DIRECT IMPLANTATION IN THE REHABILITATION OF OF PATIENTS WITH PERIODONTAL DISEASE

The article highlights the optimization of the rehabilitation protocol for patients with periodontal disease using the direct dental implantation technique. To achieve the goals, 50 patients were selected who had indications for implant placement in the anterior region of the upper and lower jaws,...

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Main Authors: K.P. Lokes, O.V. Dobrovolska, O.V. Dobrovolskyi, O.P. Bukhanchenko, V.M. Dvornyk, P.M. Skrypnikov
Format: Article
Language:English
Published: Poltava State Medical University 2024-03-01
Series:Український стоматологічний альманах
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Online Access:https://dental-almanac.org/index.php/journal/article/view/647
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author K.P. Lokes
O.V. Dobrovolska
O.V. Dobrovolskyi
O.P. Bukhanchenko
V.M. Dvornyk
P.M. Skrypnikov
author_facet K.P. Lokes
O.V. Dobrovolska
O.V. Dobrovolskyi
O.P. Bukhanchenko
V.M. Dvornyk
P.M. Skrypnikov
author_sort K.P. Lokes
collection DOAJ
description The article highlights the optimization of the rehabilitation protocol for patients with periodontal disease using the direct dental implantation technique. To achieve the goals, 50 patients were selected who had indications for implant placement in the anterior region of the upper and lower jaws, 23 and 27 patients, respectively. The clinical study was conducted according to generally accepted methods. Resorptive and destructive processes in the periapical tissues were studied using cone-beam computed tomography. The state of oral hygiene was determined using the plaque index (PI) (Silness and Löe, 1964). The quality of implant integration and the condition of the alveolar bone were assessed using radiological methods, and the degree of implant stability was determined using an Osstell device. The operation was performed without detachment of the muco-periosteal flap, except when infected periapical tissues were detected. Bone augmentation was performed with the biologically active material "Bio-oss", which was mixed with the patient's autoplasm enriched with growth factors. In most cases, a one-stage implant treatment protocol was implemented. The finished temporary orthopedic structure was fixed the next day. After 6 months of use, the temporary denture was replaced with a permanent structure metal-ceramic bridges with screw fixation. The obtained results of the study indicate the feasibility and high efficiency of using direct implantation to replace dentition defects with fixed structures, including in patients with generalized periodontitis.
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spelling doaj-art-add43ce04f6043f5bfe461547773bb712025-08-20T03:20:27ZengPoltava State Medical UniversityУкраїнський стоматологічний альманах2409-02552410-14272024-03-01110.31718/2409-0255.1.2024.07647DIRECT IMPLANTATION IN THE REHABILITATION OF OF PATIENTS WITH PERIODONTAL DISEASEK.P. Lokes0O.V. Dobrovolska1O.V. Dobrovolskyi2O.P. Bukhanchenko3V.M. Dvornyk4P.M. Skrypnikov5Poltava State Medical University, Poltava, UkrainePoltava State Medical University, Poltava, UkrainePoltava State Medical University, Poltava, UkrainePoltava State Medical University, Poltava, UkrainePoltava State Medical University, Poltava, UkrainePoltava State Medical University, Poltava, Ukraine The article highlights the optimization of the rehabilitation protocol for patients with periodontal disease using the direct dental implantation technique. To achieve the goals, 50 patients were selected who had indications for implant placement in the anterior region of the upper and lower jaws, 23 and 27 patients, respectively. The clinical study was conducted according to generally accepted methods. Resorptive and destructive processes in the periapical tissues were studied using cone-beam computed tomography. The state of oral hygiene was determined using the plaque index (PI) (Silness and Löe, 1964). The quality of implant integration and the condition of the alveolar bone were assessed using radiological methods, and the degree of implant stability was determined using an Osstell device. The operation was performed without detachment of the muco-periosteal flap, except when infected periapical tissues were detected. Bone augmentation was performed with the biologically active material "Bio-oss", which was mixed with the patient's autoplasm enriched with growth factors. In most cases, a one-stage implant treatment protocol was implemented. The finished temporary orthopedic structure was fixed the next day. After 6 months of use, the temporary denture was replaced with a permanent structure metal-ceramic bridges with screw fixation. The obtained results of the study indicate the feasibility and high efficiency of using direct implantation to replace dentition defects with fixed structures, including in patients with generalized periodontitis. https://dental-almanac.org/index.php/journal/article/view/647direct dental implantationosseointegrationplatelet-enriched autoplasmmucous membranetooth extraction operationwound healing
spellingShingle K.P. Lokes
O.V. Dobrovolska
O.V. Dobrovolskyi
O.P. Bukhanchenko
V.M. Dvornyk
P.M. Skrypnikov
DIRECT IMPLANTATION IN THE REHABILITATION OF OF PATIENTS WITH PERIODONTAL DISEASE
Український стоматологічний альманах
direct dental implantation
osseointegration
platelet-enriched autoplasm
mucous membrane
tooth extraction operation
wound healing
title DIRECT IMPLANTATION IN THE REHABILITATION OF OF PATIENTS WITH PERIODONTAL DISEASE
title_full DIRECT IMPLANTATION IN THE REHABILITATION OF OF PATIENTS WITH PERIODONTAL DISEASE
title_fullStr DIRECT IMPLANTATION IN THE REHABILITATION OF OF PATIENTS WITH PERIODONTAL DISEASE
title_full_unstemmed DIRECT IMPLANTATION IN THE REHABILITATION OF OF PATIENTS WITH PERIODONTAL DISEASE
title_short DIRECT IMPLANTATION IN THE REHABILITATION OF OF PATIENTS WITH PERIODONTAL DISEASE
title_sort direct implantation in the rehabilitation of of patients with periodontal disease
topic direct dental implantation
osseointegration
platelet-enriched autoplasm
mucous membrane
tooth extraction operation
wound healing
url https://dental-almanac.org/index.php/journal/article/view/647
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AT ovdobrovolskyi directimplantationintherehabilitationofofpatientswithperiodontaldisease
AT opbukhanchenko directimplantationintherehabilitationofofpatientswithperiodontaldisease
AT vmdvornyk directimplantationintherehabilitationofofpatientswithperiodontaldisease
AT pmskrypnikov directimplantationintherehabilitationofofpatientswithperiodontaldisease