EVALUATION OF DYNAMIC CHANGES IN THE MICROCIRCULATION OF THE MUCOSA IN THE ZONE OF DENTAL IMPLANTATION WITH IMMEDIATE INTRAOPERATIVE LOAD.

OBJECTIVE: The aim: Study of the dynamics of changes in the average values of the index of mucosal microcirculation after dental implantation with immediate intraoperative prosthetics. PATIENTS AND METHODS: Materials and methods: In clinical conditions, 55 patients aged from 29 to 60 years with a diagnosis of partial absence of teeth requiring orthopedic treatment using implants on the lower jaw were treated and examined. In the course of the latest achievements, the following methods were used: clinical protocol of immediate implantation with Solidum and Simplex implants of the «ART IMPLANT¼ system on the lower jaw by the one-stage implantation method, with immediate intraoperative loading and the manufacture of a temporary non-removable dental prosthesis, determination of the microcirculation index in dynamics using the laser Doppler method flowmetry, statistical analysis. RESULTS: Results: The obtained results indicate a pronounced reaction of microcirculation up to the 3rd day after surgery, an increase in blood perfusion of the mucous membrane by 2.7 times while maintaining vasomotor activity, which indicates adaptation to the injury and immediate loading of the denture in the postoperative period. 3 months after dental surgery and immediate intraoperative prosthetics, all indicators of microcirculation approach the initial values before surgery. CONCLUSION: Conclusions: With the help of laser Doppler flowmetry, the fact of a sharp restoration of microcirculation after dental implantation surgery with immediate intraoperative prosthetics is confirmed.

THE DETERMINATION OF THE NEED TO PROVIDE ORTHODONTIC ASSISTANCE TO TEENAGERS IN CONDITIONS OF LIMITED RESOURCES.

OBJECTIVE: The aim: To substantiate the need for a combination of interdisciplinary approaches to diagnosis, treatment and correction of dento-maxillofacial anomalies of teenagers based on the analysis of the need for orthodontic treatment using the DAI, IOTN, ICON aesthetic indices. PATIENTS AND METHODS: Materials and methods: Empirical, epidemiological, clinical, analytical-synthetic, sociological, psychological research methods, questionnaires, dental indexeshave been used in various combinations. RESULTS: Results: As a result of a clinical examination of 2,260 teenagers (1,096 boys and 1,124 girls), 1,474 individuals have been bselected for orthodontic treatment with the following degree of complexity: mild - in 25 examined (35.71±4.95%), moderate - in 31 individuals (44.28± 5.48%), heavy - 14 (20.00±3.11%). After an in-depth dental examination and determination of the psychological profile, 70 teenagers have been selected for treatment. CONCLUSION: Conclusions: The effectiveness of the use of dental indices as a screening tool to eliminate the discrepancy between objective medical indicators of the level of need for correction of dento-maxillofacial anomalies and the level of expected results in adolescents has been proven.