ПРОТОКОЛЫ ИНДИВИДУАЛЬНОЙ ГИГИЕНЫ РТА ПРИ ДЕНТАЛЬНОЙ ИМПЛАНТАЦИИ

Abstract

Aim. Improving the quality of treatment of patients with defects in the dentition using orthopedic structures based on dental implants with development of individual oral hygiene protocols. Materials and methods. A survey of 82 patients using prostheses fixed on intraosseous dental implants was carried out. The results of treatment 5 years after the installation of implants were analyzed according to the criteria: the quality of oral hygiene and the presence of inflammation in the tissues surrounding the implant. Results. After fixation of prostheses based on dental implants, 73.2% of patients do not follow the recommendations on the oral care. Satisfactory level of oral hygiene in 57.3%, unsatisfactory - in 28.0% of patients using a manual toothbrush. The number of "successful" implants after 5 years is 41.5%, removed - 7.3%. Tissue inflammation was found in 36.5% of implants. Protocols for individual oral hygiene of patients using a toothbrush have been developed: before implantation; after surgery implantation early period; after implantation surgery late period; after completion of implant-supported prosthetics. Conclusions. The use of the toothbrush in the treatment of patients before and after dental implantation is a promising direction in improving its immediate and long-term results. The interactive functions of electric toothbrushes are considered as a tool for motivation and control of oral hygiene. The functionality of the toothbrush greatly simplifies hygienic care in hard-to-reach areas of dentures. The presence of seven modes and two nozzles helps to provide individual approach to oral hygiene, depending on the condition of the tissues.