UDC: 616.314.17-008.1-08
BBC: Р661.9+Р668.802.0
Nikitina L.I., Gromova A.S.
Dental Rehabilitation of Patients with Complete (Secondary) Adentia Using Dental Implants
Keywords: completely absent dentition, dental implantation, treatment methods: "All-on-2", "All-on-4", "All-on-6", overdenture restoration, removable denture, ball attachment, matrix, Procera Implant Bridge frame structure
According to modern research, the diagnosis of complete (secondary) adentia is widespread among people aged 40 and older. The article presents clinical methods of an integrated approach to the rehabilitation of patients with complete (secondary) adentia, who had teeth completely missing on one of the jaws, and teeth or orthopedic structures on the opposite jaw. The article presents the results of the study confirming clinical effectiveness of using the methods of implantological treatment with the use of two, four and six dental implants for fixing non-removable dentures and overdenture orthopedic restorations. To achieve this goal, 34 patients were examined. Of these, there were 14 men and 20 women aged 45 to 75. 132 dental implants were mounted: Astra Tech, Nobel Biocare, MIS, Straumann. The control group consisted of ten persons; they were made complete removable laminar dentures. The study was conducted for 1 to 10 years; it demonstrates the clinical effectiveness of orthopedic treatment with the use of dental implants according to all the three methods.
References
- Gamborena I., Blatz M. Evolution. Contemporary Protocols for Anterior Single-Tooth Implants, Quintessence Publ., 2014, 440 p. (Russ. ed.: Gamborena I., Blatz M. Aktual’nye protokoly zameshcheniya perednih zubov s pomoshch’yu implantatov. Moscow, DentalAzbuka Publ., 2015. 424 p.).
- Iordanishvili A.K., Veretenko E.A., Serikov A.A. Polnaya utrata zubov u vzroslogo cheloveka: vozrastnye osobennosti rasprostranennosti, nuzhdaemosti v lechenii i klinicheskoj kartiny [The complete loss of teeth in an adult: the age-specific features of prevalence, the need for treatment and clinical picture]. Chelovek i ego zdorov’e, 2014, no. 1, pp. 23−31.
- Mirgazizov M.Z. Problemy protezirovaniya pri polnom otsutstvii zubov [Problems of prosthetics in the complete adentia]. Materialy 5-go Rossijskogo nauchnogo foruma «Stomatologiya 2003» [Proc. of 5th scientific forum “Stomatology 2003”]. Moscow, Aviaizdat Publ., 2003, pp. 63−64.
- Nikitina L.I. Dental’naya iplantaciya. Metody i materialy, primenyaemye pri zameshchenii kostnoi tkani [Dental implantation. Methods and materials used in bone replacement]. Cheboksary, Chuvash University Publ., 2004, 22 p.
- Nikitina L.I., Gilyazeva V.V., Gromova A.S. Nemedlennaya ustanovka implantatov v lunku udalennogo zuba i nemedlennoe vremennoe protezirovanie − kak metod sovershenstvovaniya stomatologicheskoi reabilitatsii (obzor dannyh literatury i sobstvennogo klinicheskogo opyta) [Immediate installation of implants in a distant tooth-hole and immediate temporary prosthetics as a method of stomatological rehabilitation improvement (the review of literature data and own clinical experience)]. Mediko-farmacevticheskij zhurnal «Pul’s», 2022, vol. 24, no. 8, pp. 20–25. DOI: 10.26787/nydha-2686-6838-2022-24-8-20-25.
- Paraskevich V.L. Dental’naya implantologiya: Osnovy teorii i praktiki [Dental implantology: Fundamentals of theory and practice]. Moscow, Uni-Press Publ., 2002, 368 p.
- Robustova T.G. Hirurgicheskie aspekty dental’noj implantacii [Surgical aspects of dental implantation]. Moscow, Medicine Publ., 2003, 603 p.
- Sadykov M.I. Uspekhi i neudachi pri reabilitacii bol’nyh s polnym otsutstviem zubov [Successes and failures in the rehabilitation of patients with complete adentia]. Samara, Ofort Publ., 2004, 168 p.
- Selsky N.E. et al. Dental’naya implantaciya [Dental implantation]. Ufa, 2016, 116 p.
- Trunin D.A., Tlustenko V.P., Sadykov M.I., Nesterov A.M., Chistyakova M.S. Rezul’taty ortopedicheskogo lecheniya bol’nyh s polnym i chastichnym otsutstviem zubov [Results of prosthetic treatment of patients with complete and partial missing teeth]. Rossiiskii stomatologicheskii zhurnal, 2017, no. 5, 267–270.
- Cucchi A., Vignudelli E., Franco S., Ghensi P., Malchiodi L., Corinaldesi G. Evaluation of Crestal Bone Loss Around Straight and Tilted Implants in Patients Rehabilitated by Immediate-Loaded Full-Arch All-on-4 or All-on-6: A Prospective Study. J Oral Implantol., 2019, vol. 45, no. 6, pp. 434–443. DOI: 10.1563/aaid-joi-D-18-00152.
- Maló P., de Araújo Nobre M., Lopes A., Ferro A., Botto J. The All-on-4 treatment concept for the rehabilitation of the completely edentulous mandible: A longitudinal study with 10 to 18 years of follow-up. Clin Implant Dent Relat Res., 2019, vol. 21, no. 4, pp. 565–577. DOI: 10.1111/cid.12769.
- Maló P., de Araújo Nobre M., Lopes A., Ferro A., Nunes M. The All-on-4 concept for full-arch rehabilitation of the edentulous maxillae: A longitudinal study with 5-13 years of follow-up. Clin Implant Dent Relat Res., 2019, vol. 21, no. 4, pp. 538–549. DOI: 10.1111/cid.12771.
- Maló P., de Araújo Nobre M., Moura Guedes C. et al. Short-term report of an ongoing prospective cohort study evaluating the outcome of full-arch implant-supported fixed hybrid polyetheretherketone-acrylic resin prostheses and the All-on-Four concept. Clin Implant Dent Relat Res., 2018, vol. 20, no. 5, pp. 692–702. DOI: 10.1111/cid.12662.
- Maló P., Lopes A., de Araújo Nobre M., Ferro A. Immediate function dental implants inserted with less than 30N·cm of torque in full-arch maxillary rehabilitations using the All-on-4 concept: retrospective study. Int J Oral Maxillofac Surg., 2018, vol. 47, no. 8, pp. 1079–1085. DOI: 10.1016/j.ijom.2018.04.008.
- MIS: site. Available at: https://misrussia.ru/ballattachment.
- NobelBiocare: site. Available at: https://www.nobelbiocare.com.
About authors
- Nikitina Louise I.
- Candidate of Medical Sciences, Head of the Department of Propeadeutics of Dental Diseases and New Technologies, Chuvash State University, Russia, Cheboksary (president-clinik@mail.ru; ORCID: https://orcid.org/0000-0003-4893-0314)
- Gromova Anna S.
- Laboratory Assistant of the Department of Propeadeutics of Dental Diseases and New Technologies, Chuvash State University, Russia, Cheboksary (prop.stom.zab@mail.ru; ORCID: https://orcid.org/0000-0002-5554-7068)
Article link
Nikitina L.I., Gromova A.S. Dental Rehabilitation of Patients with Complete (Secondary) Adentia Using Dental Implants [Electronic resource] // Acta medica Eurasica. – 2022. – №3. P. 29-35. – URL: https://acta-medica-eurasica.ru/en/single/2022/3/4/. DOI: 10.47026/2413-4864-2022-3-29-35.