Практическое использование лечебно - реабилитационной программы у пациента с локальным дефицитом мягких тканей полости рта в области установленных имплантов: КЛИНИЧЕСКИЙ СЛУЧАЙ

Михаил Арменакович Власов; Евгений Васильевич Яковлев; Дмитрий Юрьевич Бутко; Наталья Вячеславовна Корнева; Владимир Станиславович Василенко; Лариса Андреевна Даниленко; Марина Васильевна Калинина; Эльнур Эльданиз Оглы Гулиев; Сергей Степанович Рогозин; Ксения Сергеевна Скирчук

doi:10.56871/

PRACTICAL USE OF A MEDICAL AND REHABILITATION PROGRAM IN A PATIENT WITH A LOCAL DEFICIT OF THE SOFT TISSUES OF THE ORAL CAVITY IN THE AREA OF THE INSTALLED IMPLANTS

CLINICAL CASE

Mikhail A. Vlasov Saint Petersburg State Pediatric Medical University https://orcid.org/0000-0002-9673-6703
Evgeny V. Yakovlev Saint Petersburg State Pediatric Medical University; Institute of Applied Psychoanalysis and Psychology of the University under the Interparliamentary Assembly of the Eur As EC https://orcid.org/0000-0002-8435-7562
Dmitry Yu. Butko Saint Petersburg State Pediatric Medical University https://orcid.org/0000-0001-6284-0943
Natalia V. Korneva Saint Petersburg State Pediatric Medical University; North-Western State Medical University named after I.I. Mechnikov https://orcid.org/0000-0003-1428-8263
Vladimir S. Vasilenko Saint Petersburg State Pediatric Medical University https://orcid.org/0000-0002-8833-304X
Larisa A. Danilenko Saint Petersburg State Pediatric Medical University https://orcid.org/0009-0009-4452-044X
Marina V. Kalinina Saint Petersburg State Pediatric Medical University https://orcid.org/0009-0004-5809-1651
Elnur E. Guliyev Saint Petersburg State Pediatric Medical University
Sergey S. Rogozin Saint Petersburg State Pediatric Medical University https://orcid.org/0000-0001-9263-0111
Ksenia S. Skirchuk Pavlov First Saint Petersburg State Medical University https://orcid.org/0009-0008-4719-3942

Keywords:

vestibuloplasty digital 3D planning restorative treatment physiotherapy pain healing time dental rehabilitation International Classifi cation of Functioning Disability and Health I C F вестибулопластика цифровое 3D - планирование восстановительное лечение физиотерапия боль сроки заживления стоматологическая реабилитация Международная классификация функционирования ограничения жизнедеятельности и здоровья М К Ф

Abstract

The development of new rehabilitation programs for patients with
dental and maxillofacial pathology, combining digital planning, 3D modeling, and physiotherapeutic
methods of restoration, is of great importance in dentistry. Aim — presentation of a clinical
observation during vestibularplasty using a comprehensive medical rehabilitation program. Clinical
case. A 36 - year - old man applied for prosthetics of dental implants with a diagnosis of “Local
soft tissue deficiency in the area of installed implants (ICD-10 T84)”. Vestibuloplasty with digital
planning was performed, local (intraoperative) protection of the donor site with a cyanoacrylatebased
medical bio - adhesive, from day 3 of the early recovery period: the use of infrared laser
therapy, drug electrophoresis of collagenolytic proteases and normobaric hyperoxytherapy. After
these measures, the patient subjectively assessed the results of the treatment as excellent. On the first
postoperative day, the patient experienced mild bleeding (less than 15 ml/hour), and on the second
and subsequent days, there was no bleeding or inflammation in the donor or recipient areas. The
donor site healed (remodeling phase) after 8 days, and the recipient site healed after 7 days. On the
fourth day, the patient experienced mild difficulty in eating and speaking, but by the eighth day, these
difficulties had resolved. The patient reported minimal pain. Conclusion. The clinical effectiveness
of digital planning and 3D modeling with the creation of a template for predicting the exact size of
the transplant, local protection of the donor site with medical bio - glue in combination with the use
of physiotherapy methods has been established. The dynamic rehabilitation profile according to
the International Classification of Functioning allows for the assessment of the effectiveness of the
rehabilitation program in terms of the structural, functional, and social components of the patient’s
quality of life. Further research on the proposed rehabilitation program is necessary to confirm its
therapeutic effectiveness

Author Biographies

Mikhail A. Vlasov, Saint Petersburg State Pediatric Medical University

Assistant of the Department of Medical Rehabilitation and Sports Medicine.

Evgeny V. Yakovlev, Saint Petersburg State Pediatric Medical University; Institute of Applied Psychoanalysis and Psychology of the University under the Interparliamentary Assembly of the Eur As EC

Dr. Sci. (Med.), Associate Professor, Professor of the Department of Medical Rehabilitation and Sports Medicine, Saint Petersburg State Pediatric Medical University; Professor of the Department of Psychophysiology, Institute of Applied Psychoanalysis and Psychology of the University of the Interparliamentary Assembly of Eur As EC.

Dmitry Yu. Butko, Saint Petersburg State Pediatric Medical University

Dr. Sci. (Med.), Professor, Head of the Department of Medical Rehabilitation and Sports Medicine

Natalia V. Korneva, Saint Petersburg State Pediatric Medical University; North-Western State Medical University named after I.I. Mechnikov

Cand. Sci. (Med.), Associate Professor of the Department of Medical Rehabilitation and Sports Medicine, Saint Petersburg State Pediatric Medical University; Assistant, Department of Phthisiopulmonology and Thoracic Surgery, North-Western State Medical University named after I.I. Mechnikov

Vladimir S. Vasilenko, Saint Petersburg State Pediatric Medical University

Dr. Sci. (Med.), Professor, Head of the Department of Hospital Therapy with a Course in Endocrinology.

Larisa A. Danilenko, Saint Petersburg State Pediatric Medical University

Cand. Sci. (Med.), Associate Professor of the Department of Medical Rehabilitation and Sports Medicine.

Marina V. Kalinina, Saint Petersburg State Pediatric Medical University

к.м.н., доцент кафедры медицинской реабилитации и спортивной медицины

Elnur E. Guliyev, Saint Petersburg State Pediatric Medical University

Laboratory Assistant, Department of Scientific and Medical Information and Publications

Sergey S. Rogozin, Saint Petersburg State Pediatric Medical University

specialist, Department of Scientific and Medical Information and Publications

Ksenia S. Skirchuk, Pavlov First Saint Petersburg State Medical University

student of 3 year
of the Faculty of Dentistry.

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PRACTICAL USE OF A MEDICAL AND REHABILITATION PROGRAM IN A PATIENT WITH A LOCAL DEFICIT OF THE SOFT TISSUES OF THE ORAL CAVITY IN THE AREA OF THE INSTALLED IMPLANTS: CLINICAL CASE. (2026). Medicine: Theory and Practice, 11(2), 123-136. https://doi.org/10.56871/

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