COMPARATIVE EVALUATION OF CLINICAL APPLICATION OF MONOLITHIC AND FOLDING IMPLANTS IN REHABILITATION OF ELDERLY PATIENTS WITH VARIOUS DEGREES OF ATROPHY OF ALVEOLAR PROCESSES.

OBJECTIVE: The aim: Comparative evaluation of long-term results of clinical application of one- and two-stage surgical protocols of dental implantation with the use of monolithic and collapsible implants in the rehabilitation of elderly patients. PATIENTS AND METHODS: Materials and methods: Under clinical observation were 46 patients with various clinical diagnoses of dentition defects aged 60 to 70 years. The following methods were used in the study: one - stage surgical protocol of dental implantation operation with non - detachable implants of ART IMPLANT system with subsequent temporary splint fixed prosthesis and immediate occlusive functional load, mechanical oscillatory - resonance method, questionnaire and statistical analysis. RESULTS: Results: The duration of surgical stages of treatment and complete rehabilitation showed statistically significant differences (p <0.05) and was significantly less when using a single-stage protocol of dental implant surgery and non-detachable implants and averaged 3.9 ± 0.8, p <0.05 months against 7.3 ± 1.2, p <0.05 months in implants according to the two-stage protocol. Assessment of patient satisfaction with the treatment was directly correlated with his timing. CONCLUSION: Conclusions: Thus, it should be noted that the clinical use of one-stage surgical protocol of implantation and non-detachable (monolithic) dental implants of the system «ART IMPLANT¼ in the rehabilitation of elderly patients with varying degrees of atrophy of the alveolar processes of the jaws is clinically justified.

IMMEDIATE IMPLANTATION AND AESTHETIC COMPONENT AS A RESULT OF SUCCESSFUL FORECAST TREATMENT.

OBJECTIVE: The aim: Improving the method of immediate implantation in the aesthetic zone in case of bone deficiency to obtain the highest aesthetic and predictable treatment result. PATIENTS AND METHODS: Materials and methods: Under clinical observation were 32 patients with different clinical diagnoses in the anterior part of the upper jaw aged 30 to 55 years. In the course of recent advances, the following methods have been used: clinical protocol of immediate implantation with passive exceptional loads by temporary orthopedic constructions, X-ray method using cone-beam computed tomography, statistical analysis. RESULTS: Results: After surgical treatment of patients 1 year after surgery, the distribution of biotypes was as follows: in group 1 - thick biotype 12.87%, medium - 87.13%; in group 2 - thick biotype 27.04%, medium - 72.96%, with p <0.05. According to the results of CT, the distance between the implant and the vestibular in the first group was after 6 months - 1.67 ± 0.04 mm (p <0.05); in the second group of the study we obtained the following results after 6 months - 1.59 ± 0.06 mm (p <0.05). CONCLUSION: Conclusions: The advanced method of immediate implantation in the anterior part of the upper jaw allows to change the biotype of soft tissues, improve the color spectrum of the gums, increase the thickness of soft tissues with connective tissue autograft, and increase gum density and fixation of osteoplastic material in the presence of defect ), as well as reduce the risk of recession.

EXPERIMENTAL STUDY OF BONE REBUILDING IN THE PERIIMPLANTATION AREA UNDER IMMEDIATE LOADING ON DENTAL IMPLANTS.

OBJECTIVE: The aim: Study of the dynamics of morphological rearrangement of bone under conditions of immediate occlusive functional load and the effect of splinting of implants with temporary orthopedic structures with the analysis of the coefficient of stability of implants during immediate implantation in the experiment. PATIENTS AND METHODS: Materials and methods: A series of experiments was performed on 6 male Duroc pigs at the age of 6 months and weighing 40-60 kg. In the course of recent advances, the following methods have been used: the clinical protocol of immediate - implantation of time-consuming clothes, the definition of COEFICIENT, morphometry and light microscopy of the slides, statistical analysis. RESULTS: Results: By morphometric examination after 3 months the BIC in the series with splinting was 1.68 times higher compared to 1 month. studies, in a series of experiments without splinting - 1.9 times, after 3 months. the difference between implantation experiments with splinting components and without splinting is 1.6 times. During the functional study of the resonant - frequency analyzer, there is an increase in the ISQ in the second and third months after surgery, but this figure is higher in the study using the splint component. CONCLUSION: Conclusions: Stagnation of the shingle component in the case of intrinsic intraoperative functional juvenile implantation accelerates the dynamics of osteointegration, so that high indicators of the efficiency of the implant stability can be achieved.

The use of photodynamic therapy in the treatment of dental caries in children of contaminated areas of the ecosystem of the upper tysa region.

OBJECTIVE: The aim: improving the effectiveness of treatment of dental caries in children using the method of photodynamic therapy. PATIENTS AND METHODS: Materials and methods: The treatment of permanent tooth decay was performed in 35 children of the Upper Tysa region aged 12-15 years. Using the polymerase chain reaction method, the clinical efficacy of photodynamic therapy in the treatment of dentin caries was determined. RESULTS: Results: During the study, by PCR analysis, dentin caries most commonly revealed genetic markers of DNA of the five most virulent anaerobic bacteria: Prevotella intermedia, Fusobacterium spp., Enterococcus Faecalis, Veilonella spp., Candida albicans. After treatment of the carious cavity by the method of photodynamic therapy with exposure of 30 s - fusobacterium spp. were not detected, the detection rate of prevotella intermedia decreased 3-fold, enterococcus faecalis 3.5-fold, veilonella spp.- 5-fold, and candida albicans- 8-fold; after treatment with carious cavities with 60 s exposure - anaerobic microorganisms were not detected in the investigated samples. The effect of photodynamic therapy with laser exposure of 60 seconds on caries-causing streptococci resulted in their total death, and with exposure of 30 seconds - the frequency of isolated strains decreased several folds. CONCLUSION: Conclusions: The use of photodynamic therapy in the treatment of dentine caries is a highly effective and pathogenetically sound method of treatment that provides a significant reduction in the optional and obligate types of cariesogenic microorganisms.

Prevention of main dental diseases in children using herbal tea «dentesvita¼

Introduction: Transcarpathian region refers to the climate-geographic zone with a low level of fluoride and iodine in the environment and as shown by the epidemiological survey «very high¼ according to WHO criteria for the level of intensity of main dental diseases. With the purpose of directing the implementation of the state policy in the field of health care and for the prevention of dental diseases, the industrial release of a functional food product - «DentesVita¼ enriched with iodine and fluorine - has been adjusted. The aim: Was to study the effectiveness of the use of functional food product - DentesVita for the prevention of dental caries in children. Material and methods: A comprehensive dental examination of 180 children of 12 years of age has been carried out: 60 of them in each of the climatic and geographical zones of Transcarpathia: plain, foothills and mountains. The intensity of caries according to the DMF index, increase of intensity was determined. A simplified hygiene index (OHI-S) was used to assess the hygienic state of the oral cavity. Carried out research on the mineralization potential of saliva. Results: The growth of caries in children of the main group of the plain zone was 1.8 times smaller, and in the foothills and mountains 1.6 times smaller than the similar rates of control group children (p <0.05). The caries prophylactic effect at that was among schoolchildren in the plain zone: 43.48%, foothill - 38.66%, and mountainous - 23.53%. Conclusions: These studies confirm the effectiveness of using «DentesVita¼ for the prevention of dental caries in children living in conditions of biogeochemical deficiency of fluorine and iodine on the basis of caries intensity growth indexes, hygienic indexes of the oral cavity and mineralizing ability of oral liquid.