Application of a diagnostic algorithm and medical rehabilitation in patients with local soft tissue deficiency in the oral cavity after reconstructive surgical interventions using digital 3D-modeling

Introduction. Dental rehabilitation is a complex of therapeutic and diagnostic measures aimed at restoring the functions of the maxillofacial region after injuries, diseases or surgical intervention.

Aim. Clinical evaluation of the developed method of restorative treatment and rehabilitation of patients with soft tissue deficiency in the area of a tooth or dental implant, after reconstructive surgery on the oral mucosa.

Materials and methods. The study involved 281 patients undergoing surgical rehabilitation treatment for oral soft tissue deficiency. All patients were divided into three groups: I (n = 90, control), II (n = 86, control by installing a protective mouth guard) and III (n = 105, algorithm). All patients underwent an assessment of the healing time of the donor and recipient sites and the severity of pain using a visual analog scale.

Results. Long-term healing, lasting 10–15 days, was observed in 57–79% of patients in groups I and II. In 87% and 84% of patients in group III, surgical wounds healed within 6–9 days. In 85–95% of patients in groups I and II, severe and unbearable pain was observed on days 1–4 after surgery. On day 8, 99% of patients in these groups still experienced mild to moderate pain. On days 1–5 of observation, 97% of patients in group III reported moderate or mild pain. On day 8 of observation, 72% of patients in group III reported mild pain, while the remaining patients did not report any pain during this period.

Conclusion. The developed method of software-based optimization of treatment and rehabilitation, which includes vestibuloplasty with digital planning and the use of Sulfacrylate bioadhesive, photobiotherapy, electrophoresis with Fermenkol gel, and normobaric hyperoxygen therapy, has demonstrated a reduction in the healing time of the donor and recipient sites, as well as a decrease in the duration and intensity of pain.

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