DEVELOPMENT AND SUBSTANTIATION OF A METHOD FOR ATRAUMATIC TOOTH EXTRACTION WITH ACTIVATION OF ALTERATION PROCESSES TO OPTIMIZATE IMMEDIATE DENTAL IMPLANTATION

Currently, tooth extraction is the most common surgical procedure performed in an outpatient setting. The aim of the study was to develop and validate a proprietary technique for atraumatic tooth extraction based on a staged, controlled intervention on the ligamentous apparatus with the activation of alteration processes to create optimal conditions for immediate dental implant placement. Materials and methods. A prospective comparative study was conducted, including 60 patients requiring surgical extraction of teeth in the mandible. Patients were randomly divided into two groups: a study group (n = 30), in which extractions were performed using the proprietary technique with the activation of alteration processes, and a comparison group (n = 30), in which a classical extraction technique using forceps and elevators was used. To evaluate the effectiveness of the techniques, a visual analog scale (VAS) was used to assess pain, measure surgical time, assess bone volume immediately after extraction and at 3 months, record intra- and postoperative complications, and assess quality of life using the OHIP-14 questionnaire. Statistical data processing was performed using the SPSS 23.0 software package. Results. The study demonstrated statistically significant advantages of the proprietary atraumatic tooth extraction technique compared to the classical approach. The main advantage of the developed technique lies in the targeted activation of natural biological processes—alteration and subsequent reparation. With atraumatic tooth extraction, we noted a significant reduction in surgical time and blood loss, a significant reduction in the complications, and improvements in quality of life indicators according to the OHIP-14 questionnaire. In the main group, which underwent atraumatic extraction, implants were placed in 28 patients, while in the comparison group, which underwent conventional extraction, implants could be placed in only 20 patients. The results confirm not only the clinical but also the psychological effectiveness of the proprietary method, which aligns with modern understanding of the quality of medical care and serves as a preventative measure for the development of adverse intra- and postoperative events.