Возможности и перспективы объединения имплантатов и естественных зубов при замещении дефектов зубных рядов (литературный обзор) (Часть II)

В опубликованной литературе имеется множество мнений, зачастую абсолютно противоположных по вопросу объединения зубов и имплантатов, т.к. естественные зубы обладают физиологической подвижностью. Объединение зубов и имплантатов в несъёмных протезах хорошо задокументировано в стоматологической литературе, но достаточно редко обсуждаются достоверные данные при изготовлении съёмных зубных протезов с опорой на зубы и имплантаты, и почти вся информация представлена многочисленными клиническими наблюдениями из врачебной практики. При изготовлении съёмных протезов современная концепция использования имплантатов в стратегически важных позициях совмещает в себе несколько целей: вносит вклад в сохранение оставшихся зубов, улучшает функциональные качества съёмного протеза, его фиксацию, стабилизацию, предупреждает ускоренную атрофию тканей протезного ложа. В данном обзоре приводятся результаты современных исследований объединения зубов и имплантатов как в несъемных, так и в съемных конструкциях, процент выживаемости имплантатов и возможных осложнений.

There are lots ofopposite opinions in the published literature on the issue of tooth-implant connection, because of physiologictooth mobility.Tooth-implant connectionin fixed prostheses is well observed in the dental literature, but rarely trustworthy data about teeth-implant supported removable dentures is highlighted, and almost all of the information is presented by numerous clinical observations frommedical practice. The modern concept of using implant-supported removable dentures in strategically important aspects combines several goals: contributes to the preservation of the remaining teeth, improves the functional quality of the denture,its fixation, stabilization andprevents premature atrophy of underlying tissues. This review presents the results of the up to date studies of the tooth-implant connection in both removable and fixed dentures, the percentage of implant survival and possible complications.

протезы с опорой на зубы и имплантаты, выживаемость имплантатов, периодонто-мускулярный рефлекс, концевые дефекты зубных рядов, перекрывающие протезы, адаптация к съёмным протезам.

teeth and implants supported denture, the implant survival, periodontal — masseteric reflex, free-end saddles, overdentures, adaptation to removable dentures.

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2. Костин И.О., Каламкаров А.Э. Исследование параметров микроциркуляции протезного поля при ортопедическом лече-нии пациентов с полной потерей зубов с использованием дентальных внутрикостных имплантатов // Российский стоматологический журнал. - 2016. - № 1. - С. 25-27.
3. Нестеров А.М. Комплексный подход к ортопедическому лечению больных при сочетании полного и частичного отсутствия зубов на челюстях: дис. на соискание ученой степени д.м.н. - Самара, 2016.
4. Суров О.Н. Зубное протезирование на имплантатах. - М.: Медицина, 1993. - 208 c.: c ил.
5. Albrektsson T., Zarb G., Worthington P., Eriksson A.R. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986;1:11-25.
6. Al-Zubeidi, Payne A.G. Mandibular overdentures: A review of treatment philosophy and prosthodontic maintenance. N Z Dent J 2007; 103:88-97.
7. Belser U.C., Mericske-Stern R., Bernard J.P., Taylor T.D. Prosthetic management of the partially dentate patient with fixed implant restorations. Clinical Oral Implants Research. 2000; 11(supplement):126-145.
8. Block M.S., Lirette D., Gardiner D., et al. Prospective evaluation of implants connected to teeth. International Journal of Oral and Maxillofacial Implants. 2002; 17(4):473-487.
9. Cune M.S., de Putter C., Verhoeven J.W., Meijer G.J. Prosthetic dilemmas. Connecting natural teeth and implants. Nederlands Tijdschrift voor Tandheelkunde. 2008; 115(11):613-619.
10. de Freitas RF, de Carvalho Dias K, da Fonte Porto Carreiro A, Barbosa GA, Ferreira MA. Mandibular implant-supported removable partial denture with distal extension: a systematic review. J Oral Rehabil. 2012.
11. Garcia L.T., Oesterle L.J. Natural tooth intrusion phenomenon with implants: a survey. International Journal of Oral and Maxillofacial Implants. 1998; 13(2):227-232.
12. Gunne J., Åstrand P., Lindh T., Borg K., Olsson M. Tooth-implant and implant supported fixed partial dentures: a 10-year report. International Journal of Prosthodontics. 1999; 12(3):216-221.
13. Heners M., Walther W. Prognosis of abutment teeth in severely reduced residual dentitions [in German]. Dtsch Zahnarztl Z 1990; 45:579-581.
14. Hoffmann O., Zafiropoulos G.-G. Tooth-implant connection: a review. Journal of Oral Implantolog. 2012; 38(2):194-200.
15. Holm-Pedersen P, Lang NP, Müller F. What are the longevities of teeth and oral implants? Clin Oral Implants Res 2007; 18(suppl3):315-319.
16. Huang S.-F., Chen W.-R., Lin C.-L. Biomechanical interactions of endodontically treated tooth implant-supported prosthesis under fatigue test with acoustic emission monitoring. BioMedical Engineering Online. 2016.
17. Hug S., Mantokoudis D., Mericske-Stern R. Clinical evaluation of 3 overdenture concepts with tooth roots and implants: 2-year results. Int J Prosthodont. 2006;19:236-43.
18. Joda T. Combined tooth-implant-supported telescopic prostheses in a midterm follow-up of > 2 years. Int J Prosthodont. 2013;26:536.
19. Kaufmann R., Friedli M., Hug S., Mericske-Stern R. Removable dentures with implant support in strategic positions followed for up to 8 years. Int J Prosthodont. 2009;22:233-41.
20. Koller B., Att W., Strub J.R. Survival rates of teeth, implants, and double crown-retained removable dental prostheses: A systematic literature review. Int J Prosthodont 2011; 24:109-117.
21. Krennmair G., Krainhöfner M., Waldenberger O., Piehslinger E. Dental implants as strategic supplementary abutments for implant-tooth-supported telescopic crown-retained maxillary dentures:
A retrospective follow-up study for up to 9 years. Int J Prosthodont 2007; 20:617-622.
22. Krennmair G., Weinländer M., Krainhöfner M., Piehslinger E. Implant-supported mandibular overdentures retained with ball or telescopic crown attachments: A 3-year prospective study. Int J Prosthodont 2006;19:164-170.
23. Lin C.-L., Wang J.-C., Chang S.-H., Chen S.-T. Evaluation of stress induced by implant type, number of splinted teeth, and variations in periodontal support in tooth-implant-supported fixed partial dentures: a non-linear finite element analysis. Journal of Periodontology. 2010; 81(1):121-130.
24. Lindh T. Should we extract teeth to avoid tooth-implant combinations? Journal of Oral Rehabilitation. 2008; 35(supplement 1):44-54.
25. Mahmoud K. Al-Omiri, Maher Al-Masri, Mohannad M. Alhijawi, and Edward Lynch Combined Implant and Tooth Support: An Up-to-Date Comprehensive Overview Int J Dent. 2017; 2017.
26. Moll D., Yildirim M., Spiekermann H., Wolfart S. Telescopic crown-retained removable partial dentures on teeth and implants: An 8- to 9-year prospective randomized clinical trial. Clin Oral Implants Res 2012; 23:895.
27. Mundt T., Schwahn C., Stark T., Biffar R. Clinical response
of edentulous people treated with mini dental implants in nine dental practices. Gerodontology. 2015;32:179-87.
28. Muddugangadhar B.C., Amarnath G.S., Sonika R., Chheda P.S., Garg A. Meta-analysis of failure and survival rate of implant-
supported single crowns, fixed partial denture and implant toothsupported prostheses. Journal of International Oral Health. 2015.
29. Naert I., Alsaadi G., Quirynen M. Prosthetic aspects and patient satisfaction with two-implant-retained mandibular overdentures: A 10 year randomized clinical study. Int J Prosthodont 2004;17:401-410.
30. Naert I.E., Duyck J.A.J., Hosny M.M.F., Van Steenberghe D. Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients. Part I: an up to 15-years clinical evaluation. Clinical Oral Implants Research. 2001; 12 (3):237-244.
31. O´Leary T.J., Dykema RW, Kafrawy AH. Splinting osseointegrated fixtures to teeth with normal periodontiums. In: Tissue Integration in Oral, Orthopedic & Maxillofacial Reconstruction. Laney WR, Tolman DE, editors. Chicago: Quintessence
32. Payne A.G., Tawse-Smith A., Wismeijer D, De Silva RK, Ma S. Multicentre prospective evaluation of implant-assisted mandibular removable partial dentures: surgical and prosthodontic outcomes. Clin Oral Implants Res. 2017 Jan;28(1):116-125. doi: 10.1111/clr.12769. Epub 2016 Jan 22.
33. Pjetursson B.E., Brägger U., Lang N.P., Zwahlen M. Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs)
Clinical Oral Implants Research. 2007;18(supplement 3):97-113.
34. Radnai M., Fazekas A., Vajdovich I., Kostinek D. Clinical study of tooth-to-implant supported fixed partial dentures. Fogorvosi Szemle. 1998; 91(7):195-202.
35. Rammelsberg P., Schwarz S., Schroeder C., Bermejo J.L., Gabbert O. Short-term complications of implant-supported and combined tooth-implant-supported fixed dental prostheses. Clinical Oral Implants Research. 2013; 24(7):758-762.
36. Renzo G. Bassetti, DMD2/Johannes Kuttenberger, MD. Implant-Assisted Removable Partial Denture Prostheses: A Critical Review of Selected Literature.
37. Rieder C.E., Parel S.M. A survey of natural tooth abutment intrusion with implant-connected fixed partial dentures.
38. Romeo E., Lops D., Margutti E., Ghisolfi M., Chiapasco M., Vogel G. Long-term survival and success of oral implants in the treatment of full and partial arches: a 7-year prospective study with the ITI dental implant system. International Journal of Oral and Maxillofacial Implants. 2004; 19 (2):247-259.
39. Shatkin T.E., Petrotto CA. Mini dental implants: a retrospective analysis of 5640 implants placed over a 12-year period. Compend Contin Educ Dent. 2012;33 Spec 3:2-9
40. Sheets C.G., Earthman J.C. Tooth intrusion in implant-assisted prostheses. Journal of Prosthetic Dentistry. 1997; 77(1):39-45.
41. Sullivan D.Y. Prosthetic considerations for the utilization of osseointegrated fixtures in the partially edentulous arch. Int J Oral Maxillofac Implants 1987; 1: 39-45.
42. Tangerud T., Grønningsaeter A.G., Taylor A. Fixed partial dentures supported by natural teeth and Brånemark system implants: a 3-year report. International Journal of Oral and Maxillofacial Implants. 2002; 17(2):212-219.
43. Tsaousoglou P., Michalakis K., Kang K., Weber H., Sculean A. The effect of rigid and non-rigid connections between implants and teeth on biological and technical complications: a systematic review and a meta-analysis. Clinical Oral Implants Research. 2016.
44. Weber H.-P., Sukotjo C. Does the type of implant prosthesis affect outcomes in the partially edentulous patient? International Journal of Oral and Maxillofacial Implants. 2007; 22:140-172.
45. Weinberg L.A., Kruger B. Biomechanical considerations when combining tooth-supported and implant-supported prostheses. Oral Surgery, Oral Medicine, Oral Pathology. 1994; 78(1):22-27.
46. Wöstmann B., Budtz-Jørgensen E., Jepson N., et al. Indications for removable partial dentures: A literature review. Int J Prosthodont 2005; 18:139-145.
47. Wostmann B., Balkenhol M., Weber A., Ferger P., Rehmann P.
Longterm analysis of telescopic crown retained removable partial dentures: Survival and need for maintenance. J Dent 2007; 35:939-945.

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4. Surov O.N. Zubnoe protezirovanie na implantatah. - M.: Medicina, 1993. - 208 c.: c il.
5. Albrektsson T., Zarb G., Worthington P., Eriksson A.R. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986;1:11-25.
6. Al-Zubeidi, Payne A.G. Mandibular overdentures: A review of treatment philosophy and prosthodontic maintenance. N Z Dent J 2007; 103:88-97.
7. Belser U.C., Mericske-Stern R., Bernard J.P., Taylor T.D. Prosthetic management of the partially dentate patient with fixed implant restorations. Clinical Oral Implants Research. 2000; 11(supplement):126-145.
8. Block M.S., Lirette D., Gardiner D., et al. Prospective evaluation of implants connected to teeth. International Journal of Oral and Maxillofacial Implants. 2002; 17(4):473-487.
9. Cune M.S., de Putter C., Verhoeven J.W., Meijer G.J. Prosthetic dilemmas. Connecting natural teeth and implants. Nederlands Tijdschrift voor Tandheelkunde. 2008; 115(11):613-619.
10. de Freitas RF, de Carvalho Dias K, da Fonte Porto Carreiro A, Barbosa GA, Ferreira MA. Mandibular implant-supported removable partial denture with distal extension: a systematic review. J Oral Rehabil. 2012.
11. Garcia L.T., Oesterle L.J. Natural tooth intrusion phenomenon with implants: a survey. International Journal of Oral and Maxillofacial Implants. 1998; 13(2):227-232.
12. Gunne J., Åstrand P., Lindh T., Borg K., Olsson M. Tooth-implant and implant supported fixed partial dentures: a 10-year report. International Journal of Prosthodontics. 1999; 12(3):216-221.
13. Heners M., Walther W. Prognosis of abutment teeth in severely reduced residual dentitions [in German]. Dtsch Zahnarztl Z 1990; 45:579-581.
14. Hoffmann O., Zafiropoulos G.-G. Tooth-implant connection: a review. Journal of Oral Implantolog. 2012; 38(2):194-200.
15. Holm-Pedersen P, Lang NP, Müller F. What are the longevities of teeth and oral implants? Clin Oral Implants Res 2007; 18(suppl3):315-319.
16. Huang S.-F., Chen W.-R., Lin C.-L. Biomechanical interactions of endodontically treated tooth implant-supported prosthesis under fatigue test with acoustic emission monitoring. BioMedical Engineering Online. 2016.
17. Hug S., Mantokoudis D., Mericske-Stern R. Clinical evaluation of 3 overdenture concepts with tooth roots and implants: 2-year results. Int J Prosthodont. 2006;19:236-43.
18. Joda T. Combined tooth-implant-supported telescopic prostheses in a midterm follow-up of > 2 years. Int J Prosthodont. 2013;26:536.
19. Kaufmann R., Friedli M., Hug S., Mericske-Stern R. Removable dentures with implant support in strategic positions followed for up to 8 years. Int J Prosthodont. 2009;22:233-41.
20. Koller B., Att W., Strub J.R. Survival rates of teeth, implants, and double crown-retained removable dental prostheses: A systematic literature review. Int J Prosthodont 2011; 24:109-117.
21. Krennmair G., Krainhöfner M., Waldenberger O., Piehslinger E. Dental implants as strategic supplementary abutments for implant-tooth-supported telescopic crown-retained maxillary dentures:
A retrospective follow-up study for up to 9 years. Int J Prosthodont 2007; 20:617-622.
22. Krennmair G., Weinländer M., Krainhöfner M., Piehslinger E. Implant-supported mandibular overdentures retained with ball or telescopic crown attachments: A 3-year prospective study. Int J Prosthodont 2006;19:164-170.
23. Lin C.-L., Wang J.-C., Chang S.-H., Chen S.-T. Evaluation of stress induced by implant type, number of splinted teeth, and variations in periodontal support in tooth-implant-supported fixed partial dentures: a non-linear finite element analysis. Journal of Periodontology. 2010; 81(1):121-130.
24. Lindh T. Should we extract teeth to avoid tooth-implant combinations? Journal of Oral Rehabilitation. 2008; 35(supplement 1):44-54.
25. Mahmoud K. Al-Omiri, Maher Al-Masri, Mohannad M. Alhijawi, and Edward Lynch Combined Implant and Tooth Support: An Up-to-Date Comprehensive Overview Int J Dent. 2017; 2017.
26. Moll D., Yildirim M., Spiekermann H., Wolfart S. Telescopic crown-retained removable partial dentures on teeth and implants: An 8- to 9-year prospective randomized clinical trial. Clin Oral Implants Res 2012; 23:895.
27. Mundt T., Schwahn C., Stark T., Biffar R. Clinical response
of edentulous people treated with mini dental implants in nine dental practices. Gerodontology. 2015;32:179-87.
28. Muddugangadhar B.C., Amarnath G.S., Sonika R., Chheda P.S., Garg A. Meta-analysis of failure and survival rate of implant-
supported single crowns, fixed partial denture and implant toothsupported prostheses. Journal of International Oral Health. 2015.
29. Naert I., Alsaadi G., Quirynen M. Prosthetic aspects and patient satisfaction with two-implant-retained mandibular overdentures: A 10 year randomized clinical study. Int J Prosthodont 2004;17:401-410.
30. Naert I.E., Duyck J.A.J., Hosny M.M.F., Van Steenberghe D. Freestanding and tooth-implant connected prostheses in the treatment of partially edentulous patients. Part I: an up to 15-years clinical evaluation. Clinical Oral Implants Research. 2001; 12 (3):237-244.
31. O´Leary T.J., Dykema RW, Kafrawy AH. Splinting osseointegrated fixtures to teeth with normal periodontiums. In: Tissue Integration in Oral, Orthopedic & Maxillofacial Reconstruction. Laney WR, Tolman DE, editors. Chicago: Quintessence
32. Payne A.G., Tawse-Smith A., Wismeijer D, De Silva RK, Ma S. Multicentre prospective evaluation of implant-assisted mandibular removable partial dentures: surgical and prosthodontic outcomes. Clin Oral Implants Res. 2017 Jan;28(1):116-125. doi: 10.1111/clr.12769. Epub 2016 Jan 22.
33. Pjetursson B.E., Brägger U., Lang N.P., Zwahlen M. Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs)
Clinical Oral Implants Research. 2007;18(supplement 3):97-113.
34. Radnai M., Fazekas A., Vajdovich I., Kostinek D. Clinical study of tooth-to-implant supported fixed partial dentures. Fogorvosi Szemle. 1998; 91(7):195-202.
35. Rammelsberg P., Schwarz S., Schroeder C., Bermejo J.L., Gabbert O. Short-term complications of implant-supported and combined tooth-implant-supported fixed dental prostheses. Clinical Oral Implants Research. 2013; 24(7):758-762.
36. Renzo G. Bassetti, DMD2/Johannes Kuttenberger, MD. Implant-Assisted Removable Partial Denture Prostheses: A Critical Review of Selected Literature.
37. Rieder C.E., Parel S.M. A survey of natural tooth abutment intrusion with implant-connected fixed partial dentures.
38. Romeo E., Lops D., Margutti E., Ghisolfi M., Chiapasco M., Vogel G. Long-term survival and success of oral implants in the treatment of full and partial arches: a 7-year prospective study with the ITI dental implant system. International Journal of Oral and Maxillofacial Implants. 2004; 19 (2):247-259.
39. Shatkin T.E., Petrotto CA. Mini dental implants: a retrospective analysis of 5640 implants placed over a 12-year period. Compend Contin Educ Dent. 2012;33 Spec 3:2-9
40. Sheets C.G., Earthman J.C. Tooth intrusion in implant-assisted prostheses. Journal of Prosthetic Dentistry. 1997; 77(1):39-45.
41. Sullivan D.Y. Prosthetic considerations for the utilization of osseointegrated fixtures in the partially edentulous arch. Int J Oral Maxillofac Implants 1987; 1: 39-45.
42. Tangerud T., Grønningsaeter A.G., Taylor A. Fixed partial dentures supported by natural teeth and Brånemark system implants: a 3-year report. International Journal of Oral and Maxillofacial Implants. 2002; 17(2):212-219.
43. Tsaousoglou P., Michalakis K., Kang K., Weber H., Sculean A. The effect of rigid and non-rigid connections between implants and teeth on biological and technical complications: a systematic review and a meta-analysis. Clinical Oral Implants Research. 2016.
44. Weber H.-P., Sukotjo C. Does the type of implant prosthesis affect outcomes in the partially edentulous patient? International Journal of Oral and Maxillofacial Implants. 2007; 22:140-172.
45. Weinberg L.A., Kruger B. Biomechanical considerations when combining tooth-supported and implant-supported prostheses. Oral Surgery, Oral Medicine, Oral Pathology. 1994; 78(1):22-27.
46. Wöstmann B., Budtz-Jørgensen E., Jepson N., et al. Indications for removable partial dentures: A literature review. Int J Prosthodont 2005; 18:139-145.
47. Wostmann B., Balkenhol M., Weber A., Ferger P., Rehmann P.
Longterm analysis of telescopic crown retained removable partial dentures: Survival and need for maintenance. J Dent 2007; 35:939-945.