Yumashev Aleksej Valerevich,Юмашев Алексей Валерьевич,Utyuzh Anatolij Sergeevich,Утюж Анатолий Сергеевич,Fomin Igor Viktorovich,Фомин Игорь Викторович,Matveeva Elena Aleksandrovna,Матвеева Елена Алекс
申请号：
RU2018100126
公开号：
RU0002652742C1
申请日:
2018.01.09
申请国别(地区):
RU
年份:
2018
代理人:
摘要：
FIELD: medicine.SUBSTANCE: invention relates to medicine, namely to dentistry, oncology, and can be used in rehabilitation of patients after resection of the affected area of the lower jaw with primary osteosarcoma of the lower jaw. For this, a number of successive steps are carried out. Stage of modeling in the form of constructing the actual 3D stereolithic model of the patients lower jaw after resection with subsequent alloplasty, and also a 3D stereolithic model of the expected form of the mandible. Stage of corrective surgical intervention includes: gum formation, creation of an individual impression tray, removal of impression from implants, creation of plastic beam construction of a prosthesis with support on implants, manufacturing of a beam prosthesis. During the fitting of the beam prosthesis a bite pattern with occlusal ridges is made. Then, the prosthesis is installed, including screw fixation of the beam prosthesis and individual abutments to the implant and final application of the removable prosthesis. After a repeated standard procedure, its fit is assessed by occlusion, fit and aesthetic characteristics. Throughout the period of prosthetics, mesodieencephalic modulation (MDM) sessions in the amount of 14 are performed in a certain sequence: 9 sessions – from the second day after the implantation of half-burned cylinders, one session per day. During these days, no other manipulations are performed. Then, MDM is administered 1 session per day after each invasive intervention in the oral cavity – only 4-5 sessions. In this case, 1 session of MDM is carried out during the creation of an individual impression tray a day after the impression is removed from the implants. 2 MDM sessions are conducted during the creation of a plastic beam structure: 1 session - during the creation of the framework of the beam prosthesis made of plastic and 1 session - after fitting the beam prosthesis. 1 MDM session is performed during the manufacture of the prosthesis afte
