Clinical features of dental reconstruction with severe jaw atrophy in partial and complete adentium

Currently, dental implantation is widely used in practical dentistry to restore defects in dental arches with fixed orthopedic structures. At the same time, complex anatomical and topographic conditions of the bone tissue of the alveolar process of the upper and lower jaws cause a number of clinical difficulties that require bone grafting before installing dental implants, which requires an individual approach. In case of severe atrophy of the alveolar process of the jaws in the frontal and lateral sections, the choice of surgical correction method is bone augmentation by distraction osteogenesis, splitting of the alveolar ridge, grafting of autogenous, allogeneic and xenogeneic bone blocks, as well as the method of tissue regeneration. In general, restoration of dental arch defects and the function of the dental system requires the necessary placement of dental implants in the most correct position for their subsequent osseointegration and fixation of fixed orthopedic structures, which ensures the achievement of the expected clinical result with full restoration of the patients’ aesthetic requirements and an improvement in the patient’s quality of life.

1. Abdumomunov A.O., Selpiev T.T., Koombaev K.K. Changes in the state of dental arches with secondary partial adentia of the upper and lower jaws//Science, new technologies and innovations of Kyrgyzstan. 2020. No. 8. P.53-58.

2. Avedova D.Yu. Study of the effectiveness of the use of combined osteoplastic materials in reconstructive interventions in the oral cavity//News of higher educational institutions. Volga region. Medical Sciences. No. 1 (69). P.27-32.

3. Akhrorov A.Sh., Usmanov R.F., Burikulov A.M. Features of the use of a bone block taken from the zone of the cheekbone-alveolar buttress//journal of New Century Innovations. 2024.V. 47, № 2. P.149-157.

4. Vakhrusheva V.A. Complete secondary adentia: frequency and choice of treatment method// Dental spring in Belgorod 2022. Collection of works of the International Scientific and Practical Conference within the framework of the international dental festival "Dental Patient Safety Site" dedicated to the 100th anniversary of the Moscow State Medical and Dental University named after A.I. Evdokimov. Belgorod, 2022.P.59-61.

5. Effect of dentoalveolar system condition, tooth loss, on the onset and progression of cognitive impairment/A.A. Polyanskaya, A.A. Levitskaya, A.A. Osipov, V.A. Tishchenko//Student Forum 2023. No. 5-1 (228). P.13-16.

6. Inflammatory diseases of the maxillofacial region. Modern features of the clinical course, principles of diagnosis and treatment: Textbook/A.A. Dregalkina, I.N. Kostina, M.E. Shimova, O.L. Schneider Yekaterinburg: Publishing House "CIRCULATION," 2020.108 p.

7. Danilova M.A., Ishmurzin P.V. Predicting the development of temporomandibular joint dysfunction in patients with dentoalveolar anomalies// Perm Medical Journal 2021.V. 38, No. 3. P.41-47.

8. Jalilova G.I., Panakhov N.A. Pathological changes in the oral cavity as a result of secondary adentia//Medical news.2020. NO. 5 (308) .P.72-74.

9. Epifanov S.A., Zangieva O.T., Vyseltseva Yu.V. Ankylosis of the temporomandibular joint: educational manual/Federal State Budgetary Institution "National Medical and Surgical Center named after N.I. Pirogov" of the Ministry of Health of the Russian Federation, Institute for Advanced Medical Studies, Department of Maxillofacial Surgery and Dentistry Moscow: Scientific consultant, 2022. 25 p.

10. Kazantsev M.V., Isaeva N.L. Generalization of world experience in implementing programs for the prevention of dental health//Modern problems of health care and medical statistics. 2024. № 2. P.146-161.

11. Kalakutsky N.V., Ivanov Yu.V., Zhuravlev I.V. Preparation of the lower and upper jaws for implantation with severe bone atrophy//Clinical dentistry. 2022. V. 25, NO. 3.P. 25-31.

12. Klemin V.A., Tchaikovskaya I.V., Vorozhko A.A. Prevalence, medical and socio-economic significance of adentia. Methods of orthopedic treatment of adentia/Moscow: URSS, 2023.198 p.

13. Klemin V.A., Kubarenko V.V. Clinical and laboratory stages of dental prosthetics: inserts, veneers, crowns, pin teeth, bridges, partial plate removable prostheses, full removable prostheses, prosthetics on implants/Moscow: URSS: Lenand, 2023.198 p

14. Comprehensive assessment of the dentoalveolar system in patients with diseases of the temporomandibular joint using the author's research protocol: clinical cases/Tekucheva S.V., Bazikyan E.A., Afanasyeva Y.I., Postnikov M.A.//Kuban Scientific Medical Bulletin. 2023. V.30, No. 4. P.110136.

15. Maykanov V.S., Kuzikova V.A. Features of complex therapy in the treatment of periodontal pathology//Scientist (Russia). 2021. No. 1.P.13.

16. Marco E, Pietro R. Comparison of orthopedic designs with support on implants 5 mm long or longer implants in the augmented bone of the distal jaw//Modern dentistry. 2020. № 4 (81). P.62-68.

17. Morozov I.N. Relationship between oral health and dementia in the elderly (review of scientific publications )//Bulletin of the Medical Dental Institute. 2023. No. 4 (67). P.15-16.

18. Morphological features of the maxillofacial region in people with complete secondary adentia and various types of constitution/Korobkeev A.A., Domenyuk D.A., Shkarin V.V. [et al.]//Medical Bulletin of the North Caucasus. 2020.V. 15, NO. 4. P. 539-543.

19. Modified two-stage split technique of controlled increase in the width of the alveolar crest during horizontal atrophy in the lateral parts of the lower jaw: the first stage of research/A.I. Korsakova, I.A. Zhadobova, A.S. Klochkov [et al. ]// Modern technologies in medicine. 2020. V.12, No. 4. P.40-47.

20. Examination of patients with complete tooth loss/Piskur V.V., Borunov A.S., Titov P.L, Gurinovich M.I.//Topical issues of dentistry. Collection of scientific works dedicated to the founder of the Department of Orthopedic Dentistry, KSMU, Professor Isaac Mikhailovich Oksman. Kazan, 2024. P. 777-782.

21. Features of dental implantation in patients with chronic rhinosinusitis/Yarovaya LA, Glybina NA, Matar DN [et al. ]//Cardiovascular therapy and prevention. 2022. VOL. 21, S2. P. 100-101.

22. Assessment of the results of directed bone regeneration against the background of the use of antihypoxants for periodontitis/Ismikhanov A.G., Kurenkova Yu.S., Ivanova V.E. [et al. ]//Medicine. Sociology. Philosophy. Applied research. 2023. No. 3. P.155-157.

23. Pathophysiological aspects of bone tissue regeneration with an increase in the width of the thin alveolar crest of the jaws using piezosurgical techniques/S.V. Ilyin, I.I. Bobyntsev, G.A. Grebnev [et al. ]//Man and his health. 2022. No. 1. P.4-10.

24. Planning the tactics of dental implantation in case of atrophy of the alveolar process in the frontal region of the jaw/Musaev Sh., Chuliev O., Khaidarov B., Mukimov U.//Topical issues of surgical dentistry and dental implantology.2022. V.1, No. 1. P. 56-58.

25. Rabinovich S.A., Zavodilenko L.A. Basic principles of prevention and treatment of emergency situations in the practice of a dentist//Russian dentistry. 2020. No. 4. P.46-47.

26. Prevalence and methods of orthopedic treatment of adentia, side effects and complications, allergic reactions/A.A. Vorozhko, V.A. Klemin, E.A. Mailyan [et al. ]//University Hospital. 2024. NO. 2 (51) .P.62-68.

27. Maxillary reconstruction using bone blocks from the cranial vault. Sinus lifting. Clinical case/ Path V.A., Usatov D.A., Polshina V.I. [et al. ]// Chief Physician of the South of Russia. 2020. № 6 (92). P. 4-7.

28. Roslik E.A., Kabanova S.A. Markers of bone metabolism during complex tooth extraction surgery//Diagnosis, treatment, recovery period and clinical examination of patients with surgical pathology of the craniomaxillofacial region: Congress "Parinsky readings 2024," Minsk, May 3, 2024/under the ed. I.O. Pokhodenko-Chudakova; editor: Kh. T. Abdulkerimov [et al.]. Minsk, 2024. P. 217-222.

29. Systemic osteoporosis and periodontal bone pathology: pathogenetic relationships, statistical correlations, importance for clinical practice/ Zabezhinsky MM, Muzykin MI, Iordanishvili AK, Vasilyeva A.V.//Russian biomedical research. 2021. V.6, No. 3. P. 27-35.

30. Preservation of the bone and soft tissue components of the alveolar crest with immediate implantation in the aesthetic zone of the jaws in conditions of bone deficiency/Dyakova M.V., Bespalova N.A., Klochkov A.S. [et al. ]//Modern technologies in medicine.2020. V. 12, NO. 1. P. 57-64.

31. Starodubov V.I., Khalfin R.A., Vorobyov P.A. Protocol of patient management. Partial absence of teeth (partial secondary adentia )//Problems of standardization in healthcare. 2004. № 12. P. 1-61.