ÎÑÎÁÅÍÍÎÑÒÈ ÏÐÈÌÅÍÅÍÈß ÀÓÒÎÃÅÍÍÛÕ ÊÎÑÒÍÛÕ ÒÐÀÍÑÏËÀÍÒÀÒÎÂ È ÈÍÄÈÂÈÄÓÀËÜÍÛÕ ÀËËÎÃÅÍÍÛÕ ÊÎÑÒÍÛÕ ÈÌÏËÀÍÒÀÒΠÏÐÈ ËÅ×ÅÍÈÈ ÏÀÖÈÅÍÒÎÂ Ñ ÀÒÐÎÔÈÅÉ ÀËÜÂÅÎËßÐÍÎÉ ×ÀÑÒÈ ÍÈAEÍÅÉ ×ÅËÞÑÒÈ PECULIARITIES OF APPLICATION OF AUTOLOGOUS BONE GRAFTS AND INDIVIDUAL ALLOGENEIC BONE IMPLANTS IN THE TREATMENT OF PATIENTS WITH ATROPHY OF LOWER JAW ALVEOLI

S Popov
2017 unpublished
Ïðèìåíåíèå äåíòàëüíûõ èìïëàíòàòîâ ïðè ëå÷åíèè ïàöèåíòîâ ñ ÷àñòè÷íîé/ïîëíîé àäåíòèåé ÿâëÿåòñÿ îñíîâíûì è íàèáîëåå êà÷åñòâåííûì ìåòîäîì â ñîâðåìåííîé ñòîìà-òîëîãèè. Ñ êàaeäûì ãîäîì êîëè÷åñòâî óñòàíîâëåííûõ äåíòàëüíûõ èìïëàíòàòîâ âðà÷àìè õèðóðãàìè-ñòîìàòîëîãàìè è ÷åëþñòíî-ëèöåâûìè õèðóðãàìè íåóêëîííî ðàñòåò. Îäíèì èç ïðîòèâîïîêàçàíèé, óêàçûâàþùèõ íà íåâîçìîaeíîñòü óñòàíîâêè äåíòàëüíîãî èìïëàíòàòà ó ïàöèåíòîâ, ÿâëÿåòñÿ ðåçîðáöèÿ àëüâåîëÿðíîãî îòðîñòêà/÷àñòè ÷åëþñòåé.  ñëîaeèâøåé-ñÿ ñèòóàöèè âðà÷ó
more » ... -ñÿ ñèòóàöèè âðà÷ó íåîáõîäèìî ïåðâûì ýòàïîì âîññòàíîâèòü îáúåì êîñòíîé òêàíè, äîñòà-òî÷íûé äëÿ ïîñëåäóþùåé äåíòàëüíîé èìïëàíòàöèè.  äàííîé ñòàòüå ðàññìîòðåíî ñðàâíå-íèå òðàäèöèîííîé ìåòîäèêè âîññòàíîâëåíèÿ îáúåìà êîñòíîé òêàíè ñ ïðèìåíåíèåì àóòî-ãåííûõ òðàíñïëàíòàòîâ ñ èííîâàöèîííîé ìåòîäèêîé ïðèìåíåíèÿ èíäèâèäóàëüíûõ àëëî-ãåííûõ êîñòíûõ èìïëàíòàòîâ, à òàêaeå îïèñàíèå ïðåèìóùåñòâ ïîñëåäíåé. Êëþ÷åâûå ñëîâà: àëëîèìïëàíòàò, àóòîòðàíñïëàíòàò, èíäèâèäóàëüíûé êîñòíûé èìïëàíòàò, àäåíòèÿ, äåíòàëüíûé èìïëàíòàò Ïîïîâ Ñåðãåé Âëàäèìèðîâè÷-î÷íûé àñïèðàíò êàôåäðû ÷åëþñòíî-ëèöåâîé è ïëàñòè-÷åñêîé õèðóðãèé. The use of dental implants in the treatment of patients with partial / full adentia is the main and most qualitative method in modern dentistry. Every year the number of dental implants installed by the doctors, dental surgeons and maxillofacial surgeons, is steadily growing. One of the contraindications showing the impossibility of installation a dental implant in patients is the resorption of the alveolar process / part of the jaws. First of all in such a situation it is necessary to restore the volume of bone tissue to the level sufficient for the subsequent dental implantation. In this article the techniques of restoration of bone tissue volume are reviewed. The traditional technique using autologous bone grafts is compared with the innovative one using individual allogeneic bone implants and then the advantages of the latter are described. Key words: allogeneic bone implant, autologous bone graft, individual allogeneic bone implant, adentia, dental implant Popov Sergey Vladimirovich-Postgraduate student, Ïî äàííûì âåäóùèõ íàó÷íûõ è ëå-÷åáíûõ öåíòðîâ Ðîññèéñêîé Ôåäåðà-öèè óñòàíîâëåíî, ÷òî ÷àñòè÷íîé ïîòå-ðåé çóáîâ ñòðàäàþò îò 40 äî 75% íàñå-ëåíèÿ, è ïðèìåðíî ó 14 ìëí ÷åëîâåê âû-ÿâëåíî ïîëíîå îòñóòñòâèå çóáîâ-ýòî 10% íàñåëåíèÿ Ðîññèéñêîé Ôåäåðàöèè [1,4]. Íàðóøåíèå aeåâàòåëüíîé ôóíê-öèè ïðèâîäèò ê íåäîñòàòî÷íîñòè îðãà-íîâ aeåëóäî÷íî-êèøå÷íîãî òðàêòà, äèñ-ôóíêöèè âèñî÷íî-íèaeíå÷åëþñòíûõ ñó-ñòàâîâ è âûòåêàþùåìó îòñþäà öåëî-ìó êîìïëåêñó çàáîëåâàíèé. Âîññòàíîâ-ëåíèå aeåâàòåëüíîé ôóíêöèè äîñòèãà-åòñÿ îðòîïåäè÷åñêèì ïóòåì (ìîñòîâèä-íûå êîíñòðóêöèè, ñúåìíîå ïðîòåçèðî-âàíèå), ëèáî êîìáèíèðîâàííûì ïðè ó÷àñòèè ñòîìàòîëîãà-îðòîïåäà ñîâìåñò-íî ñ õèðóðãîì-ñòîìàòîëîãîì, ÷åëþñòíî-ëèöåâûì õèðóðãîì, ñ èñïîëüçîâàíèåì äåíòàëüíûõ èìïëàíòàòîâ. Ìîñòîâèäíûå êîíñòðóêöèè òðåáóþò îïðåäåëåííîãî ñíÿòèÿ ïîâåðõíîñòíûõ ñòðóêòóð ñîñåä-íèõ çóáîâ îò 0,5 ìì äî 1,5-2 ìì, ÷òî ÿâëÿ-åòñÿ íåîáîñíîâàííûì ñ òî÷êè çðåíèÿ ìà-ëîèíâàçèâíîãî âìåøàòåëüñòâà ïðè íàëè
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