Повышение эффективности профилактики воспалительных осложнений после дентальной имплантации при D-гиповитаминозе на основе прогностического моделирования

Несмотря на постоянное совершенствование методов нехирургической и хирургической терапии периимплантита, долгосрочный эффект проблематичен, поскольку даже при положительном эффекте терапии возможен рецидив. Предполагается, что одним из факторов, влияющих на развитие периимплантной патологии, является D-гиповитаминоз. Цель исследования – разработка модели прогнозирования риска развития воспалительных осложнений после дентальной имплантации у пациентов с D-гиповитаминозом. Разработанная модель включала такие показатели, как уровень витамина D в сыворотке крови, анатомо-топографическое положение и число имплантатов, возраст, наличие сахарного диабета II типа и соматической патологии воспалительного генеза. Установлен набор предикторов воспалительных осложнений дентальной имплантации, легко диагностируемый в рутинной практике, который может быть использован для осуществления лечебно-профилактических мероприятий. На основе многофакторной логистической регрессии разработана модель прогноза и ранней диагностики воспалительных осложнений после дентальной имплантации у пациентов с D-гиповитаминозом.

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