Surgical treatment of patient with secondary partly absence of the teeth on the background of disturbances of bone mineral metabolism with dental implants

Aim. The problem of restoring dentition remains relevant for many years. During last 30-40 years dental implants have been actively used for dentition rehabilitation of patients with partial secondary absence of teeth. However, in recent years, due to the technogenic and ecological situation in the world, this type of treatment is becoming less and less effective due to the increasing risk of rejection of dental implants, which is associated with the presence of concomitant diseases, including metabolic processes. Purpose was to develop an integrated treatment algorithm to increase the effectiveness of surgical treatment with dental implants in patients with partial secondary absence of teeth and associated diseases.

Materials and methods. On the basis of the Department of Surgical Dentistry of the Institute of Dentistry of the Sechenov First Moscow State Medical University (Sechenov University) and the dental private clinic in the period from 2013 to 2019 years 7 patients (3 men and 4 women) with partial secondary absence of teeth on the background of osteopenia and osteoporosis were treated with the help of dental implants. Depending on the degree of impaired mineral metabolism, an endocrinologist was prescribed antiresorptive therapy.

Results. During the entire observation period there were no cases of rejection of dental implants. Against the background of prescribed therapy mineral bone metabolism was normalized, according to the results of computed tomography, an increase in the density of the jaw bone tissue was noted. In addition to medicine support in the postoperative period, the importance of adequate diagnosis and treatment of a concomitant disease, which can reduce the possibility of 5-year survival of dental implants, the need for dynamic monitoring from both the dentist-surgeon and a narrow specialist.

The article presents the experience of surgical treatment of partial secondary absence of teeth with the help of dental implants in a patient with an osteopenia diagnosis established by an endocrinologist. In addition to drug support in the postoperative period, the importance of adequate diagnosis and treatment of a concomitant disease, which can reduce the possibility of 5-year survival of dental implants, the need for dynamic monitoring from both the dentist-surgeon and a narrow specialist.

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