Biomeditsina va amaliyot jurnali, 2022 №5
Subject of the article
RESULTS OF GUIDED BONE REGENERATION AFTER PRELIMINARY SOFT TISSUE EXPANSI (361-369)
Authors
Asylbek Shukparov, Kakhramon Shomurodov.
Institution
Tashkent State Dental Institute
Abstract
Objective: Study of the effectiveness of the self-expanding expander for soft tissue augmentation prior to guided bone regeneration. Methods: The study was conducted in the period 2021-2022 in the department of surgical dentistry of the clinic of South Kazakhstan Medical Academy (Shymkent, Kazakhstan) . We examined 60 patients with partial secondary adentia and alveolar ridge atrophy. Among those studied there were 25 (41.7%) males and 35 (58.3%) females. Patients ranged in age from 20 to 75 years, with a mean age of 45.16±0.68 years without regard to gender. Results: showed that the greater severity and duration of pain syndrome when using the traditional method of bone grafting without preliminary soft tissue expansion led to the necessity of prescribing analgesics. This phenomenon is associated with the performance of additional incisions during the NCD. The need for them arose on day 3, when the pain syndrome was most pronounced, and persisted for the next 3-4 days. At the same time, analgesics were not necessary in Group 3b patients. Conclusions: According to the study results, the most favourable postoperative period was observed in Group 3b patients who underwent soft tissue expansion prior to guided bone regeneration
Key words
soft tissue expander, osteoplasty, bone atrophy, augmentation, guided bone regeneration , echoosteometry, muco-periosteal flap
Literature
Бениашвили Р.М. Десневая и костная пластика в дентальной имплантологии / Р. М. Бениашвили [и др.]. – М.: ГЭОТАР-Медиа, 2017. – 240 с.: ил. 2. Ширынбек И., Б. Пулатова, А. Шукпаров, и К. Шомуродов. К вопросу об изучении факторов стабильности костного аугментата. Медицина и инновации, т. 1, вып. 3, январь 2022 г., сс. 151-6, doi:10.34920/min.2021-3.021. 3. Эйзенбраун О.В. Применение туннельной техники костной пластики у пациентов с атрофией костной ткани челюстей: дисс. ... канд.мед.наук. – Москва, 2018. – 257 с.: ил. 4. Byun S-H, Kim S-Y, Lee H, et al. Soft tissue expander for vertically atrophied alveolar ridges: Prospective, multicenter, randomized controlled trial. Clin Oral Impl Res. 2020;31:585–594. https://doi.org/10.1111/clr.13595 5. Fu J.H., Su C.Y., Wang H.L. Esthetic soft tissue management for teeth and implants. The journal of evidence-based dental practice. 2012;12(3 Suppl):129-142. doi:10.1016/S1532- 3382(12)70025-8. 6. Khasanov I. I., Rizaev J. A., Abduvakilov J. U., Shomurodov K. E., Pulatova B. Z. Results of the study of indicators of phosphorus-calcium metabolism in patients with partial secondary adentia //Annals of the Romanian Society for Cell Biology. – 2021. – С. 251-258. 7. Khoury F., Antoun H., Missika P., Bessade J. Bone augmentation in oral implantology. Quintessence; 2007. 8. Park, S. H., Choi, S. K., Jang, J. H., Kim, J. W., Kim, J. Y., Kim, M. R., & Kim, S. J. (2013). Self-inflating oral tissue expander for ridge augmentation in the severely atrophic mandible. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 39, 31–34. https://doi.org/10.5125/jkaoms.2013.39.1.31 9. Shukparov Asylbek Bayadilovich, Shomurodov Kakhramon Erkinovich, & MirkhusanovaRano Sergey kizi (2022). THE ROLE OF PRELIMINARY EXPANSION OF SOFT TISSUES BEFORE GBR. World Bulletin of Public Health, 13, 206-209. 10. Urban IA, Monje A. Guided Bone Regeneration in Alveolar Bone Reconstruction. Oral Maxillofac Surg Clin North Am. 2019;31(2):331-338. doi:10.1016/j.coms.2019.01.003. 11. Zhao X, Zou L, Chen Y, Tang Z. Staged horizontal bone augmentation for dental implants in aesthetic zones: A prospective randomized controlled clinical trial comparing a half-columnar bone block harvested from the ramus versus a rectangular bone block from the symphysis. Int J Oral Maxillofac Surg. 2020;49(10):1326-1334. doi:10.1016/j.ijom.2019.12.010