Oshurko A. P.

LITERATURE REVIEWS

Scentific article

While clinicians-researchers are trying to find the necessary diagnostic methods and define appropriate rehabilitation protocols, taking into account the subjective assessment of functional disorders and, accordingly, adjust their treatment through differential diagnosis (and even sometimes such a quantitative assessment of the above factors cannot be performed in a short time), a patient already requires a quick aesthetic result. Therefore, the results of a comprehensive study of practical implementations are not only of morphological and theoretical significance today, but they are also important for clinical dentistry since they can become the basis for the development of new effective methods to prevent and treat pathological conditions of jaw bone tissue using auto cellular transplants, as well as for augmentation and directed regeneration, in particular, the treatment of atrophy with the restoration of morphological properties of bone tissue. Use of subcortical and basal implantation methods, with preliminary computed tomography diagnostics, which provides morphometric and densitometric determination of indicators, will provide rehabilitation of patients with bone atrophy, complicated by the topographical and anatomical peculiarity of the mandibular canal, taking into account prosthetic properties for restoring chewing efficiency, speech and aesthetic functions. The aim of this study is to attract attention to the progressiveness of national and international scientific investigations on justifying patient rehabilitation with bone atrophy, emphasizing the priority areas to contribute to the scientific researches on topographical and anatomical variability of the mandibular canal. Using the bibliosemantic method in this review of the scientific literature, an extensive electronic search was conducted, including databases ClinicalTrials.gov, clinical studies and their analysis. Headings of medical terms and their phrases in combination with free words were used to define search terms. We analyzed 387 scientific papers, 263 foreign ones, the main accents of which are submitted in the references to 42 scientific sources, provided in this review. The progressiveness of domestic and international scientific researches on patient rehabilitation with bone atrophy is obvious and comprehensively presented. However, the proposals and their recommendations, in our opinion, are one-sided and do not provide comprehensive information regarding the functional integration of aesthetic solutions, in particular, the identification of factors that led to the current state of bone tissue and topographic variability of the mandibular canal, in particular, the masticatory system, aesthetic and phonetic characteristics, in general.

mandibular canal, bone atrophy, implantation, augmentation.

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«Bulletin of problems biology and medicine» Issue 4 (162), 2021 year, 55-60 pages, index UDK 616.716.4-007.23-06:616.314.163]-07-08-084

10.29254/2077-4214-2021-4-162-55-60