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[Features of restoration of chewing efficiency in patients over 50 years with complete absence of teeth and alveolar bone atrophy.]

Abstract
The base of osteoporosis is an imbalance of bone remodeling processes, with a predominance of the resorption phase that in the maxillofacial region is manifested by a partial and complete absence of teeth with a decrease in the volume of bone tissue of the jaws and a violation of its microarchitectonics. Atrophy of the alveolar bone reduces the degree of fixation of the removable prosthesis, can develop various diseases of the underlying mucosa. In this regard, the installation of dental implants as a support for removable orthopedic structures is relevant, however, in patients with osteoporosis, the risk of complications in the early and late postoperative period remains high to 44%. Objective: to improve the efficiency of dental implantation in patients with osteoporosis. 80 men over 50 years old with complete absence of teeth on the lower jaw with alveolar atrophy and osteoporosis were under observation. Carried out condition monitoring of the micro alveolar bone in patients with osteoporosis without a comprehensive antiosteoporotic therapy and in patients receiving ibandronate for 1 tablet (150 mg), 1 time a month with calcium 1 000 mg and vitamin D (cholecalciferol) 800 IU daily. It was found that taking antiresorptive therapy for 3 months improves the quality of the alveolar bone, increases the effectiveness of dental implantation in patients with complete absence of teeth and atrophy of the alveolar part.
AuthorsM V Kozlova, A M Mkrtumyan, A S Belyakova, L S Dzikovitskaya
JournalAdvances in gerontology = Uspekhi gerontologii (Adv Gerontol) Vol. 32 Issue 1-2 Pg. 218-226 ( 2019) ISSN: 1561-9125 [Print] Russia (Federation)
PMID31228394 (Publication Type: Journal Article)
Chemical References
  • Dental Implants
Topics
  • Alveolar Bone Loss (therapy)
  • Dental Implantation, Endosseous
  • Dental Implants
  • Dental Prosthesis, Implant-Supported
  • Humans
  • Male
  • Mastication
  • Middle Aged

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