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SM ISO690:2012 GHEORGHIEV, Dumitru, SÎRBU, Dumitru, SÎRBU, Daniel, STRÎŞCA, Stanislav, NUCA, Dumitru, ENI, Stanislav. Periimplantitis: explantation versus periimplant regeneration. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 483. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 483-483 | ||||||
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Rezumat | ||||||
Background. Periimplantitis is a complication in implant-prosthetic rehabilitation that causes morpho-functional, masticatory and aesthetic disorders. Depending on the severity of the condition can be addressed by conservative surgical or radical treatment. Objective of the study. Comparative analysis of conservative surgical methods (implant preservation) versus radical (explantation). Material and Methods. Were studied 2 patients who addressed to the SRL "Omni Dent" with periimplantitis. The manifestation, treatment, evolution in the patient RI m/63 years with periimplantitis at Im 2.5 and the patient TM w/33 years at Im 3.2 were compared. Analysis criteria: extension of bone defect, appearance of soft tissues, tissue regeneration, implanto-prosthetic rehabilitation duration. Results. RI patient had changes in color and appearance of peri-implant soft tissues (hyperemia, swelling, purulent discharge), peri-implant radiolucency of the entire implant surface; TM patient had the same clinical signs limited to ½ implant length. The RI patient underwent explantation with reimplantation in the neighboring region 2.4 after 4 months after another 4 months prosthetic reabilitation. No complications in postoperative tissue regeneration were observed. The TM patient was resorted to keeping the implant with curettage, implantoplasty, bone addition. No complications in the prosthetic rehabilitation were found exept the exposure of the crestal part of the implant. Conclusion. Early addressing would prevent the development of complications. The trivial loss of the peri-implant tissues can be recovered with the preservation of the implant; in the extended defects the optimal solution is the explantation with the subsequent implant-prosthetic rehabilitation. |
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Cuvinte-cheie Periimplantitis, explantation, augmentation, implantoplasty, periimplantită, explantare, augmentare, implantoplastie |
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