EARLY POSTOPERATIVE COMPLICATIONS IN DENTAL IMPLANT PATIENTS

Generalized parodontitis and caries complications lead to tooth loss in individuals of different 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 effective method of restoration of the integrity of the dentition is dental implantation. With this in mind, the issue of dental implantation is of particular importance and requires further development including different age groups. Aim of the study is to improve the results of dental implantation and to avoid its complications based on identification of the causes of dental implantation complications and development of preventative measures in people of different 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 periodontal disease. The control group included 20 patients of the same age with 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 periodontal and peri-implant area prior to the implantation in the shortest time after surgery. Microbiological study was conducted in 65 patients to study the dynamics of colonization of oral microflora. Complications after implantation were identified in 24 (53.33%) patients in the main group. The most frequent complications were: disruption of wound healing in 7 (15,56%) patients, 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 to generalized periodontitis. In patients of the main group at the early stage of dental implantation were revealed qualitative and quantitative changes in the microflora of the implanted furrow with increasing aggressiveness were revealed.