ORIGINAL ARTICLE
EARLY POSTOPERATIVE COMPLICATIONS IN DENTAL IMPLANT PATIENTS
Borisenko A., Antonenko M., Zelinsky N., Stolyar V., Popov R.
Bohomolets National Medical University, Institute Post-grad-uate Education, Department of Therapeutic Stomatology; De- partment of Dentistry, Kyiv, Ukraine
Summary
Generalized parodontitis and caries complications lead totooth loss in individuals of di erent age groups. As a result of this often there is a violation of the integrity of the dentition, which leads to functional disorders of the muscular apparatus, temporomandibular joint and cosmetic defects. The e ectivemethod of restoration of the integrity of the dentition is dentalimplantation. With this in mind, the issue of dental implantation is of particular importance and requires further development in-cluding di erent age groups.
Aim of the study is to improve the results of dental implanta-tion and to avoid its complications based on identi cation of the causes of dental implantation complications and development of preventative measures in people of di erent age groups.
65 patients aged 35-60 years with secondary adentia were under observation. The main study group included 45 patients aged 35-60 years with secondary adentia caused by periodontaldisease. The control group included 20 patients of the same agewith secondary adentia due to caries complications.
All patients of the main and control groups were subjected to a comprehensive examination of the condition of the peri- odontal and peri-implant area prior to the implantation in theshortest time after surgery. Microbiological study was con- ducted in 65 patients to study the dynamics of colonizationof oral micro ora.
Complications after implantation were identi ed in 24 (53.33%) patients in the main group. The most frequent com-plications were: disruption of wound healing in 7 (15,56%) pa-tients, pus in postoperative wound in 8 (17.78%), expressed pain and altered sensitivity after implantation in 4 patients (8.89%) patients, perforation of the mandible in 1 (2.22%) patient, divergence of the wound edges without exposure of the implant in 4 (8.89%) patients.
A large number (53.33%) of postoperative complications in patients of the main group with secondary adentia was due togeneralized periodontitis. In patients of the main group at theearly stage of dental implantation were revealed qualitative and quantitative changes in the micro ora of the implanted furrow with increasing aggressiveness were revealed.
Keywords
Dental Implantation
Early Complications After Implantation
Generalized Periodontitis
Microbial Biotop