex of these teeth is well-founded, orthopedic structures supported by the resplanted teeth are stable.