Steblovskyi D. V., Lychman V. O., Toropov O. A., Popovych I. Yu., Ternopolska S. I.
OSTEOPLASTIC MATERIALS FOR THE REPLACEMENT OF DEFECTS AND DEFORMITIES OF THE MANDIBLE – A SYSTEMATIC LITERATURE REVIEW
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About the author:
Steblovskyi D. V., Lychman V. O., Toropov O. A., Popovych I. Yu., Ternopolska S. I.
Heading:
LITERATURE REVIEWS
Type of article:
Scientific article
Annotation:
The aim of the study is to summarise the available data characterising the manifestations, clinical course, diag- nosis and treatment of defects and deformities of the mandible. An analysis of current scientific, experimental, and clinical studies was conducted based on a review of medical literature from the Scopus, Web of Science, and PubMed databases over the past 10 years. When planning reconstructive surgical interventions in the maxillofacial region, the primary goal is not only to re- store function but also to restore the anatomical integrity of the facial skull and restore the facial contours. Restoring the harmonious proportions of the facial skull is one of the key tasks in maxillofacial surgery. The choice of osteoplastic materials and methods of reconstructive surgery in the treatment of defects and defor- mities of the mandible must meet the following requirements: be as reliable as possible, restore the function of the dentition, not cause significant facial aesthetic disturbances, and have a minimal risk of complications. The correct choice of plastic replacement for a mandible defect is a complex and not yet fully resolved problem that depends on many factors and must be selected individually, taking into account the location, size of the defect, the cause of its occurrence (tumour, trauma, inflammatory processes, etc.), the patient's age, concomitant diseases, the clinic's equipment, and the surgeon's experience. A promising direction in mandible reconstruction is the replacement of significant defects with the simultaneous use of osteo-replacement material and dental implants, which allows for high-quality orthopaedic rehabilitation with improved chewing efficiency. In view of the above, improving the effectiveness and speeding up the treatment of patients with mandible de- fects and deformities is based on the correct choice of surgical intervention in each specific case, the selection of the optimal option for osteoreplacement and reconstructive materials, as well as rational prosthetics. One way to solve this problem is to replace large defects of the mandible through the simultaneous implantation of dental implants and the use of endoprostheses for the temporomandibular joint. These issues remain understud- ied and are of considerable scientific and practical interest.
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Bibliography:
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Publication of the article:
«Bulletin of problems biology and medicine», Issue 2,177, 102-111 pages, index UDC 616.716.4-007.24-089.844-77