Cheekbone implantation. About company Dental company maximus

The Ost-West travel agency was founded in 1989, becoming the first alternative travel agency in Russia to offer bus tours and children's holidays. Today, according to many, we are the undisputed leaders in these areas. In 1990, "Ost-West" was one of the first to offer sightseeing bus tours around Europe, which attract with the opportunity to see, as a rule, several countries at once during one tour at a relatively low price. Tours to the Czech Republic, France, Italy and Germany are especially popular. Tours in Europe are handled by the "Department of Bus Tourism" of our company, children's holidays are coordinated by the "Department of Children and Youth Tourism" specially created in 1990.

"Ost-West" is widely known for its joint work with popular TV programs for children and youth: "Marathon-15", "Love at First Sight", with the newspapers "Pionerskaya Pravda", "Komsomolskaya Pravda", "Interlocutor", "Field of Miracles" for children”, as well as the show and musicals “Toothy Nanny” and others.

Ost-West is a regular participant of the International Tourism Exhibitions MITT and Otdykh held in Moscow, as well as many regional exhibitions.

The recognition of the company's merits in the development of children's recreation and youth tourism was the award of the Grand Prix in the competition of the Italian-Russian Chamber of Commerce "Italy Bella'96" for organizing children's camp in the south of Italy, victory in the competition organized by the Government of Moscow and the Moscow Chamber of Commerce and Industry, "Moscow Entrepreneur - 98" in the nomination "For achievements in the development of children's and youth tourism." In 2000, "Ost-West" became a diploma winner, and in 2001 the winner of the most prestigious tourist competition "Crystal Globe", established by the Department of Tourism of the Ministry of Economic Development of the Russian Federation, in the nomination "For Contribution to the Development of Children's and Youth Tourism". In 2003 "Ost-West" became the laureate of the VII International annual award "Leaders of the tourism industry" in the nomination "For success in the development of children's tourism". In 2004 and 2005, we twice won in the district competitions "Moscow Entrepreneur" in the nomination "Services in the field of tourism". In 2006, "Ost-West" was awarded the "Star Diploma" in the nomination "The best travel agency working in children's tourism." According to the results of 2008, the company took first place in the rating of tour operators in the nomination "Children's Recreation" conducted by the information group "TURPROM". In 2012, in the nomination "World of Childhood" for an outstanding contribution to the development of the hospitality industry, the tour operator was awarded the MAXIMA hotels diploma.

In 2008, Ost-West opened a new direction - ski holidays in Eastern Europe (Slovakia, Poland, Slovenia) and Bulgaria. In 2010 Ost-West acted for the first time as a consolidator of the Moscow-Poprad-Moscow charter flight for ski programs in Poland and Slovakia in the Winter 2010-11 season.

In 2012, Ost-West became one of the initiators and an active participant in the First Travel Media Festival "Re-Movement". The Ost-West organized the space "Children's Club" with a Fun-zone. In 2013, the scale of the project increased due to the active participation of our company.

Ost-West has been a member of IATA since 2012.

"Ost-West" is a member of Tourist Assistance, registration number 1346. Registration number of the tour operator: RTO 001223.

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Zygomatic or, as it is also called, transzygomatic dental implantation is a relatively new technique for restoring a smile in conditions of partial or complete absence of elements of the upper dentition. This is an option that is saved in cases where there are acute atrophic processes in the thickness bone tissue upper jaw, in particular - in the area of ​​chewing teeth. This problem always occurs when a person is too protracted with treatment, and also for a long time wears a removable prosthetic device or "bridge". From this article you will learn what the essence of this technique is, what its pros and cons are, in what cases such structures are used, and what are the features of Zygoma, Zygomatic or similar implants - the most popular for implantation in zygomatic bone skulls.

Peculiarity: 1-2 zygomatic implants are used to restore the segment, for a full jaw - a minimum of 2 pieces, a maximum of 4 pieces. In total, from 4 to 6 or even more implants are placed per row, some of which are zygomatic. Suitable only for the upper jaw. The prosthesis is placed immediately.

Treatment time: 3-5 days.

The main characteristic of the technique is that zygomatic implantation involves the use of special root substitutes - special elongated implants implanted deep into the skull bone, which is not subject to atrophy. Such models can be up to 60 mm in length - it is thanks to this feature that they make it possible to refuse the procedure of bone grafting and sinus lift. Applies to the upper jaw only. In the absence of contraindications, the orthopedic system is fixed directly on the day of the procedure or a couple of days after.

Photo of Zygoma implants from Nobel Biocare

What is the essence of the method and features of the installation of elongated implants

The zygomatic bone (zygomaticum in Latin - hence, in fact, all the names of such implants) is adjacent to the frontal and temporal regions. It is characterized by increased density and strength, due to which it remains reliably protected from aggressive atrophic processes. When used as part of implant treatment, it is possible to achieve the highest rates of primary stability even in the case of acute and sometimes extreme atrophy of the bone tissue of the upper dentition. This makes it possible to restore the upper chewing teeth also in osteomyelitis, a purulent-necrotic process that develops in bone tissues and bone marrow.

As noted above, the essence of this technique is the implantation of elongated implants in atrophied areas. Their installation is carried out at a slight slope, and this is also no coincidence. This fixation option allows you to bypass the nasal sinuses (often such models border on its shell, but in no case pass through it), eliminate the risk of damage facial nerve, as well as to increase the number of points of contact between the implant and the bone tissue. Besides most of of the structure is found in the thickness of the zygomatic bone, which significantly improves the quality and strength of the fastening of the structure.

From the history of creation: for the first time, zygomatic implants were introduced to the world in the late 80s of the last century. True, in those years, such elongated rods were used mainly as part of the rehabilitation treatment of patients with serious problems of the upper jaw, that is, when the bone was severely destroyed as a result of trauma or oncology. Later, they began to be used as part of the restoration of decayed teeth and for other patients, as an alternative to the expensive and painful sinus lift - osteoplastic surgery on the upper jaw.

In the process of installing such structures, doctors use angled multi-unit abutments that allow you to fix the prosthesis with screws - this makes it possible to align their position with the level of the mucosa. In other situations, models with a beveled edge can be used for this, and then traditional straight abutments are used, but even in this case, the specialist leaves the opportunity to fix the prosthesis with a screw method.

It should immediately be noted that this implantation technique is included in the category of one-stage treatment protocols. That is, after the implantation of artificial roots, a denture with an individual metal frame can be fixed. The design is installed right on the day of the operation or after just a few days - it all depends on individual indications. This makes it possible to literally instantly return the patient to full life- after a week, he will be able to talk and eat normally, gradually increasing the intensity of the chewing load.

An important feature of the prosthesis is that, as in other similar protocols, it acts as a stabilizer. That is, the metal base connects the tops of the implants, so that the structures are in a stationary state. Such a system visually resembles an ordinary bridge.

Advantages and features of technology

The considered implant technology opens up a lot of opportunities for fast and high-quality restoration of a smile, and also allows you to achieve, undoubtedly, aesthetic and at the same time durable results. Among the key advantages of this method, experts in the field of dental implantology highlight the following points:

• the speed of obtaining the result - from the moment the implants are implanted to the installation of the prosthesis, a maximum of a week passes, in fact, in one day you can completely restore the functionality and aesthetics of the dentition,
• refusal of sinus lifting - due to the fact that the cranial, and not only the jaw bone is involved, as well as due to the slight inclination of the root substitutes themselves, it is possible to achieve excellent indicators of primary stability, which makes it possible to refuse bone grafting, which significantly increases the duration and cost of treatment
• careful study of all stages of implantation with the help of specialized software - in preparation for the operation, a 3D modeling technique is used. Contemporary software allows for full planning based on a three-dimensional model of the patient's jaws: the exact places for the implantation of artificial roots are determined, and individual surgical guides(stencils), which at the time of the operation are superimposed on the gum and allow you to install implants exactly in the places where it was planned, without an error even by a millimeter,

The planning stage, moreover computerized, is an important and mandatory stage - in no case should one be guided only by a panoramic, non-volumetric image. This is fraught with improper installation of implants, damage maxillary sinuses or, even worse, injury to the orbital region, nerve endings. Cheekbone implantation is a rather serious treatment protocol that should not be carried out by any implantologist. Prior to treatment, only experienced maxillofacial surgeons should be allowed, and nothing else.

• the highest aesthetic characteristics of the orthopedic design - the prosthetic device, which is fixed after the implantation of root analogues, has a rather rigid metal base in its configuration, which hides an acrylic base that imitates the gums. Crowns can be made of metal-plastic or ceramic composite (at the first stage) - this allows you to make the structure light so as not to disturb the positioning of the implants, and at the same time, outwardly natural and fully functional. And when the implants fully fuse with the bone, then you can choose a more aesthetic version of the prosthesis - from absolutely any materials, if your finances allow,
• the minimum number of contraindications - with such an implant system, it becomes possible to restore teeth even with critical bone atrophy, against the background of periodontitis, periodontal disease and osteomyelitis - this area of ​​\u200b\u200bthe bone is not afraid of either resorption or inflammatory processes.

Patient History - real review posted on the website of one of the Moscow dental clinics: “I want to say a big human thanks to the specialists of the N clinic. As far as I understand, in my case, long implants from Nobel became a real salvation. For more than 10 years I have been going through the usual removable prosthesis instead of upper teeth And I don't even have any left of mine. When I decided to thoroughly engage in implantation, it turned out that everything was not so simple. An x-ray showed that the bone tissue under the prosthesis had strongly atrophied, and it would simply be impossible to fix the implants. I began to study this issue and was horrified when I found out how bone grafting and how much does it cost. Friends advised your clinic, and only then they told me in detail and explained that now it is possible to do without this operation. So I was led full recovery upper jaw, without any additional procedures there. And somewhere in 5 days they put a prosthesis with brand new beautiful teeth - well, isn't that fantastic ?!

Boris Leonidovich S., Moscow, 58 years old

• excellent indicators of primary stability - again, due to the use of the skull bone, the risk of displacement and loss of artificial tooth roots remains at the very minimum level. The stabilization index varies from 60 to 100 newtons, while with the classical approach it is two times lower,
• protection against peri-implantitis (rejection) and a guaranteed long-term result - these characteristics are due to the fact that in the zygomatic part of the skull the bone is denser, and it is not afraid of inflammation,
• more opportunities for prosthetics - the process of osseointegration, that is, the fusion of the implant body with bone tissue, takes on average about six months to a year, however, in the case of instant loading methods, a temporary (adaptive) prosthetic device can be fixed almost immediately. Upon completion of osseointegration, the patient will be able to install any aesthetic system, whether it is a cermet or zirconium oxide option.

So, for example, as a result clinical research company Nobel ("Nobel") - a leader in the production of implants and their components - it turned out that the survival rate of their branded elongated implants Zygoma ("Zygoma") reaches 95.2% in a 10-year perspective. According to the assurances of practicing experts, the manufacturer slightly underestimated the numbers, since with the quality performance of all manipulations, the real figure reaches 98%. However, this is due to the fact that such models are used in difficult situations, and here the indicators are indeed somewhat lower than if the patient good quality bones and excellent health.

In general, intraosseous implantation protocols with the possibility of immediate loading of the prosthesis give patients the opportunity to restore their beautiful and functional smile as quickly as possible. As a result, there is a gradual smoothing of small wrinkles resulting from a long absence of teeth. Thus, we can safely talk about the additional effect of rejuvenation.

What brands of elongated implants are used today

Today, several brands are represented on the market of modern implant systems at once, under which models for implantation into the zygomatic bone are produced. All of them are united by an elongated body, which is designed for fixation in the deep layers of the bone tissue of the skull. We asked a specialist to clarify some points about the features of such models of artificial roots. dental center Smile-at-Once is a clinic that was one of the first in Russia to offer the possibility of using one-stage treatment protocols. This is a doctor who, in fact, was the first in our country to start working with this protocol, that is, for more than 22 years. Today he conducts not only medical practice, but also trains Russian specialists, has many scientific papers and patents.

The table below shows the main brands of zygomatic implants with brief explanations about the indications for their use and installation features.

On a note! We would like to immediately draw your attention to the fact that zygomatic implants are often called "Zygoma" or Zygoma. But this is not entirely correct. In fact, this name has already become a household name, because it is nothing more than the name (moreover, patented) of the model from Nobel, which was the first to introduce such zygomatic implants to the world. Other brands, respectively, have their own names.

What prostheses can be placed on Zygoma and Zygomatic implants

Despite the fact that one-stage implantation is a one-stage protocol, there will still be two stages of prosthetics (unless you choose a permanent prosthesis right away, but it will be more expensive). As a rule, immediately after the implantation of root substitutes or within a maximum of a week, artificial roots can be loaded with an adaptive orthopedic structure with artificial teeth. Lightweight devices with a metal frame are used.

Expert opinion

Way Vladimir Anatolievich
“The presence of a strong beam in the structure has a kind of splinting effect. Instant loading of the prosthesis is not just an aesthetic whim, but an important functional necessity, since the metal frame allows you to stabilize the implants, fix them in the desired position and eliminate the risk of their displacement. As a result, the patient receives not only a new beautiful smile, but also the opportunity to chew food and talk normally. In addition, chewing load stimulates metabolic processes in the bone tissue, which ensures the fastest osseointegration of the implants.”

The prosthesis is fixed using screw fixation - small screws are screwed directly into the abutments through the tops of the crowns. This greatly simplifies the removal of the structure if it is necessary to correct it - a consequence of bite deformation after the installation of implants and passage rehabilitation period. The operational life of such a device is about 3-5 years, it all depends on the materials. In particular, the metal-plastic system “works” so much. But if you choose a ceramic composite, then its service life is practically unlimited - about 15-20 years. Such a prosthesis will cost more, but, in fact, you really get new teeth once and for all.

Complexes in which zygomatic implants are used

Elongated implant models are used in various one-stage treatment protocols. It can even be said that transzygomatic implantation cannot be attributed to independent methods, because it only serves as an addition to other methods for restoring partially or completely lost teeth. The table below lists the protocols that may involve the use of such models.

main feature instant implantation consists in the fact that the titanium implant is installed in the hole of the extracted tooth immediately after the completion of the extraction procedure. As a rule, this happens with severe destruction, when the pulp and root of the tooth are affected, and it is not possible to install a crown. In such a case comes to the rescue implantation, which, if there are certain indications, can be carried out simultaneously with the extraction of a tooth.

The term “immediate implantation” also refers to a prosthetic technique in which, after the implant is installed, a temporary crown is immediately fixed on it. In this case, there is no need to wait several months for the titanium roots to take root, which makes the process of replacing teeth much more comfortable for the patient, because even a temporary prosthesis allows you to restore functional and aesthetic indicators.

Mandatory conditions for the operation

For instant dental implantation, several clinical factors must be met:

1. Sufficient bone volume: since bone atrophy begins after tooth extraction, in most cases this is not a problem;
2. Preservation of the inter-root septum when we are dealing with multi-rooted teeth;
3. Absence of serious soft tissue inflammation (especially in the apical part);
4. No other absolute contraindications to implantation (HIV, oncological diseases, diabetes, blood diseases, tuberculosis, etc.).

Immediate implantation in its effectiveness practically does not differ from classical implantation. Nevertheless, the doctor must have high manual skills and have extensive experience in this area. Otherwise risks of implant rejection increase.

Types of instant implantation

Despite the well-defined principle of instant dental implantation, this technique has several varieties. Today, three types of instant implantation are actively used. The choice of this or that protocol is determined by the specific clinical case and the wishes of the patient.

With gum closure

After the tooth is removed and the implant is installed, the gum is sutured, and all subsequent manipulations occur after the soft tissues have healed (on average, this takes about two weeks).

With gingiva former

In order to change or improve the shape of the gums around the implant, a gum shaper is placed on the titanium root, which over time gives it the desired shape. This method is often used in aesthetic restorations in anterior section jaws.

With instant load

Simultaneously with the implant, a temporary plastic crown or prosthesis, which allows you to restore the functionality of one, several or all teeth of the jaw.