Особенности состояния костной ткани при дентальной имплантации у пациентов с соматическими заболеваниями
Аннотация
В повседневной практике на приеме у врача стоматолога около 7-10% случаев встречаются пациенты, обращающиеся с целью протезирования с опорой на дентальные
имплантаты, имеющие фоновую соматическую патологию. В данном исследовании у 72 пациентов,которым планировался данный вид лечения,определялось структурно-функциональное состояние костной ткани по уровню кальций-регулирующих гормонов: паратиреоидного гормона (ПТГ), кальцитонина (КТн), кальцитриола (КТр), остеокальцина(ОКц). В ходе работы только у 25 (34,7%) пациентов показатели были
в пределах нормы. У оставшихся 47 (65,3%)пациентов были выявлены нарушения структурно-функциональных свойств костной ткани в виде остеопении различной степени выраженности у 36 (79,6%) и остеопороза у 11 (23,4%) человек.Исследованы основные параметры структурно-функционального состояния костной ткани,
маркеров остеогенеза и уровни кальций-регулирующих гормонов у пациентов с будущей
дентальной имплантацией.Выявлены нарушения прочностных характеристик
костной ткани,изменения уровней кальций-регулирующих гормонов и маркеров остеогенеза, указывающие на необходимость проведения на всех этапах
наблюдения и лечения профилактических и лечебных мер у данного контингента пациентов.
In everyday practice, at a doctor’s appointment with a dentist, about 7-10% of cases are patients with periodontal diseases on the back ground of somatic pathology, who turn for dental implants with the aim of prosthetics.In this study, the structural and functional state of bone tissue was determined in 72 patients who were planning this type of treatment, the following patients were determined by densitometric parameters:ultrasound propagation velocity — (SRS, m / s),broadband ultrasound attenuation — (SHO, dB / MHz),density index- (PI,%) In the course of work, only 25 (34.7%) patients had indicators within the normal range. The remaining 47 (65.3%) patients showed violations of the structural and functional properties of bone tissue in the form of osteopenia of varying severity in 36 (79.6%) and osteoporosis in 11 (23.4%)peoplе.The main parameters of the structural and functional state of bone tissue, osteogenesis markers,and levels of calcium-regulating hormones in patients with future dental implantation were studied.Violations of the strength characteristics of bone tissue, changes in the levels of calcium-regulating hormones and markers of osteogenesis have been identified, indicating the need for preventive and therapeutic measures in all patients at this stage of observation and treatment.
In everyday practice, at a doctor’s appointment with a dentist, about 7-10% of cases are patients with periodontal diseases on the back ground of somatic pathology, who turn for dental implants with the aim of prosthetics.In this study, the structural and functional state of bone tissue was determined in 72 patients who were planning this type of treatment, the following patients were determined by densitometric parameters:ultrasound propagation velocity — (SRS, m / s),broadband ultrasound attenuation — (SHO, dB / MHz),density index- (PI,%) In the course of work, only 25 (34.7%) patients had indicators within the normal range. The remaining 47 (65.3%) patients showed violations of the structural and functional properties of bone tissue in the form of osteopenia of varying severity in 36 (79.6%) and osteoporosis in 11 (23.4%)peoplе.The main parameters of the structural and functional state of bone tissue, osteogenesis markers,and levels of calcium-regulating hormones in patients with future dental implantation were studied.Violations of the strength characteristics of bone tissue, changes in the levels of calcium-regulating hormones and markers of osteogenesis have been identified, indicating the need for preventive and therapeutic measures in all patients at this stage of observation and treatment.