Kushnir K.G., Lavrovskaya O.M., Severinova S.K.

Crimea State Medical University named after S. I. Georgievsky

Influence of orthopedic treatment relying on dental implants, on the electrophysiological parameters of the oral cavity.

In ideally, the goal of modern dentistry - is recovery ion circuit and normal functions and aesthetics of teeth, comfort, diction and health of the patient. Dentist PROVIDE a such recovery throughout life, or healing tooth decay, or removing a few teeth. What makes implant dentistry unique is the ability
to reach the ideal goal in the face of atrophy, illness or herbs-mu dentition. But the more teeth are missing the patient is, the more difficult the task. As a result of constant research, creation of new diagnostic Institute use, treatment plans, implant design, materials and methodologies, predictable success is reality today to resolve the many complex clinical situations.

Despite some short comings and obvious clinical difficulty installing the replacement of a single implant tooth is the treatment of choice. When adjacent teeth healthy or the patient refuses their preparation for the manufacture ion of the traditional three-section fixed partial prosthetic implant in place of lost rear single.
Tooth is a great solution. Other advantages this type of treatment to non-removable partial denture are: reducing the risk of tooth decay and the need for endodontic treatment of adjacent teeth, perhaps the best-STI for cleaning the proximal surfaces of adjacent teeth, which reduces the risk of tooth decay and periodontal disease; reduce the risk of cold and contact sensitivity
sequence (from the brush or scaler) supporting the teeth, improving aesthetics of the adjacent teeth, preservation of bone in the absence stvuyu- present tooth; psychological benefits (especially in BPO-firmed by the absence of teeth or tooth loss after coronal Restoration), reducing the risk of loss due to the abutment teeth failure of endodontic treatment or tooth decay.

Orthopedic treatment with implant surgery has become a significant relevance. Orthopedic implant not only restore chewing efficiency, eliminate cosmetic defects, eliminate the need for dissection of intact teeth, but often the only chance for patients to use removable dentures. In the mouth, metal implants and coating them come into metal construction electro chemical reaction as a result of change bio potentials mouth. The aim of our research is to monitor the bioelectric potentials of the oral cavity after fixation of fixed prostheses on the set of oral implants gidroksilapatigovym coated and uncoated.

The subject of the study was 81 patients. Patients were divided into 2 groups. In one group consisted of 37 patients (17 men and 20 women) who were previously installed implants without HA coating in group 2 - 44 patients (20 men and 24 women) who were installed implants coated with hydroxyapatite. In the selection of patients in the group, we take into account the general condition of patients transferred and related diseases, anatomical - physiological features of the oral cavity. In the group did not include patients with severe medical conditions: diabetes mellitus, peptic ulcer and duodenal ulcer, generalized periodontitis. In this paper, we used two-phase implants Czech company "Lasak."

Implantation surgery was performed in accordance with the recommendations of the manufacturer. All patients after checking the occlusal relationships were recorded different kinds of one-piece prostheses nickel chromium alloy remanium Cse with the implant. To study the bio capacity of the oral cavity using bio potentsiomer mouth BMP-03, adapted for research in dentistry.

Operation: install the power supply 8 bits and pieces such as 343, the polarity. Connecting to the jacks electrode EP device. At the ends of the dress electrodes elektrolicheskie keys from the set and the last to drop the glasses with a saline solution. The measurements were performed with an open mouth, placing the ends of the electrolytic keys to the required land-implant mucosa, covering the metal construction - mucous.

In the study of electro potential of the oral cavity in patients with orthopedic prosthesis fixed prosthesis on implants are pre-installed, it is revealed that by 1 week after prosthesis as in group 1 and in group 2 was not statistically significant increase in the electro potentials compared to the figure at the time of treatment . In the last 3-6 months of observation periods in Group 1 patients remained high numbers electro potentials of the mouth, at the same time, the two groups of orthopedic patients, they did not differ from the benchmark, while gaining significant differences between groups for comparisons.

Thus, our monitoring of electric potentials of the mouth of orthopedic patients, prosthetic fixed bridge on implants without coating (group 1) and implants coated with (group 2), allowed us to conclude that the most pronounced clinical effect observed in patients in group 2, which before prosthetic implants were implanted with gidroksilapatitovym coating.

After fixation of fixed-cast dentures on implants without gidroksilapatitovogo coating on the rise of bio potentials of the mouth. Fixing one-piece prostheses remanium CSe on implant coated with gidroksilapatitovym not cause growth bio potentials mouth.