Restoration of Bone Tissue in the Area of a Radicular Cyst using a Developed Bio-Implant Based on Zirconium Dioxide (Clinical Case)
Abstract:
Subject: The prospects for the introduction of all-ceramic implant in the clinical practice of orthopedic rehabilitation of patients with radicular cysts. Objective: The to carry out a comparative analysis of changes in the state of bone tissue according to the data of targeted visiongraphic examination, CBCT examination and clinical observation after the installation of the developed zirconium dioxide bio-implant in the area of the radicular cyst.
Methodology: The paper presents 6-month clinical results of monitoring the state of bone tissue in the area of the radicular cyst after the use of the developed bio-implant and simultaneous temporary prosthetics of the patient.
Results: Despite the modern development of therapeutic dentistry, destructive bone tissue phenomena in the projection of previously treated tooth roots are still found in sufficient numbers in patients. Also, repeated endodontic treatment does not always promote bone regeneration. The development of new biocompatible materials and the improvement of technologies for obtaining surfaces with a given micro-roughness, new technologies for applying bio-coatings to the surface of a dental implant made of zirconium dioxide and the improvement of clinical protocols have made it possible to use such zirconium dioxide implants not only as a reliable fulcrum for orthopedic restorations, but also as a "therapeutic agent" for the regeneration of bone defects. The 6-month clinical results on the restoration of a bone defect using a developed all- ceramic bio-implant resulting from unsuccessful attempts of endodontic treatment and apical surgery in a patient with hepatitis C. The possibility of using the developed implant will allow to meet the needs of patients in minimally invasive implantation procedure, ensuring its cost-effectiveness in relation to analog imported dental implant systems used in combination with bone substitutes. In addition, due to the specialized surface treatment, the developed implant does not require the use of bone-substituting drugs, and the presence of a bio-coating allows for expanded use in groups of patients with somatic pathologies.
Conclusions: The presented case shows that the developed system of all-ceramic immediate implants is not only a reliable support for orthopedic restoration, but also restores bone tissue without the use of bone substitutes.
