medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2024-1-77-82medalphabet-3546Research ArticleСтатьиРезультаты применения дентальных имплантатов ИРИС с поверхностью, модифицированной методом плазменного электролитического оксидированияResults of application of the IRIS dental implants with the surface modified by the method of plasma electrolytic oxidationМурзабековА. И.MurzabekovA. I.

Мурзабеков Ахмед Исропилович - соискатель кафедры челюстно-лицевой хирургии и хирургической стоматологии, врач-стоматолог-хирург, начальник центра оказания медицинской помощи при стоматологических заболеваниях.

Москва

Akhmed I. Murzabekov - PhD student of the department of maxillofacial surgery and surgical dentistry; oral surgeon, head of the center of medical care for dental diseases.

Moscow

ahmedckb@yandex.ruhttps://orcid.org/0000-0003-3982-5512МураевА. А.MuraevA. A.

Мураев Александр Александрович - д.м.н., доцент; профессор кафедры челюстно-лицевой хирургии и хирургической стоматологии.

Москва

Alexandr A. Muraev - MD, associate professor; professor of the department of maxillofacial surgery and surgical dentistry.

Moscow

muraev_aa@pfur.ruhttps://orcid.org/0000-0001-6975-7018МухаметшинР. Ф.MukhametshinR. F.

Мухаметшин Роман Флоридович - к.м.н.; ассистент кафедры челюстнолицевой хирургии и хирургической стоматологии.

Москва

Roman F. Mukhametshin - PhD; assistant of the department of maxillofacial surgery and surgical dentistry.

Moscow

doc.mukhametshin@gmail.comhttps://orcid.org/0000-0002-6909-8726КимЭ. В.KimE. V.

Ким Элеонора Владимировна - ассистент кафедры челюстно-лицевой хирургии и хирургической стоматологии.

Москва

Eleonora V. Kim - assistant of the department of maxillofacial surgery and surgical dentistry.

Moscow

kim_ev@pfur.ruhttps://orcid.org/0000-0001-5458-0192ИвановС. Ю.IvanovS. Yu.

Иванов Сергей Юрьевич - д.м.н., профессор, член-корреспондент РАН; заведующий кафедрой челюстно-лицевой хирургии и хирургической стоматологии.

Москва

Sergey Yu. Ivanov - MD, professor, corresponding Member of the Russian Academy of Sciences; head of the department of maxillofacial surgery and surgical dentistry; head of the department of maxillofacial surgery.

Moscow

syivanov@yandex.ruКлименковВ. А.KlimenkovV. A.

Клименков Владимир Алексеевич - врач-стоматолог-хирург, ассистент кафедры челюстно-лицевой хирургии и хирургической стоматологии.

Москва

Vladimir A. Klimenkov - dental surgeon, assistant of the Department of Maxillofacial Surgery and Surgical Dentistry.

Moscow

1142220867@pfur.ruФГАОУ ВО Российский университет дружбы народов им. Патриса Лумумбы; ФГБУ Центральная клиническая больница с поликлиникой Управления делами Президента Российской ФедерацииРоссияPatrice Lumumba Peoples’ Friendship University of Russia; Central Clinical Hospital of the Administrative directorate of the President of the Russian FederationRussian FederationФГАОУ ВО Российский университет дружбы народов им. Патриса ЛумумбыРоссияPatrice Lumumba Peoples’ Friendship University of RussiaRussian FederationФГАОУ ВО Российский университет дружбы народов им. Патриса Лумумбы; ФГАОУ ВО Первый Московский государственный медицинский университет им. И. М. Сеченова (Сеченовский Университет)РоссияPatrice Lumumba Peoples’ Friendship University of Russia; I.M. Sechenov First Moscow State Medical UniversityRussian Federation20240403202401Стоматология (1)7782Copyright © Мурзабеков А.И., Мураев А.А., Мухаметшин Р.Ф., Ким Э.В., Иванов С.Ю., Клименков В.А., 20242024Мурзабеков А.И., Мураев А.А., Мухаметшин Р.Ф., Ким Э.В., Иванов С.Ю., Клименков В.А.Murzabekov A.I., Muraev A.A., Mukhametshin R.F., Kim E.V., Ivanov S.Y., Klimenkov V.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/3546

Модификации поверхности дентальных имплантатов для обеспечения оптимальных условий остеоинтеграции остаётся актуальной задачей в современной дентальной имплантологии. Ряд публикаций демонстрируют, что поверхность дентальных имплантатов, модифицированных плазменным электролитическим оксидированием (ПЭО), обладают комбинацией нескольких важных признаков, способствующих остеоинтеграции: оптимальную микрошероховатость в пределах 1-7 мкм, высокую химическую чистоту и механическую прочность [8,20].

Цель исследования

Цель исследования. Оценить клиническую эффективность имплантатов ИРИС с новой поверхностью, модифицированной методом ПЭО (далее ИРИС ПЭО).

Материалы и методы

Материалы и методы. На базе медицинского центра РУДН им. Патриса Лумумбы и центра оказания медицинской помощи при стоматологических заболеваниях, ФГБУ «ЦКБ с поликлиникой» Управления делами Президента Российской Федерации проведено обследование и лечение 60 пациентов в возрасте от 27 до 52 лет с частичной потерей зубов. Пациентам было установлено по 1 имплантату ИРИС-ПЭО на верхней или нижней челюсти. Все имплантаты устанавливали с усилием от 35 до 50 Н/см2, с формирователями десны. Протезирование проводили через 2 месяца на нижней челюсти и через 4 месяца на верхней челюсти. Перед получением оттисков измеряли стабильность имплантатов с использованием аппарата (Penguin RFA (Integration Diagnostic Sweden AB, Швеция). Через год после протезирования оценивали пришеечную резорбцию имплантатов.

Результаты

Результаты. В результате проведенного лечения все ортопедические конструкции отвечали функциональным и эстетическим требованиям. показатели стабильности имплантатов в единицах ISQ на верхней челюсти составили в среднем 75±3,4, на нижней челюсти 79±2,4. Резорбция костной ткани в пришеечной области имплантатов через 1 год после окончания лечения не отмечалась. Пилотное клиническое исследование имплантатов ИРИС-ПЭО позволило оптимизировать сроки реабилитации и получить высокий функциональный и эстетический результат при лечении пациентов с потерей зубов.

Выводы

Выводы. Пилотное клиническое внедрение имплантатов системы ИРИС с поверхностью, модифицированной плазменным электролитическим оксидированием, продемонстрировало возможность открытого ведения установленных имплантатов с формирователем десны, проводить протезирование через 2 месяца на нижней челюсти и 4 месяца на верхней челюсти. Пришеечной резорбции через год после протезирования не наблюдалось.

Surface modifications of dental implants to provide optimal conditions for osseointegration remains an urgent task in modern dental implantology. A few publications demonstrate that the surface of the dental implants modified by plasma electrolytic oxidation (PEO) possess a combination of several important features that promote osteointegration: optimal micro roughness within 1-7 microns, high chemical purity, and mechanical strength [8,20].

The aim

The aim. To evaluate the clinical efficacy of IRIS implants with a new surface modified by the PEO method (hereinafter referred to as IRIS PEO).

Materials and methods

Materials and methods. Based on the Patrice Lumumba RUDN Medical Center and the Center of Medical Care for Dental Diseases, FGBU «Central Clinical Hospital with Polyclinic» of the Presidential Affairs Department of the Russian Federation, 60 patients aged 27 to 52 years with partial tooth loss were examined and treated. The patients received 1 IRIS-PEO implant each on the upper or lower jaw. All implants were placed with the force from 35 to 50 N/cm2, with gingiva shapers. Prosthetics were performed after 2 months on the lower jaw and after 4 months on the upper jaw. Before taking impressions, the stability of implants was measured using the Penguin RFA (Integration Diagnostic Sweden AB, Sweden). One year after prosthetics, the neck resorption of the implants was evaluated.

Results

Results. Because of the treatment, all prosthetic constructions met the functional and aesthetic requirements. The stability indices of implants in ISQ units on the upper jaw averaged 75±3.4, on the lower jaw 79±2.4. Bone resorption in the implants’ neck area 1 year after the end of the treatment was not observed. The pilot clinical study of the IRIS-PEO implants allowed to optimize the terms of rehabilitation and to obtain high functional and esthetic result in the treatment of patients with tooth loss.

Conclusions

Conclusions. Pilot clinical implementation of the implants of the IRIS system with the surface modified by plasma electrolytic oxidation demonstrated the possibility of open management of the implants with the gingiva shaper, to carry out prosthetics in 2 months on the lower jaw and 4 months on the upper jaw. No neck resorption was observed one year after prosthetics.

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