Orthopedic treatment of patients with upper jaw resection after undergoing SARS COVID-19

S. A. Krechetov, V. V. Konnov, A. N. Pospelov, M. V. Vorobyova, V. V. Koshkin, O. S. Krechetova
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Abstract

In the last few years, postcovoid osteonecrosis has become increasingly common among the causes of defects in the upper jaw, as a complication after a coronavirus infection.Purpose. To increase the effectiveness of orthopedic treatment of defects of the upper jaw formed as a result of postcovoid osteonecrosis of the maxillofacial region by applying a material for soft relocation GC COE-Soft Professional Package to the obturator of a compound jaw prosthesis made according to the method of Y.M. Zbarzh.Materials and methods. Over the past three years nine patients with postcovoid osteonecrosis of the upper jaw have had complex-jaw prostheses made according to the method of Y.M. Zbarzha with the application of GC COE-Soft Professional Package soft relocation material to the obturating part of the prosthesis to accelerate patient adaptation.Results. A postresection prosthesis made according to the method of Y.M. Zbarzha, which restores the defect of the upper jaw, turns out to be hollow, which greatly facilitates the design and improves the fixation of the prosthesis in the oral cavity. The use of Remanium button clamps from Dentaurum has confirmed its effectiveness. Due to the application of acrylic material for soft relocation GC COE-Soft Professional Package to the obturating part of the prosthesis, the patient’s adaptation is accelerated, the number of visits for correction is reduced.
对接受 SARS COVID-19 后进行上颌骨切除术的患者进行矫形治疗
近几年来,冠状病毒感染后的并发症--类风湿骨坏死后遗症在上颌骨缺损的病因中越来越常见。通过在根据 Y.M. Zbarzh 方法制作的复合下颌假体的闭锁器上应用软安置材料 GC COE-Soft Professional Package,提高因颌面部类风湿骨坏死后形成的上颌缺损的矫形治疗效果。在过去的三年中,9名上颌骨骨坏死后患者按照Y.M. Zbarzha的方法制作了复颌假体,并在假体的闭锁部分使用了GC COE-Soft专业套装软性重新定位材料,以加快患者的适应。按照 Y.M. Zbarzha 的方法制作的修复上颌骨缺损的截骨后假体是空心的,这大大方便了假体的设计并提高了假体在口腔中的固定性。Dentaurum 公司生产的 Remanium 纽扣夹的使用证实了其有效性。由于在义齿的固位部分使用了用于软性固位的丙烯酸材料 GC COE-Soft Professional Package,患者的适应速度加快,矫正次数减少。
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