medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2022-22-12-17medalphabet-2775Research ArticleСтатьиОдномоментная дентальная имплантация без ортопедической нагрузки – гистологический и рентгенографический контроль приживаемостиOne-stage dental implantation without orthopedic loads – histological and radiographic control of survivalhttps://orcid.org/0000-0002-6251-2007СтуденикинР. В.StudenikinR. V.

Студеникин Роман Викторович - кандидат медицинских наук, докторант.

Воронеж.

Roman V. Studenikin - candidate of medical sciences, doctoral candidate.

Voronezh.

studenikin@yahoo.comhttps://orcid.org/0000-0003-1670-3694ФилинА. А.FilinA. A.

Филин Андрей Анатольевич - кандидат медицинских наук, заведующий кафедрой паталогической анатомии.

Воронеж.

Andrey A. Filin - сandidate of medical sciences, Head of the Department of Pathological Anatomy.

Voronezh.

filinan@yandex.ruhttps://orcid.org/0000-0001-7257-0991МамедовА. А.MamedovA. A.

Мамедов Адиль Аскерович - доктор медицинских наук, профессор кафедры детской, профилактической стоматологии и ортодонтии.

Москва.

Adil A. Mamedov - doctor of medical sciences, Professor of the Department of Pediatric, Preventive Dentistry and Orthodontics.

Moscow.

mmachildstom@mail.ruhttps://orcid.org/0000-0002-6996-4188НифталиевК. С.NiftalievK. S.

Нифталиев Кенан Сабухиевич - студент 4 курса.

Воронеж.

Kenan S. Niftaliev - 4th year student.

Voronezh.

niftaliev.s@yandex.ruВоронежский государственный медицинский университет им. Н.Н. Бурденко Минздрава РоссииРоссияVoronezh State Medical University named after N.N. Burdenko, Ministry of Healthcare of the Russian FederationRussian FederationПервый МГМУ им. И.М. Сеченова Минздрава России (Сеченовский университет)РоссияFirst Moscow State Medical University named after I.M. Sechenov, Ministry of Healthcare of the Russian Federation (Sechenovskiy University)Russian Federation202215102022022Стоматология (3)1217Copyright © Студеникин Р.В., Филин А.А., Мамедов А.А., Нифталиев К.С., 20222022Студеникин Р.В., Филин А.А., Мамедов А.А., Нифталиев К.С.Studenikin R.V., Filin A.A., Mamedov A.A., Niftaliev K.S.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/2775Цель

Цель: гистологическое и рентгенографическое изучение и сравнение остеоинтеграции и стабильности имплантатов без ортопедической нагрузки, установленных по-разному (одномоментно в свежую лунку сразу после экстракции зуба и в зрелую кость).

Материалы и методы

Материалы и методы: критерием включения в исследование была возможность установления на противоположные участки челюсти тестового (сразу после удаления зуба) и контрольного имплантатов (в зрелую кость) без использования остеопластических материалов или мембран. После процедур была проведена периапикальная рентгенография, которую повторили через три месяца. По сравнительным данным снимков рассчитывали маргинальную потерю костной ткани. Оба имплантата удаляли для получения гистологических образцов. После приготовления срезов проводили стандартное окрашивание гематоксилином и эозином. С применением оцифровщика рентгеновского снимка рассчитывали процент соединения имплантата с костью.

Результаты

Результаты: данные гистологических и рентгенографических исследований показали отсутствие существенной разницы в остеоинтеграции имплантата в постэкстракционной ленке и в зрелой кости. Отсутствовала статистически значимая разность в проценте соединения кости между тестовым и контрольным имплантатами, установленными в разных челюстях. Соединительная ткань у имплантатов отсутствует, как и фиброзная. Разрушение костной ткани не наблюдалось в гистологических срезах.

Выводы

Выводы: остеоинтеграция и приживаемость зубных имплантатов без ортопедической нагрузки, установленных без использования остеопластических материалов в свежую постэкстракционную лунку и в зрелую кость практически одинакова, независимо от места установки (верхняя или нижняя челюсть).

Purpose

Purpose: histological and radiographic study and comparison of osseointegration and stability of implants without orthopedic load, installed in different ways (simultaneously in a fresh socket immediately after tooth extraction and in mature bone).

Materials and methods

Materials and methods: the criterion for inclusion in the study was the possibility of placing a test (immediately after tooth extraction) and a control implant (in mature bone) on opposite sites without the use of osteoplastic materials or membranes. The procedures were followed by periapical radiography, which was repeated three months later. According to the comparative data of the images, the marginal loss of bone tissue was calculated. Both implants were removed to obtain histological specimens. Sections were prepared by standard staining with hematoxylin and eosin. Using an X-ray digitizer, the percentage of implant-to-bone connection was calculated.

Results

Results: the data of histological and radiographic studies showed no significant difference in the osseointegration of the implant in the post-extraction lenok and in the mature bone. There was no statistically significant difference in the percentage of bone connection between test and control implants placed in different jaws. Connective tissue in implants is absent, as well as fibrous. Bone destruction was not observed in histological sections.

Conclusions

Conclusions: jsseointegration and survival of dental implants without orthopedic load, installed without the use of osteoplastic materials in a fresh post-extraction hole and in a mature bone is almost the same, regardless of the place of installation (upper or lower jaw).

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