| Popis: |
According to data from various regions of Uzbekistan, patients with a complete absence of teeth (CAT) are encountered for the first time in the 45-49 age group. By 2020, the number of patients with CAT in Uzbekistan will exceed 15 million people, and then among our adult fellow citizens every five years, this number is expected to increase by 3-5%. The aim of the study. To assess the effectiveness of using the DICOM program in patients with complete absence of teeth at the stage of the dental implantation procedure, based on the data of dental computed tomography. Materials and research methods. In total, we examined 80 patients with complete loss of teeth, of which 29 were men, 51 were women. The age of the patients was 51-66 years (mean age 58.5 ± 4.5 years). All patients were divided into 2 groups: group 1 (main) - 41 patients, of whom 14 were men, 27 women (mean age 56.7 ± 4.2 years), group 2 (control) - 39 patients were included 15 men, 24 women (mean age 59.5 ± 4.7 years). Research results. During follow-up (6-18 months) after prosthetics, signs of peri-implant mucositis in the form of hyperemia, edema were observed in the area of 4 out of 100 (4.00%). Such patients were prescribed Traumeel S. During the study of suppuration, the presence of ulcerations, fistulas, pain was not noticed, and complaints of these manifestations were absent, the phenomena of mucositis could be quickly stopped. No cases of peri-implantitis were diagnosed. Radiographically vertical bone atrophy, i.e. the appearance of peri-implant pockets was not detected. Insignificant horizontal atrophy was observed in 2 implants by the end of 18 months (2.00%) and averaged 0.62 ± 0.13 mm. In the control group (39 patients), 39 complete removable prostheses were made, supported by 98 implants. During follow-up (6-18 months after prosthetics), signs of peri-implant mucositis in the form of hyperemia and edema were observed in the area of 8 implants (8.10%). At the same time, loosening was determined in 4 of them (4.08%). During the study, no suppuration, the presence of fistulas, or pain was detected. There were no complaints about these manifestations. The phenomena of mucositis could be quickly stopped. But it should be added that 1 case of peri-implantitis was diagnosed in this group. Conclusions. The loss of bone tissue in the main group was at the level of 0.54 ± 0.21 mm, while in the control group it was 0.74 ± 0.32 mm. Moreover, foreign studies have shown that in the presence of 3 implants, bone loss ranged from 0.5 ± 0.46 mm to 0.7 ± 0.76 mm. |
