Background
Clinical measures and implant design innovation to improve primary osseointegration and reduce the bacterial contamination of the peri‐implant area are intended to reduce the incidence of late inflammatory complications in dental implantation.
Purpose
To study the effect of nanostructured coating and antiseptic sealant on the outcomes of dental implantation.
Materials and methods
Ninety‐six individuals were clinically supervised. In the first group (Screw Ti + sealant), a special antiseptic sealant matrix was used; the same sealant was used with nanocoated implants in the second group (Nanocoat + sealant), and the conventional treatment protocol was used in the control group (Screw Ti). Patients were evaluated longitudinally during treatment and rehabilitation phases with clinical examinations, radiography, periodontal pathogen detection, and patient experience surveys.
Results
For patients who received a nanocoated implant and an antiseptic sealant (Nanocoat + sealant), relatively better hygienic indices were observed; there was less contamination with periodontal pathogens, bone density remained at the required level, and the overall results of treatment were better.
Conclusions
Using a matrix for sealing the dental implant‐abutment interface with a nanostructured surface provides reliable results regarding stable osseointegration and clinical and patient‐reported outcomes of treatment success.
Temporomandibular joint dysfunction in patients with malocclusion is quite a widespread problem in modern dentistry. The study included: identification of patients with signs of TMJ dysfunction and malocclusion by pre-selection; diagnosis of dysfunctions in the main group of patients; preparation of the treatment plan using splint therapy and kinesiotherapy; assessment of the effectiveness of these treatment methods. Most of the subjects had a decrease in the tone of the masticatory muscles, pain sensitivity in the masticatory muscles and the TMJ area. Splint therapy, as well as kinesiotherapy, is the best choice in the treatment of these patients.
Currently, diseases of the temporomandibular joint are quite common among the young population, however, their diagnosis is rather difficult, due to the complex and diverse clinical picture, and treatment is ineffective. This study is devoted to the identification of signs of TMJ disorders, their analysis and non-surgical treatment using splint systems. After the questionnaire we developed, a group of patients with unfavorable indicators regarding internal disorders of the temporomandibular joint was identified. Each patient from this group underwent differential diagnostics of TMJ pathologies and got an individual treatment plan, including repositioning of the articular disc in a non-surgical way, relieving hypertonicity of the masticatory muscles, and limiting the movements of the mandible. All patients underwent repositioning or muscle relaxant splints. After therapy, all the participants of this group showed positive dynamics after two weeks, as evidenced by the results of this work and this allows us to conclude that it is necessary to carry out splint therapy in the treatment of this type of diseases of the temporomandibular joint.
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