优化和评估为拔牙和颌面手术后患者提供即刻修复方法的有效性

Alexander V. Guskov, A. Oleynikov, Dmitry G. Zhukovets, Nikita E. Levashov, Tatiana A. Vasileva
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引用次数: 0

摘要

对牙槽系统和颌面部进行手术干预,不可避免地会形成长期愈合的术后伤口或后天性颌骨缺损。直接活动义齿被认为是早期康复的首选方法,但这种治疗的传统方法可能会导致术后炎症并发症。梁赞国立医科大学牙科矫形和正畸系在 2021 年至 2023 年期间对 120 名拔牙和颌面外科手术后的 21 至 89 岁患者进行了矫形治疗。拟议的治疗方法是根据修复床的口腔黏膜类型,利用增材制造技术制造即刻义齿的结构,并利用改进的席勒-皮萨列夫试验制造义齿基托的弹性元件,动态控制术后炎症并发症。研究人员将拟议方法的有效性与传统的即刻义齿进行了比较。研究结果表明,与传统方法相比,建议的治疗和诊断方案可使伤口愈合面积减少 50%,炎症面积减少 78%。伤口愈合区的微循环活动在 10 至 20 天的观察期内达到正常化,而传统方法在第 30 天的观察期内微循环活动不足。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
OPTIMIZATION AND EVALUATION THE EFFECTIVENESS OF IMMEDIATE PROSTHETIC APPROACHES FOR PATIENTS AFTER TEETH EXTRACTION AND MAXILLOFACIAL SURGERY
Surgical interventions in the dentoalveolar system and maxillofacial area inevitably lead to the formation of long-term healing postoperative wounds or acquired jaw defects. An accessible method of choice for early rehabilitation is considered to be direct removable dentures, however, traditional approaches to this type of treatment can lead to postoperative inflammatory complications. At the Department of Orthopedic Dentistry and Orthodontics of Ryazan State Medical University carried out orthopedic treatment in 120 patients aged from 21 to 89 years after teeth extraction and surgical interventions in the maxillofacial area during the period from 2021 to 2023. The proposed approach to treatment was to manufacture structures of immediate dentures depending on the type of oral mucosa of the prosthetic bed using additive manufacturing technologies and the creation of elastic elements of dentures bases with dynamic control of inflammatory postoperative complications using an improved Schiller-Pisarev test. The effectiveness of the proposed approach was compared with the traditional immediate dentures. According to the results of the study, it was found that the proposed protocol for treatment and diagnosis made it possible to achieve a reduction in the area of wound healing by 50% and a decrease in the area of inflammation by 78% faster compared to the traditional method. Normalization of the microcirculatory activity of the wound healing zones was achieved in the period from 10 to 20 days of observation, with the traditional method, insufficient microcirculatory activity was noted by the 30th day of observation.
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