scholarly journals Сучасні підходи до хірургічного лікування хворих на генералізова- ний пародонтит із використанням дентальних імплантатів

2017 ◽  
Author(s):  
H. B. Prots ◽  
V. P. Piuryk
Keyword(s):  
Postoperative Complications ◽  
Bone Tissue ◽  
Surgical Intervention ◽  
Positive Development ◽  
Duration Of Treatment ◽  
Surgical Interventions ◽  
Periodontal Tissues ◽  
Dental Implantation ◽  
Simultaneous Surgery

The main postulate of periodontal treatment is the elimination of factors injuring periodontal disease, creating conditions for the normalization of its properties. Structures with additional supports on the intraosseous implants are optimal for orthopaedic treatment. The possibilities and conditions for surgical intervention on periodontal tissues and implantation in patients with varying severity of chronic GP were generally poorly understood.The aim of the study – to improve the treatment of patients with partial edentia and chronic generalized periodontitis by including dental implantation to the complex of therapeutic measures.Materials and Methods. There are presented the results of 360 patients with varying severity degrees of generalized periodontitis who underwent surgery on periodontal tissues with dental implantation.Results and Discussion. Our research showed that implantation in patients with mild generalized periodontitis can achieve consistently good results regardless the method of treatment. Simultaneous surgery on periodontal tissues and the dental implantation shortens treatment duration in 1.5–2 times without compromising its quality. It is shown that in patients with moderate and severe degrees of generalized periodontitis it is appropriate to perform periodontal surgery separately followed by dental implantation to prevent postoperative complications and implant loss. When planning for dental implants and periodontal surgical intervention it is necessary to determine the quality of bone remodeling to assess the structural and functional state of bone tissue and differentiated destination osteotropic drugs that promote positive postoperative period.Conclusions. Therefore, in order to increase the effectiveness of dental implantation and surgical periodontal intervention, bone remodelling markers should be determined to assess the structural and functional status of bone tissue and for the differentiated use of osteotropic drugs, which will contribute to the positive development of the postoperative period. Simultaneous surgical intervention on periodontal tissues and dental implantation in 1.5–2 times reduces the duration of treatment without reducing its quality. In patients with moderate to severe degrees, it is expedient to carry out surgical interventions with subsequent dental implantation in order to prevent postoperative complications and loss of implants.

scholarly journals FEATURES OF DENTAL IMPLANTS IN THE COMPLEX TREATMENT OF PERIODONTAL DISEASE

2017 ◽  
Vol 6 ◽  
pp. 28-35
Author(s):  
Galina Prots ◽  
Mykola Rozhko ◽  
Vasyl Pjuryk ◽  
Irina Prots
Keyword(s):  
Bone Resorption ◽  
Bone Formation ◽  
Bone Tissue ◽  
Bone Remodeling ◽  
Dental Implants ◽  
Surgical Intervention ◽  
High Rate ◽  
Medication Prescription ◽  
Periodontal Tissues ◽  
Dental Implantation

Aim: To Improve the treatment of patients with partial edentia and chronic generalized periodontitis by including dental implantation to the complex of therapeutic measures. Materials and methods: There have been presented the results of 240 patients with varying severity degrees of generalized periodontitis who underwent surgery on periodontal tissues with dental implantation. The research was conducted at the OCH of Ivano-Frankivsk 2007–2017.To improve the efficiency for dental implants and periodontal surgical intervention is necessary to determine the quality of bone remodeling, identifying markers of bone tissue metabolism. Results: It was established that in 40,81 % patients the results of research showed markers of bone remodeling indicating a high rate of bone formation (25,12±2,23 ng / ml) and a slight increase in rate of resorption marker, which results in low rates of bone resorption (8,54±1,23 nmol/L). These patients were not prescribed with osteotropic drugs. 50,83 % of patients with osteopenia were noticed to manifest the formation of bone possible raise of bone resorption (10.82±1.34n/mole), which was the indication for antiresorptive medication prescription. In 8,36 % of patients with osteoporosis was observed inhibition of bone formation processes (18,05±2,08 ng / ml) and increased resorption indices (15,34±1,87 nmol/L). Medications that stimulate osteogenesis and prevent bone resorption were prescribed. Conclusions: When planning dental implants and periodontal surgical intervention it is necessary to identify markers of bone remodeling to assess the structural and functional state of bone tissue and prescribe osteotrophic drugs that promote positive postoperative period.

scholarly journals Features of Bone Regeneration of the Jaws Alveolar Ridge Using Hydroxyapatite-Based Material

2021 ◽  
Vol 27 (1) ◽  
pp. 9-18
Author(s):  
A. Y. Drobyshev ◽  
N. A. Redko ◽  
E. G. Sviridov ◽  
R. V. Deev
Keyword(s):  
Bone Tissue ◽  
Clinical Medicine ◽  
Maxillofacial Surgery ◽  
Titanium Implants ◽  
Alveolar Ridge ◽  
Tissue Samples ◽  
Surgical Interventions ◽  
Dental Implantation ◽  
Regeneration Of Bone Tissue ◽  
The Stability

Background. Currently, using of osteointegrated titanium implants has become a key component for restoring lost function in various areas of clinical medicine. The actual issue remains preservation or reconstruction of bone tissue for optimal use of titanium implants in traumatology and orthopedics, as well as in maxillofacial surgery. One of the most common grafts are hydroxyapatite-based material with various inclusions, for example, an antibiotic.The aim of the study is to characterize the regeneration of bone tissue of the jaws alveolar ridge using the hydroxyapatite-based material “Collapan-L” in clinical practice.Material and Methods. The study of the material “Collapan-L” (Intermedapatit, Russia) using involved 30 patients with a diagnosis “chronic periodontitis of the tooth”. Patients underwent complex surgical and orthopedic treatment to restore masticatory function. At the first stage, teeth were removed with the “Collapan-L” material used to preserve the alveolus. 4 months after extraction, dental implantation was performed with simultaneous trephine biopsy from the augmentation zone for histomorphometric analysis. At the stage of implant placement and before prosthetics the stability dynamics was measured.Results. The study involved 42 tissue samples obtained at periods from 9 to 32 weeks after removal. The morphological assessment of bone tissue from the implantation zone determined that after 4 months trabeculae from the newly formed bone, including small fragments of biomaterial, were revealed; at the same time, there were signs of biodegradation of the implanted material fragments, there was no inflammatory infiltrate. After 6 months in a significant part of cases the granules of bone material were not found, which indicates a pronounced osseointegration of the material. In its structure, the formed bone tissue differences barely noticeable from the native one, which allows us to conclude that by the time of 24 weeks, the processes of reparative osteogenesis in the alveolus are completed.Conclusion. Histological examination and assessment of changes in the stability showed that using of bone replacement material after tooth extraction can increase the regenerative potential of bone tissue, avoid additional surgical interventions to increase the volume of bone tissue in the area of future implantation, and the formed bone tissue is close in its structure to the native one.

scholarly journals An Effective Way to Prevent Depressurization of Carboxyperitoneum and Extraperitoneal Insufflation During Simultaneous Laparoscopic Interventions

2020 ◽  
Vol 9 (1) ◽  
pp. 21-26
Author(s):  
M. K. Abdulzhalilov ◽  
A. M. Abdulzhalilov ◽  
M. R. Imanaliyev
Keyword(s):  
Carbon Dioxide ◽  
Postoperative Complications ◽  
Surgical Intervention ◽  
Subcutaneous Tissue ◽  
Abdominal Cavity ◽  
Abdominal Organs ◽  
Number Of Patients ◽  
Simultaneous Surgery ◽  
Reduce Carbon Dioxide ◽  
The Cost

ABSTRACT. Laparoscopic simultaneous surgery (LSS) in patients with multisystem abdominal organs lesion is accompanied by ports’ re-installation for subsequent surgical intervention. Preserved trocar wounds (PTWs) pass carbon dioxide from the abdominal cavity, increasing its consumption and causing depressurization of the carboxyperitoneum. The incidence of extraperitoneal insufflation during laparoscopy varies from 0.43 to 2% (I.V. Vartanova et al., 2016). The presence of many methods of sealing PTWs indicates their inefficiency.AIM OF STUDY. To develop an easy-to-use, more reliable and effective way of sealing PTWs.RESULTS. As a result, a comparative evaluation of known methods of sealing PTWs, we have developed an easy-to-use, more reliable and effective way of sealing PTWs «Method for sealing punctures of the abdominal wall after removing the trocar during a laparoscopic surgery» (patent RF for the invention № 2621121).DISCUSSION. This method was performed in 55 patients, in all cases it provided reliable PTWs tightness, allowed maintaining stable carboxyperitoneum during laparoscopic interventions, without increasing carbon dioxide consumption, which reduced the cost of LSS and prevented the development of both intraand postoperative complications. The uniqueness of this method is that PTW is sealed from the side of the abdominal cavity, preventing carbon dioxide from penetrating into either the preperitoneal or subcutaneous tissue.CONCLUSION. An increase in the number of patients with combined surgical pathology necessitates the use of the developed method for sealing punctures when moving trocars and neutralizing sub- and postoperative complications. In addition, this method allows to reduce carbon dioxide consumption.

scholarly journals Results of Prompt Surgical Intervention in Hemodialysis Radiocephalic Fistula Secondary Dysfunction

2019 ◽  
Vol 104 (5-6) ◽  
pp. 217-225
Author(s):  
Iyad Fansa ◽  
Mesut Kösem ◽  
Celalettin Karatepe ◽  
Adem Sezen ◽  
Hilal Kuşcu Karatepe ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Surgical Intervention ◽  
Catheter Placement ◽  
Proximal Anastomosis ◽  
Common Procedure ◽  
Surgical Interventions ◽  
Mean Time ◽  
Early Surgical Intervention

Radiocephalic fistula (RCF) dysfunction is a common problem due to low maturation and patency rates of these fistulas. The most common procedure in such cases is to place a temporary catheter for the dialysis. Temporary catheter placement and undergoing dialysis with this catheter cause complications, reduce the chance for fistula, and deteriorate the quality of life. The aim of this study was to demonstrate that immediate intervention in RCF dysfunctions can increase fistula success for the patient and can reduce the need for a catheter. Furthermore, the hemodialysis treatment can continue without affecting the quality of life. A total of 295 patients who were admitted for RCF dysfunction and who underwent early surgical intervention without any catheter placement were evaluated for postoperative complications, patency rates, and rates and durations of temporary catheter use over a mean time of 47 months of follow-up (range: 4–79 months). Of the patients, 77.2% (n = 228) underwent new proximal anastomosis (NEO; the radial artery and cephalic vein were reached with an incision created proximal to the previous anastomosis), 14.2% (n = 42) underwent brachiocephalic arteriovenous fistula (AVF), 8.4% (n = 25) underwent side-to-side brachiobasilic AVF + superficialization of the basilic vein. In 88.8% (n = 262) of the patients, successful cannulations were performed within the first 24 to 48 hours without any catheter requirement or complications. Temporary catheter was used for 15.1 ± 10.7 days in 11.2% (n = 33) of the patients. In RCF dysfunctions, early surgical interventions performed in the forearm and elbow provide early cannulation and thus decrease the catheter requirement, also prevent the complications of temporary catheters (infection, decreasing the fistula success, vascular injuries, etc.), increase the autogenous fistula success, and allow for the continuation of dialysis without disturbing the quality of life.

scholarly journals WHO Surgical Complication Prevention Checklist: a Comparative Analysis of Two Clinics

2021 ◽  
Vol 14 (1) ◽  
pp. 33-41
Author(s):  
Machmud Vilevich Timerbulatov ◽  
Shamil Vilevich Timerbulatov ◽  
Timur Rustemovich Nizamutdinov ◽  
Vil Mamilovich Timerbulatov ◽  
Ekaterina Alexandrovna Grushevskaya
Keyword(s):  
Comparative Analysis ◽  
Postoperative Complications ◽  
Inpatient Treatment ◽  
Surgical Intervention ◽  
Surgical Complication ◽  
Surgical Interventions ◽  
Surgical Safety ◽  
Surgical Department ◽  
Who Checklist ◽  
Surgical Operations

The aim of the study was to examine the effectiveness of the adherence to the WHO surgical safety checklist.Material and methods. A comparative analysis of the performance of the surgical departments in two clinics was carried out: in the first clinic the WHO checklist was applied to control the performance of the surgical department; in the second clinic these recommendations were not used. The results of 3012 (first clinic) and 3527 surgical interventions (second clinic) were analyzed. The authors studied the frequency of postoperative complications, the effectiveness when using all the points of the recommendations.Results. The frequency of antibiotic prophylaxis during general surgical operations in clinic I was 89.3%, in clinic II - 63.7%, the frequency of infection in the area of ​​surgical intervention was by 13.2% and up to two times higher in clinic II, mortality rates after surgery were also significantly higher in clinic II; consequently, the duration of inpatient treatment was 8.7 in clinic I versus 16.4 days in clinic II.Conclusion. The adherence to the surgical safety checklist can effectively reduce the number of postoperative complications, mortality, and reduce the time of inpatient treatment.

scholarly journals Іnnovation technologies in the gut organs surgery

2018 ◽  
Vol 85 (6) ◽  
pp. 5-9
Author(s):  
V. М. Меlnyk ◽  
Ye. М. Shepetko ◽  
І. І. Polovnikov ◽  
О. І. Poyda
Keyword(s):  
Postoperative Complications ◽  
Large Bowel ◽  
Postoperative Morbidity ◽  
Functional Results ◽  
Postoperative Hemorrhage ◽  
Pathological Process ◽  
Surgical Interventions ◽  
Wall Perforation ◽  
Significant Size

Objective. To improve the surgical treatment results in patients, suffering the gut organs diseases, due to its sophistication and elaboration of modern innovation technologies. Маterials and methods. In the work the author’s concept and results of the modern innovative technologies while performing surgery on the gut organs for ulcerative hemorrhage, complicated postbulbar, parapapillary ulcers, gastric cancer and polyps, colorectal cancer, ulcerative colitis, Crohn’s disease of large bowel, familial adenomatous polyposis are adduced. Endoscopic operations, methods of atraumatic dissection of tissues, new restoration and reconstructive-restorative operations, using modern staplers for anastomoses formation, laparoscopic operations were applied. The innovative surgical technologies were applied in 2428 patients. Results. Using methods of endoscopic hemostasis a definitive arrest of ulcerative hemorrhage was achieved in 91.1% patients. Еndoscopic polypectomy for the large bowel polyps of significant size and for «spreading» polyps were performed in 90.5% patients. Occurrence of postoperative hemorrhage was reduced to 0.74%, а large bowel wall perforation was not observed. In patients with complicated postbulbar and parapapillary ulcers the postoperative morbidity was reduced tо 24.7%, postoperative lethality - tо 7.6%. More favorable functional results were obtained after gastroplastic operations. Postoperative complications have occurred in 15.8% patients, 1.7% patients died. Conclusion. Modern innovation surgical technologies, including endoscopic, staplers for anastomoses formation, methods of atraumatic dissection of tissues, reconstructive-restorative, laparoscopic surgical interventions are sufficiently effective in the treatment of patients, suffering diseases of the gut organs. Application of modern innovation technologies in the gut organs surgery makes possible to eliminate pathological process, its complications, to reduce significantly the surgical interventions traumaticity, time of their performance, quantity of postoperative complications, lethality, and to improve functional results and quality of life in the patients operated.

scholarly journals Surgical Interventions for Late Complications of Arteriovenous Fistulas

2014 ◽  
Vol 99 (4) ◽  
pp. 467-474 ◽  
Author(s):  
Sedat Belli ◽  
Hakan Yabanoglu ◽  
Cem Aydogan ◽  
Alper Parlakgumus ◽  
Sedat Yildirim ◽  
...  
Keyword(s):  
Revision Surgery ◽  
Surgical Intervention ◽  
Salvage Surgery ◽  
Late Complications ◽  
Venous Hypertension ◽  
Surgical Interventions ◽  
Arteriovenous Fistulas ◽  
Vascular Steal ◽  
Steal Syndrome

Abstract Our aim was to determine the most effective surgical treatment for arteriovenous fistula (AVF) complications after all other methods of salvage have failed. We evaluated 110 patients for 139 complications that occurred after the initial AVF placement and for whom surgical intervention was the last hope for retaining fistula access. Vascular steal syndrome and venous hypertension were the most common complications seen in our patients. The anastomoses of 17 of the vascular steal syndrome cases were narrowed either by stitches or by a polytetrafluoroethylene graft. The second most performed revision surgery was excision of the aneurysm and repair with primary suturing, followed by excision of the aneurysm and interposition grafting. Successful surgical outcomes were achieved in 111 of 139 procedures after revision surgery without constructing a new AVF. AVF salvage surgery is of paramount importance in order to increase the patency rate, which prolongs survival and increases the patient's quality of life.

scholarly journals CLINICAL ASPECTS OF APPLICATION OF THE INDIVIDUAL RECONSTRUCTIVE IMPLANT FROM THE MATERIAL LYOPHILIZED BY ALLOGENNOGO AT THE EXPRESSED ATROPHY OF THE BONE TISSUE OF JAWS

2018 ◽  
Vol 14 (2) ◽  
pp. 86-92
Author(s):  
Николай Попов ◽  
Nikolay Popov
Keyword(s):  
Bone Tissue ◽  
Contact Area ◽  
Alveolar Bone ◽  
3D Models ◽  
Clinical Aspects ◽  
Duration Of Treatment ◽  
Bone Implant ◽  
Jaw Bone ◽  
Dental Implantation ◽  
Autologous Bone

Importance. The success of complex rehabilitation of patients by the method of dental implantation in conditions of deficit of the jaw bone in the field of dentition defects is determined by a number of factors that play an important role at various stages of treatment. Dental implantation with complex defects of the alveolar bone of the jaw requires preliminary reconstruction using bone replacement materials, the success of which depends on the contact area of the reconstructive bone implant with autologous bone tissue, the degree of its revascularization and primary stabilization. Objectives. Expansion of indications for dental implantation with pronounced atrophy of the jaw bone in the area of dentition defect by applying individual reconstructive implants from lyophilized allogenic material. Methods. The production of a precision reconstructive bone implant from an allogenic biomaterial was carried out using digital reconstruction techniques based on the construction of virtual digital 3D models based on computed tomography. To assess the results of treatment of patients with severe atrophy of the jaw bone in the area of defects in the dentition, general clinical and special research methods were used: cone-ray computer tomography, densitometry of the jaw bone tissue, perotestmetry; reoparodontography; studying the quality of life. Results. The use of a reconstructive implant from lyophilized allogenic material leads to an increase in the contact area of the reconstructive implant with autologous bone tissue of the alveolus, an increase in the revascularization of the reconstructive implant, an increase in the osteoconductive potential, a decrease in the probability of rejection of the reconstructive implant, a reduction in the probability of complications in the postoperative period, and expansion of indications for dental implantation. Conclusion. The use of individual reconstructive implants from lyophilized allogenic material with pronounced bone tissue atrophy in the area of dentition defects of jaws can significantly expand the indications for dental implantation and reduce the overall duration of treatment by an average of 6 months due to one-step augmentation and implantation.

scholarly journals DENTAL IMPLANTATION AS A METHOD OF OPTIMIZING TREATMENT OF PATIENTS WITH COMPLETE DENTAL TEETH

2019 ◽  
pp. 33-40
Author(s):  
O.V. Dobrovolskaya
Keyword(s):  
Dental Implants ◽  
New Technologies ◽  
System Level ◽  
Cochrane Library ◽  
Comprehensive Treatment ◽  
Surgical Interventions ◽  
Dental Implantation ◽  
Number Of Patients ◽  
Orthopedic Rehabilitation

The development of dentistry at the present stage opens up new possibilities in the treatment of adentia by intraosseous implantation of artificial supports for dentures, which opened up new opportunities for improving the quality of comprehensive rehabilitation of dental patients. The development of new methods of surgical interventions and prosthetics, the creation of new implant systems help us to increase the life of dentures on implants and to improve the quality of life of patients. Aim of the study. Literary sources analysis with the study of possible complications and their causes at various stages of patient rehabilitation with dental implants in patients with complete absence of teeth. Materials and methods. The review and analysis of scientific-medical literature of 2013-2019 years was conducted, according to the databases Scopus, Web of Science, Med Line, The Cochrane Library, EMBASE, Global Health, CyberLeninka, RINC. Attention is focused on the main causes of patient rehabilitation with dental implants in patients with complete absence of teeth. Results of the studies and their discussion. The method of dental implantation is increasingly used in practical dentistry in the replacement of various defects in the dentition. Dental implants dramatically increased the quality of orthopedic rehabilitation of patients due to the possibility of using fixed dentures in the replacement of dentition defects in both partial and complete adentia. It is worth noting that along with the positive results of implantation, complications are also observed. Removable prostheses on implants can be divided into two groups: fixed on separate implants with spherical abutment or on the beam connecting the implants. The increased interest in this method of treatment is due to a variety of clinical situations, characteristics of the prosthetic bed, the development of new technologies for the construction of prostheses; an increase in the number of patients satisfied with stabilization and retention of prostheses due to implants. The most important stage ensures the further success of the proposed comprehensive treatment of patients, a thorough examination, diagnosis, determination and compliance with indications and contraindications for dental implantation in conditions that are far from optimal. Inadequate consideration of the characteristics of the somatic and dental anamnesis, complaints, motivation and expectations of the patient from the upcoming treatment, examination data, clinical examination, assessment of the functional state of the patient’s dentofacial system, level of oral hygiene, can lead to unjustified expectations of the patient, local and general complications. Conclusions. Advances in dental science, the emergence of the latest technologies in our time allow us to approach the problem of rehabilitation of patients with a complete absence of teeth in the lower jaw using removable and fixed prostheses based on dental implants.

Sign in / Sign up

Export Citation Format

Share Document