medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2022-2-17-24medalphabet-2523Research ArticleСтатьиСтабильность коротких и длинных зубных имплантатов, установленных на разных уровняхStability of short and long dental implants placed at different levelshttps://orcid.org/0000-0002-6251-2007СтуденикинР. В.StudenikinR. V.

К.м.н., главный врач

Воронеж

Ph.D., Chief Physician

Voronezh

studenikin@yahoo.comhttps://orcid.org/0000-0001-7257-0991МамедовА. А.MamedovA. A.

Д.м.н., профессор кафедры детской, профилактической стоматологии и ортодонтии Института стоматологии им. Е.В. Боровского

г. Москва

Doctor of Medical Sciences, Professor of the Department of Pediatric, Preventive Dentistry and Orthodontics E.V. Borovsky Institute of Dentistry

Moscow

mmachildstom@mail.ruСтоматологическая клиника «Ваш стоматолог»РоссияDental Clinic «Your Dentist»Russian FederationФГАОУ ВО Первый МГМУ им. И.М. Сеченова Минздрава России (Сеченовский Университет)РоссияFSAEI HE Sechenov First Moscow State Medical University of the Ministry of Health of Russia (Sechenov University)Russian Federation20220704202202Стоматология (1)1724Copyright © Студеникин Р.В., Мамедов А.А., 20222022Студеникин Р.В., Мамедов А.А.Studenikin R.V., Mamedov A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/2523

Цель исследования. Оценка стабильности во время заживления и перед нагрузкой имплантатов, установленных на различных уровнях в зависимости от текстуры их шейки.Материалы и методы. В исследовании принимали участие пациенты с одинаковым типом кости (II тип), которым были имплантированы винтовые имплантаты с коническим соединением:– параллельными стенками (полированный воротник – 0,3 мм), установленные на уровне альвеолярного гребня без погружения (группа А);– корневидной формы с микрорезьбой в области воротника, установленные ниже уровня альвеолярного гребня на 1 мм (группа Б);– корневидной формы (полированный воротник – 0,75 мм), установленные выше уровня альвеоляроного гребня на 1мм (группа В).Все имплантаты применяли с формирователями. Значения коэффициента стабильности имплантата (ISQ) определялись с помощью резонансно-частотного анализа сразу после установки имплантата во время операции и через 1, 4, 8 и 12 недель после нее. Другие оцениваемые факторы стабильности – диаметр и длина имплантата, место их установки (верхняя или нижняя челюсти).Результаты. Всего было оценено 60 имплантатов (по 20 в каждой группе). Средние значения ISQ в исходном состоянии в день опера- ции и через 1 неделю после установки были значительно выше в группе Б (p=0,006, р = 0,022 и p=0,031, соответственно для групп Б, В, А). В последующих точках наблюдения различий не было. Значение ISQ было выше для широких (диаметр – 4.3 мм) имплантатов, чем с меньшим значением диаметра (3,5 мм) и для нижнечелюстных имплантатов, чем для верхнечелюстных во всех точках наблюдения. Если пренебречь данными о диаметре, то длина имплантата не влияла на значения ISQ.Заключение. Погружение имплантата глубже в кость может имеет значение только для первичной стабильности. Более того, диаметр имплантата и место его установки влияют на первичную и вторичную стабильности до нагрузки, в то время как длина имплантата не играет важную роль, если не учитывать его диаметр.

Purpose. The purpose of the study was to evaluate the stability during healing and before loading of implants placed at different levels depending on the texture of their neck.Materials and methods. The study included patients with the same type of bone (type II), who were implanted with screw implants with a conical connection: – parallel walls (polished collar – 0.3 mm), installed at the level of the alveolar ridge without immersion (group A); – root-shaped with micro-thread in the collar area, set below the level of the alveolar ridge by 1 mm (group B); – root-shaped (polished collar – 0.75 mm), installed above the level of the alveolar ridge by 1 mm (group B).All implants were used with shapers. The values of the implant stability coefficient (ISQ) were determined using resonance frequency analysis immediately after implant placement during surgery and 1, 4, 8 and 12 weeks after it. Other evaluated stability factors are the diameter and length of the implant, the place of their installation (upper or lower jaw).Results. A total of 60 implants were evaluated (20 in each group). Mean ISQ values at baseline on the day of surgery and 1 week after insertion were significantly higher in group B (p=0.006, p=0.022 and p=0.031, respectively, for groups B, C, A). There were no differences at subsequent observation points. The ISQ value was higher for wide (diameter – 4.3 mm) implants than with a smaller diameter value (3.5 mm) and for mandibular implants than for maxillary implants at all points of observation. Neglecting the diameter data, the length of the implant did not affect the ISQ values.Conclusion. Inserting the implant deeper into the bone may only matter for primary stability. Moreover, the diameter of the implant and its location affect the primary and secondary stability before loading, while the length of the implant does not play an important role if the diameter is not taken into account.

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The authors declare that there are no conflicts of interest present.