Abstract
Aim: To Improve the treatment of patients with partial edentia and chronic generalized periodontitis by including dental implantation to the complex of therapeutic measures. Materials and methods: There have been presented the results of 240 patients with varying severity degrees of generalized periodontitis who underwent surgery on periodontal tissues with dental implantation. The research was conducted at the OCH of Ivano-Frankivsk 2007–2017.To improve the efficiency for dental implants and periodontal surgical intervention is necessary to determine the quality of bone remodeling, identifying markers of bone tissue metabolism. Results: It was established that in 40,81 % patients the results of research showed markers of bone remodeling indicating a high rate of bone formation (25,12±2,23 ng / ml) and a slight increase in rate of resorption marker, which results in low rates of bone resorption (8,54±1,23 nmol/L). These patients were not prescribed with osteotropic drugs. 50,83 % of patients with osteopenia were noticed to manifest the formation of bone possible raise of bone resorption (10.82±1.34n/mole), which was the indication for antiresorptive medication prescription. In 8,36 % of patients with osteoporosis was observed inhibition of bone formation processes (18,05±2,08 ng / ml) and increased resorption indices (15,34±1,87 nmol/L). Medications that stimulate osteogenesis and prevent bone resorption were prescribed. Conclusions: When planning dental implants and periodontal surgical intervention it is necessary to identify markers of bone remodeling to assess the structural and functional state of bone tissue and prescribe osteotrophic drugs that promote positive postoperative period.
Highlights
The problem of replacing defects in the dentition has remained a topical issue of modern theoretical and practical stomatology for more than a decade
The basic method of orthopedic treatment of patients with chronic forms of generalized periodontitis (GP), which are usually accompanied by loss of teeth, is prosthetic dental bridges, which leads to an overload of supporting teeth [7, 8]
Materials and methods There was conducted a survey of 240 patients with mild, moderate and severe degrees of chronic generalized periodontitis with partial edentia of upper and lower jaw, who were later treated with comprehensive periodontal treatment using the methods of dental implants
Summary
The problem of replacing defects in the dentition has remained a topical issue of modern theoretical and practical stomatology for more than a decade. The use of traditional prosthetic methods is not always effective, especially in persons of working age, who prefer permanent denture structures [1, 2]. The actual problem of rehabilitation of patients with dental defects by dental implants is in contrast to traditional methods. Over the past three decades, the method of implanting (2017), «EUREKA: Health Sciences» Number 6 teeth has become one of the leading in replacing defects in the dentition, aimed at the restoration of masticatory function, and at obtaining a high predicted result of orthopedic rehabilitation of dental patients [3, 4]. The combination of defects in dentition with diseases of periodontal tissues, especially in young people, complicates the choice of rehabilitation measures, which, together with other etiological factors, leads to complications of pathology and shortened use of dentures [5, 6].
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