Dentist № 2 (53) – 2024, pp. 8-15                                                                                                                        SCIENTIFIC PUBLICATION

The multidisciplinary approach in the treatment of patients with included dentition defects and dentoalveolar deformities

S.P. Rubnikovicha, A.S. Grishchenkovb, Yu.L. Denisovaa, K.O. Serzhaninac

aMD, PhD, DMSci, Professor, Belarusian State Medical University, Minsk, Belarus
bMD, PhD, Associate Professor, Institute of Advanced Training and Retraining of Healthcare Personnel of Educational Institution «Belarusian State Medical University», Minsk, Belarus
cInstitute of Advanced Training and Retraining of Healthcare Personnel of Educational Institution «Belarusian State Medical University», Minsk, Belarus

https://doi.org/10.32993/dentist.2024.2(53).2

ABSTRACT
The multidisciplinary approach in the treatment of dental patients involves a set of measures aimed on restoring the functions and aesthetics of the masticatory-speech apparatus, the ultimate goal of which is to restore and preserve the health of the population.
The aim of the study. To study the features of the multidisciplinary approach in the treatment of patients with included dentition defects and dentoalveolar deformities.
Objects and methods. The clinical part of the work is based on the results of examination and treatment of 22 patients aged 18–54 years with defects in the dentition in the lateral sections and dentoalveolar deformities, who underwent the installation of dental implants simultaneously with the installation of orthodontic mini-implants for subsequent intrusion of extruded teeth and further orthopedic treatment, aimed on restoring the integrity of the dentition.
Results and discussion. When planning the terms of rehabilitation of patients, it is important to take into account the values of the rate of tooth intrusion, which depend not only on the anatomical location, type of bone tissue, but also on the group affiliation of the teeth and on average are: for maxillary molars it is 0.67 mm/month, for maxillary premolars – 0.91 mm/month, molars of the lower jaw – 0.36 mm/month, premolars of the lower jaw – 0.73 mm/month.
Conclusion.  Complex treatment, including a combination of minimally invasive methods of orthodontics, surgery and orthopedics using skeletal support on orthodontic mini-implants is a modern, organ-preserving, highly effective rehabilitation option for patients with included dentition defects and dentoalveolar deformities.

Keywords: dentoalveolar deformations, temporomandibular joint, prosthetic plane, implants, orthodontic implants, extrusion, intrusion

References

  1. Aifa A., Sorel O., Gebeile-Chauty S. Openbite in hyperdivergent adult: Le Fort I impaction versus maxillary molar intrusion using bone anchorage. A literature review. Orthod. Fr. 2021, 92, 215–238.
  2. Ahn N.-L., Park H.-S. Differences in Distances between Maxillary Posterior Root Apices and the Sinus Floor According to Skeletal Pattern. Am. J. Orthod. Dentofac. Orthop. 2017, 152, 811–819.
  3. Chun Y.S., Row J., Yang S.J., Cha H.S., Han J.S. Management of Extruded 3. Maxillary Molars to Accommodate a Mandibular Restoration: A Clinical Report. J. Prosthet. Dent. 2000, 83, 604–606.
  4. Chung K.R., Oh M.Y., Ko S.J. Corticotomy-Assisted Orthodontics. J. Clin. Orthod. 2001, 35, 331–339.
  5. Gurton A.U., Akin E., Karacay S. Initial Intrusion of the Molars in the Treatment of Anterior Open Bite Malocclusions in Growing Patients. Angle Orthod. 2004, 74, 454–464.
  6. Hodges R.J., Atchison K.A., White S.C. Impact of Cone-Beam Computed Tomography on Orthodontic Diagnosis and Treatment Planning. Am. J. Orthod. Dentofac. Orthop. 2013, 143, 665–674.
  7. Lorean A., Mazor Z., Mijiritsky E., Barbu H., Levin L. Segmental Dento-Alveolar Intrusive Osteotomy in Posterior Maxilla with Lack of Inter-Arch Distance for Prosthetic Rehabilitation. A Technique Combined with Sinus Floor Elevation. N. Y. State Dent. J. 2015, 81, 37–41.
  8. Denisova Yu.L., Rubnikovich S.P. Kompleksnoye lecheniye zubochelyustnykh anomaliy s primeneniyem ortodonticheskikh implantatov (soobshcheniye №1) [Complex treatment of dentofacial anomalies using orthodontic implants (message No. 1)]. Stomatologicheskiy zhurnal – Dental Journal. 2006, no2, pp. 38-41.
  9. Larina S.A., Gegamyan A.O., Sarap L.R. [i dr.]. Primeneniye komp’yuternoy tomografii dlya izucheniya anatomo-morfologicheskikh osobennostey podskulovogo grebnya pri ortodonticheskoy mikroimplantatsii [Application of computed tomography to study the anatomical and morphological features of the subzygomatic ridge during orthodontic microimplantation]. Klinicheskaya stomatologiya – Clinical dentistry. 2022, T. 25, no 3, pp. 60-66.
  10. Muzychina A.A., Stanishevskiy O.A., Avsyankin A.V. Sovremennyye metody korrektsii anomaliy okklyuzii s primeneniyem mini-implantatov i miniplastin [Modern methods for correcting occlusion anomalies using mini-implants and mini-plates]. Nauchnyye vedomosti Belgorodskogo gosudarstvennogo universiteta. Seriya: Meditsina. Farmatsiya – Scientific bulletins of Belgorod State University. Series: Medicine. Pharmacy. 2016, no 26(247), pp. 152-161.
  11. Popov S.A., Frolov A.O. Lecheniye patsiyentov s vertikal’noy deformatsiyey okklyuzii, oslozhnennoy zuboal’veolyarnym vydvizheniyem zubov verkhney chelyusti, s primeneniyem ortodonticheskikh mini-implantatov [Treatment of patients with vertical deformation of occlusion, complicated by dentoalveolar protrusion of the upper jaw teeth, using orthodontic mini-implants]. Nauka i innovatsii v meditsine – Science and innovation in medicine. 2016, no 2(2), pp. 20-23.
  12. Rubnikovich S.P., Denisova Yu.L., Andreyeva V.A., Karpuk N.A. Rasprostranennost’ ortopedicheskikh stomatologicheskikh zabolevaniy v g. Minske [Prevalence of orthopedic dental diseases in Minsk]. Stomatolog.Minsk – Dentist. Minsk. 2020, no 3(38), pp. 44-51.
  13. Rubnikovich S.P., Grishchenkov A.S., Denisova Yu.L. Klinicheskiy fotoprotokol kak resurs diagnostiki i dinamicheskogo nablyudeniya pri lechenii patsiyentov s parafunktsiyami zhevatel’nykh myshts, oslozhnennymi funktsional’nymi rasstroystvami VNCHS [Clinical photo protocol as a diagnostic and follow-up resource in the treatment of patients with parafunctions of the masticatory muscles complicated by functional disorders of the temporomandibular joint]. Stomatolog. Minsk. – Dentist. Minsk. 2019, no 3(34), pp. 40-45.
  14. Rubnikovich S.P., Grishchenkov A.S. Klinicheskiy opyt protezirovaniya defektov zubnykh ryadov pri vyrazhennoy neravnomernoy atrofii al’veolyarnogo otrostka s ispol’zovaniyem dental’noy implantatsii i tsifrovykh tekhnologiy. [Clinical experience in prosthetic treatment of dentition defects with severe uneven atrophy of the alveolar process using dental implantation and digital technologies]. Stomatolog. Minsk. – Dentist. Minsk. 2019, no 1(32), pp. 32-37.

Correspondence to:  Е-mail: denisova_yul@mail.ru