A PERSONAL APPROACH TO IMPLANT-PROSTHETIC DENTAL REHABILITATION AFTER AUTOPOLITRAUMA

Vladimir Put, Department of Oncology radiology and plastic surgery of the First MSMU. I. M. Sechenova of the Ministry of HealthCare of the Russian Federation (Sechenov University), 6 Bolshaya Pirogovskaya str., Moscow, 119991, Russian Federation; Department of oral rehabilitation of the Private Educational Institution of Higher Professional Education Moscow Witte University, 2nd Kozhukhovskiy proezd, 12 Moscow, 115432, Russian Federation.

Dmitry Usatov, Department of Oncology radiology and plastic surgery of the First MSMU. I. M. Sechenova of the Ministry of HealthCare of the Russian Federation (Sechenov University), 6 Bolshaya Pirogovskaya str., Moscow, 119991, Russian Federation.

Dmitry Svyatoslavov, Department of Oncology radiology and plastic surgery of the First MSMU. I. M. Sechenova of the Ministry of HealthCare of the Russian Federation (Sechenov University), 6 Bolshaya Pirogovskaya str., Moscow, 119991, Russian Federation.

Alexander Dolgalev, Department of General Practice Dentistry and Pediatric Dentistry, Stavropol State Medical University, 310 Mira str., Stavropol 355017, Russian Federation.

Mikhail Gladyshev, Department of oral rehabilitation of the Private Educational Institution of Higher Professional Education Moscow Witte University, 2nd Kozhukhovskiy proezd, 12 Moscow, 115432, Russian Federation.

Evgeny Basin, Oncology and plastic surgery department, Postgraduate Academy of Education FGBU FNKC FMBA, Volokolamskoe shosse, 91, Moscow, 125371, Russian Federation.

Victoria Polshina, Department of Oncology radiology and plastic surgery of the First MSMU. I. M. Sechenova of the Ministry of HealthCare of the Russian Federation (Sechenov University), 6 Bolshaya Pirogovskaya str., Moscow, 119991, Russian Federation.

David Choniashvili, Federal State Budgetary Educational University of Higher Education North Ossetian State University named after Kosta Levanovich Khetagurov (NOSU).

Artur Chagarov, Department of General Practice Dentistry and Pediatric Dentistry, Stavropol State Medical University, 310 Mira str., Stavropol 355017, Russian Federation.

Vazgen Avanisyan, Department of Therapeutic Dentistry, Stavropol State Medical University, 310 Mira str., Stavropol 355017, Russian Federation.

Daniil Gordeev, Peoples Friendship University of Russia (RUDN University), Miklukho-Maklaya str.6 Moscow, 117198, Russian Federation.

Igor Kastyro, Peoples Friendship University of Russia (RUDN University), Miklukho-Maklaya str.6 Moscow, 117198, Russian Federation.

Valentin Popadyuk, Peoples Friendship University of Russia (RUDN University), Miklukho-Maklaya str.6 Moscow, 117198, Russian Federation.

Igor Ganshin, Peoples Friendship University of Russia (RUDN University), Miklukho-Maklaya str.6 Moscow, 117198, Russian Federation.

Abstract
With extensive damage of the facial skeleton, multiple bony and soft tissue cicatricial defects and deformations are formed. Traditional methods of reconstructive are reliably not able to restore the defects fully. Often the bony structures of the facial skeleton can’t be restored in one stage. Additional reconstructive surgeries are needed. A problematic situation is the condition after multiple surgeries in the defect area. Failure of bone grafting is associated with cicatricial deformities and lack of soft tissue, lack of gingiva, defects in the vestibule and damaged periosteum. The main problem is constriction and subsequent atrophy and deformation of the soft tissue in the area of the defect. This complicates further treatment and often it isn’t possible to restore the bone volume required for a successful dental implantation. Implant prosthetic rehabilitation in the area of extensive bone defects after a facial injury requires preparation that is more careful, design and prototyping of the outcome with the use of computer programs and diagnostic models. Biocompatible materials for dentistry and maxillofacial surgery are clinically proven and recommended for usage in patients at the treatment stages. Clinical experience with individual temporary endoprosthesis, so called "tissue expander", produced by layer-by-layer synthesis (3D-printing) from biologically inert plastic based on CT data of the patient is presented in this article. The expander is made in the form of a 3D element to form the required soft tissue volume in the patient for 4-6 months and is fixed in place subcutaneously, in the area of mandibular frontal defect, using intraosseous screws. Dental implants were placed laterally on both sides. The following was carried out intraoperative direct replacement, fabrication and placement in the mouth of a temporary screw-retained prosthesis.

Keywords
facial trauma; fracture; maxillofacial defect; soft tissue constriction; endoprosthesis; autosseous plasty of the jaw; dental implantation.

Cite this paper
Vladimir Put, Dmitry Usatov, Dmitry Svyatoslavov, Alexander Dolgalev, Mikhail Gladyshev, Evgeny Basin, Victoria Polshina, David Choniashvili, Artur Chagarov, Vazgen Avanisyan, Daniil Gordeev, Igor Kastyro, Valentin Popadyuk, Igor Ganshin, A PERSONAL APPROACH TO IMPLANT-PROSTHETIC DENTAL REHABILITATION AFTER AUTOPOLITRAUMA , SCIREA Journal of Clinical Medicine. Volume 8, Issue 2, April 2023 | PP. 89-100. 10.54647/cm321024

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