THE ROLE OF FREQUENCY RESONANCE ANALYSIS IN THE STUDY OF DENTAL IMPLANTS INSTALLED IN RECONSTRUCTED ALVEOLAR PROCESSES WITH A SMALL VOLUME OF JAW BONE

Novikov S.V.
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Abstract

The use of dental implants being the intraosseous artificial fixtures is often required for orthopedic rehabilitation of completely edentulous patients; for their placement, adequate amount of bone tissue is needed, which in many cases is insufficient due to physiological bone loss, long-term wearing of full dentures, the duration of edentulism and complex clinical situations caused by maxillofacial injuries or general somatic diseases. Implant placement in the above situations requires timely preparation of deficient alveolar ridge by means of osteoplastic surgery. In its turn, the newly formed regenerated bone by its histological, physicomechanical and structural-functional properties can only approach the recipient bone tissue; therefore, the issue of implant osseointegration and its functional loading in regenerated bone remains debatable. This research uses the method of frequency-resonance analysis showing implant stability coefficient numerically equal to the ISQ (Implant stability Quotient) values and reflecting the percentage of the osseointegration area of the intraosseous part of the implant. The results of research obtained by means of frequency-resonance analysis have proved that with the timely start of implant usage and adequate functional loading, ISQ values increase, that is, increases the osseointegration area along the interface of the intraosseous part of the implant placed in regenerated bone. Comparative results of research reflecting ISQ values in 12 months after implant placement in bone augmented using various forms of autogenous bonegrafts, have been presented; therefore, a conclusion can be made that there is a direct relationship between osseointegration under conditions of functional chewing load and the shape and size of autogenous bonegrafts.
频率共振分析在研究颚骨量较少的牙槽骨重建过程中安装的牙科植入物中的作用
牙科植入物是一种骨内人工固定装置,通常需要用于完全无牙患者的矫形康复;植入时需要足够的骨组织,而在许多情况下,由于生理性骨质流失、长期佩戴全口义齿、无牙期以及颌面部损伤或一般躯体疾病导致的复杂临床情况,骨组织的数量是不足的。在上述情况下进行种植体植入时,需要通过骨整形手术及时修复缺损的牙槽嵴。而新形成的再生骨在组织学、物理力学和结构功能方面的特性只能接近受体骨组织,因此,种植体在再生骨中的骨结合及其功能负荷问题仍然存在争议。 本研究采用频率-共振分析方法显示种植体稳定性系数,数值等于 ISQ(种植体稳定性商数)值,反映了种植体骨内部分骨结合面积的百分比。通过频率共振分析获得的研究结果证明,随着种植体的及时使用和充分的功能负荷,ISQ 值会增加,也就是说,植入再生骨中的种植体骨内部分界面的骨结合面积会增加。 在使用各种形式的自体骨移植体增量骨中植入种植体 12 个月后,ISQ 值的比较研究结果已经公布;因此可以得出结论,在功能性咀嚼负荷条件下的骨结合与自体骨移植体的形状和大小有直接关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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