Prevention of atrophy of the alveolar process of the jaw by filling the hole with a demineralized allograft using mechanically activated calcium gluconate in the postoperative period

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Курбонов S., Солиджонова S., & Бекмуров B. (2022). Prevention of atrophy of the alveolar process of the jaw by filling the hole with a demineralized allograft using mechanically activated calcium gluconate in the postoperative period. in Library, 22(1), 12–13. извлечено от https://inlibrary.uz/index.php/archive/article/view/14921
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Аннотация

One  of  the  most  frequent  operations  in  surgical  dentistry  is  the extraction  of  teeth,  which  leads  to  defects  in  the  dentition  that  require  orthopedic treatment. At the same time, the natural atrophy of the alveolar process that occurs at the  site  of  the  extracted  tooth  complicates  the  process  of  orthopedic  treatment, especially when it is necessary to use implants or a removable denture Therefore, there is a problem of maintaining the height of the alveolar ridge after tooth extraction by preventing its atrophy

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12

years.Obtained results and discussion: Appearance of complaints of 12 patients (50%)
was associated with stressful situations, 8 patients (19.2%) - with prosthetics, 2
patients (4.8%) - with concomitant diseases, 1 patient (2, 4%) - with a previous viral
disease or recurrence of herpes, 1 patient (2.4%) associated the appearance of pain in
the tongue due to illness or death of relatives due to cancer of the tongue or oral
mucosa. When complaints were detected, carcinophobia was established in 87.5% of
patients.

When examining the cavity, we identified a number of local risk factors -

trauma to the oral mucosa with sharp edges of the teeth (33% of patients), tartar
deposits (34%), irrational designs of prostheses (33%), the phenomenon of galvanism
(10%), allergic reactions to bases of prostheses made of acrylic plastic (5%), a
decrease in the interalveolar distance with increased abrasion of teeth (46%), complete
or partial loss of teeth (67%), dysfunction of the temporomandibular joint (28%),
parafunction of the masticatory muscles (11%).

Conclusions:

When examining the cavity, we identified a number of local risk

factors - trauma to the oral mucosa with sharp edges of the teeth (33% of patients),
tartar deposits (34%), irrational designs of prostheses (33%), the phenomenon of
galvanism (10%), allergic reactions to bases of prostheses made of acrylic plastic
(5%), a decrease in the interalveolar distance with increased abrasion of teeth (46%),
complete or partial loss of teeth (67%), dysfunction of the temporomandibular joint
(28%), parafunction of the masticatory muscles (11%).

PREVENTION OF ATROPHY OF THE ALVEOLAR PROCESS OF

THE JAW BY FILLING THE HOLE WITH A DEMINERALIZED

ALLOGRAFT USING MECHANICALLY ACTIVATED CALCIUM

GLUCONATE IN THE POSTOPERATIVE PERIOD.

Kurbanov Sh.Sh., Solidzhonova Sh.D., Bekmurov B. B.

Tashkent State Dental Institute

e-mail: www.shahlosolijonova@mail.ru

Abstract

. One of the most frequent operations in surgical dentistry is the

extraction of teeth, which leads to defects in the dentition that require orthopedic
treatment. At the same time, the natural atrophy of the alveolar process that occurs at
the site of the extracted tooth complicates the process of orthopedic treatment,
especially when it is necessary to use implants or a removable denture Therefore, there
is a problem of maintaining the height of the alveolar ridge after tooth extraction by
preventing its atrophy

Aim of the study.

To prevent atrophy of the alveolar process of the jaw after

tooth extraction by filling the socket with a demineralized allograft using mechanically
activated calcium gluconate in the postoperative period.


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Materials and methods.

A total of 50 patients were under observation (men -

25, women - 25), who underwent 50 operations to remove teeth, 30% of patients were
somatically healthy, 25% - with diseases of the cardiovascular system in remission,
35% - with diseases of the gastrointestinal tract in remission and 10% with diseases of
the broncho-pulmonary system in remission. The average age of patients was 40
years.

Results.

The results of the examination of the 1st main group showed that in

none of the cases did the general condition of the patients suffer. day, as well as
swelling and hyperemia of the mucosa in the area of the extracted tooth. Regional
lymph nodes are not enlarged. It should be noted that in 3 out of 50 tooth extractions,
which accounted for 6% of the total number of extractions, a complication was
observed in the form of a partial rejection of the allograft fragment 10 days after the
operation. After removal of the torn allograft site, healing proceeded without any
complications. No other post-extraction complications were observed.

Conclusions.

Clinical observations have shown that in order to prevent atrophy

of the alveolar process of the jaw after tooth extraction, it is advisable to fill the hole
with a crushed demineralized allograft. In order to optimize bone formation, patients
need oral intake of mechanically activated calcium gluconate at a dose of 1.0 grams
three times a day for a month and incoherent infrared therapy

ДЕНТАЛЬНОЙ ИМПЛАНТАЦИИ ДЛЯ СОХРАНЕНИИ ЗУБО-

АЛЬВЕОЛЯРНОГО СЕГМЕНТА ВЕРХНЕЙ ЧЕЛЮСТИ С ПОМОЩЬЮ

МЕТОДА “ROOT MEMBRANE”

Ташкентский Государственный Стоматологический Институт

Мукимoв O.A., Усманова Д.Р, Мукимова Х.О.

Кафедра хирургической стоматологии и дентальной

имплантологии,Ташкентский Государственный Стоматологический

Институт.

Контактная информация

: тел:+998909865399, факс:+998712304799, E-

mail:

Odil_0557@bk.ru

,

diyora.isanova.97@bk.ru

Протезирование вторичных адентий, которые длительное время

присутствуют в верхней и нижней челюстях, является одной из актуальных
проблем стоящих перед стоматологами. Одним из современных методов
устранения этой проблемы, является дентальная имплантология. Одним из
сдерживающих факторов для широкого распространения имплантации является
недостаточный объем костной ткани для установки имплантата. Процесс
дентальной имплантации во фронтальную часть верхней челюсти, которая на

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