The possibilities of restoring bone defects are a current problem of dento-alveolar and cranio-maxillo-facial surgery.Modern technologies for virtual planning of surgeries are also found in the activity of specialists in our country.Thus, in recent years, a series of successful operations have been carried out, many articles have been published and scientific reports on the subject have been made.Already in its fourth year, doctoral student Stanislav Strîșca, under the leadership of university lecturer Dumitru Sîrbu, researches and implements new technologies for the treatment of various pathologies in the oro-maxillo-facial region and in other regions, due to interdisciplinary collaboration.
The experience gained from the rehabilitation of patients with cranial defects, treated by the contemporary method, was revealed in the recently published article “Syndrome of the trephined and custom made cranioplasty using virtual surgical planning.A series of 10 cases”in the“ Journal of Engineering Science ”(https://jes.utm.md/wp-content/uploads/sites/20/2020/05/JES-2020-2-pp_87-94.pdf) of the Technical University of Moldova (UTM), a positive result of such an interdisciplinary collaboration.
Cranio-maxillo-facial defects often involve close interdisciplinary collaboration between the neurosurgeon and the oro-maxillo-facial surgeon with the support of the TUM bioengineering department.
The need to operate with such methods has emerged as a requirement of modern times.
“This need arose from the disadvantage of routine defect reconstruction methods involving the use of malleable substituents, which can be configured intraoperatively, such as alloplastic materials, including polymethyl methacrylate (PMMA), hydroxyapatite and titanium wire mesh.These have a number of shortcomings (increased intraoperative time; adaptation of the material to the contour of the defect, which is difficult and imprecise, which often leads to unsightly results especially in patients with extensive or complex defects; direct contact of the PMMA implant with the dura mater, during exothermic reactions with the release of toxic monomers, affects adjacent tissues and can produce both local and systemic reactions) it was also rational to improve the usual methods.
The study on the doctoral thesis of doctoral student Stanislav Strîșca together with the experience gained in the technology of virtual surgical planning in patients with oro-maxillo-facial pathologies facilitated its implementation in other disciplines.Thus, the development of virtual surgical planning (VSP), computer aided design (CAD) and computer aided reproduction (CAM) systems offers the possibility of obtaining customized implants adapted to each defect.Also, CAD / CAM systems allow the design and manufacture of customized implants at an affordable cost and in a reasonable time ", said doctoral student Stanislav Strîșca.
The doctor in medical sciences, the associate professor, Dumitru Sîrbu, the scientific leader of the doctoral thesis of doctoral student Stanislav Strîșca also spoke about the technical-scientific progress of medicine."Innovations in technology have increased considerably in the daily work of dentists.Computed tomography, dental microscope, digital scanner and various modern information programs are just a few examples that are used daily.Due to the technical-scientific progress, our medicine, treatment methods, but also diagnostic methods are evolving.Today we have the possibility to recover the patients in a shorter time, with a higher precision and a higher safety ”, mentions the doctor Dumitru Sîrbu.
The doctoral student's research continues in the hope of obtaining remarkable results that will benefit both the patients, the Department of Oro-maxillofacial surgery and oral implantology "Arsenie Guțan", USMF, "Nicolae Testemitanu", and the prestige of our country.
About the scientific works of the doctoral student, oro-maxillo-facial surgeon, Stanislav Strîșca you can find out on the page of the Dental Clinic«Omni Dent».
Author: Dorina ARSENE
02.06.2020 23:57