medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2025-10-79-84medalphabet-4326Research ArticleСтатьиОртопедическая реабилитация пациента с хроническим генерализованным пародонтитом тяжелой степени тяжести с применением дентальной имплантации и цифрового протокола: клинический случайOrthopedic rehabilitation of a patient with severe chronic generalized periodontitis using dental implantation and a digital protocol: a clinical caseВердиевА. Э.VerdievA. E.

А.Э. Вердиев – ассистент кафедры стоматологии,

Тверь

A.E. Verdiev – Assistant of the Department of Dentistry,

Tver

СаввидиК. Г.SavvidiK. G.

К.Г. Саввиди – д.м.н., доцент, зав. кафедрой стоматологии,

Тверь

K.G. Savvidi – MD, Associate Professor, Head of the Department of Dentistry,

Tver

БлиноваА. В.BlinovaA. V.

А.В. Блинова – к.м.н., ассистент кафедры пародонтологии,

Тверь

A.V. Blinova – Candidate of Medical Sciences, Teaching Assistant of the Departmentof Periodontology,

Tver

Эль-АйдиМ. А.El-AydiM. A.

М.А. Эль-Айди – ассистент кафедры детской стоматологии и ортодонтии им. Р.Д. Новоселова,

Тверь

M.A. El-Aydi – Teaching Assistant at the Department of Pediatric Dentistry and Orthodontics,

Tver

ДавыдовБ. А.DavydovB. A.

Б.А. Давыдов – аспирант кафедры хирургической стоматологии и челюстно-лицевойхирургии,

Тверь

B.A. Davydov – Postgraduate student of the Department of Surgical Dentistry andMaxillofacial Surgery,

Tver

ФГБОУ ВО Тверской государственный медицинский университет Минздрава России, ТверьРоссияTver State Medical UniversityRussian FederationФГБОУ ВО Тверской государственный медицинский университет Минздрава РоссииРоссияTver State Medical UniversityRussian Federation202521052025010Стоматология (2)7984Copyright © Вердиев А.Э., Саввиди К.Г., Блинова А.В., Эль-Айди М.А., Давыдов Б.А., 20252025Вердиев А.Э., Саввиди К.Г., Блинова А.В., Эль-Айди М.А., Давыдов Б.А.Verdiev A.E., Savvidi K.G., Blinova A.V., El-Aydi M.A., Davydov B.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/4326

Долгосрочный прогноз дентальной имплантации у пациентов, потерявших зубы вследствие хронического пародонтита, является темой для дискуссий в профессиональном стоматологическом сообществе. В настоящем исследовании представлен клинический случай тотальной ортопедической реабилитации пациентки, страдавшей генерализованным пародонтитом тяжелой степени тяжести, с использованием цифровых технологий для планирования и реализации лечения с применением дентальных имплантатов. Пациентке был предложен план лечения, включающий: проведение профессиональной над- и поддесневой инструментации, а после купирования острых воспалительных явлений – хирургическую санацию с последующей немедленной установкой 12 дентальных имплантатов на обе челюсти и изготовлением металлокерамических мостовидных конструкций с искусственной десной методом компьютерного моделирования и фрезерования. Клинический кейс включает в себя результаты клинического и рентгенологического исследования, периотестометрии, анализ микробиоты пародонтальных карманов и десневой борозды вокруг имплантатов методом ПЦР в реальном времени. Применение CAD/CAM технологий при планировании, изготовлении и лечении позволило изготовить точные ортопедические конструкции, добиться эстетического оптимума и существенно повысить качество жизни пациентки.

The long-term prognosis of dental implantation in patients who have lost teeth due to chronic periodontitis is controversial in the professional dental community. This study presents a clinical case of total orthopedic rehabilitation of a patient suffering from severe generalized periodontitis. The treatment plan included professional supra- and subgingival instrumentation, removal of failed teeth, followed by the immediate installation of 12 dental implants in both jaws and the manufacture of metal-ceramic bridges with artificial gums. Computer modeling technologies were used at all stages of treatment: starting with the manufacture of a surgical template for implantation, ending with the modeling of a prosthesis. The clinical case includes the results of clinical and X-ray examinations, periotestometry, and real-time PCR analysis of the microbiota of periodontal pockets and gingival sulcus around implants.

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