Materials for development of modified reconstructive technique for treatment of chronic periimplantitis
https://doi.org/10.33925/1683-3759-2019-24-4-294-300
Abstract
Relevance. Unsatisfactory effectiveness of treatment of chronic periimplantitis, which makes 40-60%, is associated with a persistence of a bacterial film on the implant surface, as well as with inconsistency of stages of anti-inflammatory, restorative and supportive treatment.
Purpose. To discuss an improved approach to restorative treatment of chronic periimplantitis using modified reconstructive technique.
Materials and methods. The technique was substantiated using axiomatic method of theoretical analysis. The modified reconstructive technique is based on application of split-thickness submucosal-periosteal flap with blood supply base, which has sufficient reparative-regenerativepotentialand stability in conditions of inflammatory macro-and microenvironment. We have carried out treatment of chronic periimplantitis in two patients using the modified reconstructive technique at the recovery stage.
Results. Preliminary assessment of the obtained results of use the modified reconstructive technique showed normal postoperative course and favorable outcome: low surgical stress response under conditions of primary chronic inflammation in the area of the implanted structure; low level of biological response of the submucosal-periosteal autograft with blood supply base as opposed to free grafts and osteoplastic materials; good condition of sutures in the early and medium postoperative period.
Conclusion. Application of the modified reconstructive technique can enhance the success of rehabilitation treatment inpatients in chronic periimplantitis.
Purpose. To discuss an improved approach to restorative treatment of chronic periimplantitis using modified reconstructive technique.
Materials and methods. The technique was substantiated using axiomatic method of theoretical analysis. The modified reconstructive technique is based on application of split-thickness submucosal-periosteal flap with blood supply base, which has sufficient reparative-regenerativepotentialand stability in conditions of inflammatory macro-and microenvironment. We have carried out treatment of chronic periimplantitis in two patients using the modified reconstructive technique at the recovery stage.
Results. Preliminary assessment of the obtained results of use the modified reconstructive technique showed normal postoperative course and favorable outcome: low surgical stress response under conditions of primary chronic inflammation in the area of the implanted structure; low level of biological response of the submucosal-periosteal autograft with blood supply base as opposed to free grafts and osteoplastic materials; good condition of sutures in the early and medium postoperative period.
Conclusion. Application of the modified reconstructive technique can enhance the success of rehabilitation treatment inpatients in chronic periimplantitis.
About the Authors
A. V. Labutova
Federal State Budgetary Educational Institution of Higher Education «Moscow State University of Medicine and Dentistry named after A.I. Yevdokimov» of the Ministry of Health
Russian Federation
Russian Federation
post-graduate student of the department of periodontology
Moscow
M. V. Lomakin
Federal State Budgetary Educational Institution of Higher Education «Moscow State University of Medicine and Dentistry named after A.I. Yevdokimov» of the Ministry of Health
Russian Federation
Russian Federation
DSc, Professor of the department of periodontology, academician of the Russian Academy of Natural Sciences
Moscow
I. I. Soloshchanskij
Federal State Budgetary Educational Institution of Higher Education «Moscow State University of Medicine and Dentistry named after A.I. Yevdokimov» of the Ministry of Health
Russian Federation
Russian Federation
PhD, associate professor of the department of periodontology, corresponding member of the Russian Academy of Natural Sciences
Moscow
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For citations:
Labutova AV, Lomakin MV, Soloshchanskij II. Materials for development of modified reconstructive technique for treatment of chronic periimplantitis. Parodontologiya. 2019;24(4):294-300. (In Russ.) https://doi.org/10.33925/1683-3759-2019-24-4-294-300
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