Comparative evaluation of clinical application of monolithic and folding implants in rehabilitation of elderly patients with various degrees of atrophy of alveolar processes

Abstract

The aim: Comparative evaluation of long-term results of clinical application of one- and two-stage surgical protocols of dental implantation with the use of monolithic and collapsible implants in the rehabilitation of elderly patients. Materials and methods: Under clinical observation were 46 patients with various clinical diagnoses of dentition defects aged 60 to 70 years.The following methods were used in the study: one - stage surgical protocol of dental implantation operation with non - detachable implants of ART IMPLANT system with subsequent temporary splint fixed prosthesis and immediate occlusive functional load, mechanical oscillatory - resonance method, questionnaire and statistical analysis. Results: The duration of surgical stages of treatment and complete rehabilitation showed statistically significant differences (p <0.05) and was significantly less when using a single-stage protocol of dental implant surgery and non-detachable implants and averaged 3.9 ± 0.8, p <0.05 months against 7.3 ± 1.2, p <0.05 months in implants according to the two-stage protocol. Assessment of patient satisfaction with the treatment was directly correlated with his timing. Conclusions: Thus, it should be noted that the clinical use of one-stage surgical protocol of implantation and non-detachable (monolithic) dental implants of the system «ART IMPLANT» in the rehabilitation of elderly patients with varying degrees of atrophy of the alveolar processes of the jaws is clinically justified.