Abstract
Aim: increase of efficiency of dental implantation in patients with imbalance of bone remodeling processes. Material and Methods: under observation were men with osteoporosis, who applied for restoration of defects of the dentition with dental implants. Correction of bone remodeling imbalance was performed with bisphosphonates, calcium and vitamin D preparations. Before dental implantation, the state of microarchitectonics of the lower jaw was studied using cone-beam computed tomography, histomorphometry, and the state of mineral metabolism in the blood. Results and Conclusions: the success of osseointegration dental implantation in patients with bone remodeling imbalance is determined by the qualitative parameters of the bone tissue, of the receiving bed, reflecting metabolic and reparative processes. Complex antiosteoporetic therapy with bisphosphonates and calcium preparations with vitamin D helps to restore the qualitative parameters of the alveolar part and helps to optimize the processes of osteointegration.
Highlights
Improving the effectiveness of implantological treatment of patients with osteoporosis remains an urgent problem of modern dentistry
The basis of the pathogenesis of this pathology is determined by the imbalance of bone remodeling processes, in which osteointegration is suppressed with a high frequency of early and late postoperative complications from 10 to 44% [1, 2]
In androgen deficiency the phase of bone resorption prevails over its synthesis, which leads to the presence of defects in the dentition with atrophy of the alveolar process of the jaws and a decrease in reparative processes in the surgical intervention zone [3, 7]
Summary
Improving the effectiveness of implantological treatment of patients with osteoporosis remains an urgent problem of modern dentistry. A correlation between systemic osteoporosis and bone loss of the alveolar part (processes) of the jaws has been established [3, 4]. In androgen deficiency the phase of bone resorption prevails over its synthesis, which leads to the presence of defects in the dentition with atrophy of the alveolar process (part) of the jaws and a decrease in reparative processes in the surgical intervention zone [3, 7]. Testosterone deficiency is widespread in older men, which is characterized by the development of atrophic and proliferative processes in the prostate gland. Drug correction of androgen deficiency with testosterone can lead to functional and structural reorganization of the gland, and in the presence of metaplastic processes can provoke the occurrence of cancer [8]. Men in the presence of hypogonadism associated with obesity often suffer from episodes of sleep apnea, and testosterone treatment can exacerbate this condition [9]
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