employee
Saint Petersburg, St. Petersburg, Russian Federation
employee
LLC Dental Store Romashka (Clinical Consultant)
employee
Saint Petersburg, St. Petersburg, Russian Federation
employee
Saint Petersburg, St. Petersburg, Russian Federation
employee
LLC "Clinic "Classic" (General Director)
employee
Saint Petersburg, St. Petersburg, Russian Federation
Samara, Samara, Russian Federation
employee
Dental Clinic Dental Antistress (General Director)
employee
Samara, Samara, Russian Federation
student from 01.01.2020 to 01.01.2024
Samara, Samara, Russian Federation
graduate student
Samara, Samara, Russian Federation
VAC 3.1 Клиническая медицина
VAC 3.1.7 Стоматология
UDK 616.31 Стоматология. Заболевания ротовой полости и зубов
GRNTI 76.29 Клиническая медицина
Relevance. The attached gum is a part of the periodontal tissue complex, attached tightly to the periosteum by connective tissue fibers. It protects the tooth or implant from mechanical injury of any etiology. Its absence or lack negatively affects the safety of teeth and, especially, implants. Due to the widespread development of implantological treatment, the prevalence of problems in the peri-implant area is very high. The basis for the treatment of peri-implantitis and its prevention is the creation of an optimal volume (width) of the attached gum. Due to the large number of different personal parameters and individual indicators that are important in assessing the status of a patient with peri-implant pathology in different clinical cases, treatment methods cannot be systematized at present. Today, the approach to the choice of strategy, tactics and specific methods of treatment of peri-implant pathologies is highly personalized. The aim of the study is to develop an algorithm for the application of periodontal tissue management methods for the surgical treatment of patients with peri-implant pathology. Materials and methods. The study presents and analyzes in detail a clinical case of augmentation of the attached gum in the area of implants by tunnel technique using an autograft. Results. The volume of the attached gum in the area of all operated implants, as well as in the area of adjacent teeth adequate to the required volume of peri-implant tissues, was obtained, the result was evaluated by measurable and visualized indicators. Conclusion. The tunnel technique using a free gingival deepithelized autograft allows you to create the necessary volume of attached gums in the peri-implant area, to form high quality soft tissues of the gum; it is the method of first choice due to low invasiveness, and fully meets the requirements of a personalized approach.
free gingival deepithelized graft, tunnel method of gum augmentation, attached gum, peri-implantitis, Fitodent
1. Tavelli L., Barootchi S., Avila-Ortiz G., Urban I.A., Giannobile W.V., Wang H.L. Peri-implant soft tissue phenotype modification and its impact on peri-implant health: A systematic review and network meta-analysis // J Periodontol. – 2021;92(1):21-44. doi:https://doi.org/10.1002/JPER.19-0716.
2. Lysov A.D., Saadoun A.P. Periodontal, Functional, and Esthetic Integration of Peri-Implant Soft Tissue: WHS Concept // Journal of Oral Implantology. – 2022;48(1):1-8. doi:https://doi.org/10.1563/aaid-joi-D-21-00103.
3. Park K.B., Park S.J., Dinu C., Engelschalk M., Kwon M., Linkevicius T., Cargallo-Albiol J., Han T. New suggestions of success criteria for dental implants: a comprehensive review&update // International Journal of Future Dentistry. – 2021;1(2):92-98. https://imegagen.com/download/17769/
4. Suárez-López del Amo F. et al. Influence of soft tissue thickness on periimplant marginal bone loss: A systematic review and meta-analysis // Journal of periodontology. – 2016;87(6):690-699. doi:https://doi.org/10.1902/jop.2016.150571.
5. Garaicoa-Pazmino C. et al. Impact of mucosal phenotype on marginal bone levels around tissue level implants: A prospective controlled trial // Journal of periodontology. – 2021;92(6):771-783. doi:https://doi.org/10.1002/JPER.20-0458.
6. Ivanov A.S. i dr. Strukturnaya harakteristika periimplantatnoy tkani pri dezintegracii implantata. Aktual'nye voprosy stomatologii. 2021:859-863. [A.S. Ivanov et al. Structural characteristics of peri-implant tissue during implant disintegration. Current issues in dentistry. 2021:859-863. (In Russ.)]. https://elibrary.ru/item.asp?id=45687365
7. Iminizhanova G., Melkumyan T., Dadamova A. Sovremennye podhody v diagnostike i lechenii periimplantitov. Zhurnal biomediciny i praktiki. 2023;1(4):28-35. [G. Iminizhanova, T. Melkumyan, A. Dadamova. Modern approaches to the diagnosis and treatment of peri-implantitis. Journal of Biomedicine and Practice. 2023;1(4):28-35. (In Russ.)]. https://inlibrary.uz/index.php/biomedicine/article/view/21733
8. Monje A., Blasi G. Significance of keratinized mucosa/gingiva on peri-implant and adjacent periodontal conditions in erratic maintenance compliers // J Periodontol. – 2019;90(5):445-453. doi:https://doi.org/10.1002/JPER.18-0471.
9. Souza A.B., Tormena M., Matarazzo F., Araujo M.G. The influence of periimplant keratinized mucosa on brushing discomfort and periimplant tissue health // Clin Oral Implants Res. – 2016;27:650-655. doi:https://doi.org/10.1111/clr.12703.
10. Shkreta M., Atanasovska-Stojanovska A., Dollaku B., Belazelkoska Z. Exploring the Gingival Recession Surgical Treatment Modalities: A Literature Review // Open Access Maced J Med Sci. – 2018;6(4):698-708. doi:https://doi.org/10.3889/oamjms.2018.185.
11. Rizaev Zh., Shodmonov A., Olimzhonov K. Periimplantity - rannie oslozhneniya pri dental'noy implantacii. Zhurnal biomediciny i praktiki. 2021;1(1):28-33. [Zh. Rizaev, A. Shodmanov, K. Olimzhonov. Peri-implantitis - early complications in dental implantation. Journal of Biomedicine and Practice. 2021;1(1):28-33. (In Russ.)]. file:///C:/Users/Olesia%20Nosova/Downloads/_+28.pdf
12. Ashurko I.P. i dr. Sravnitel'nyy analiz effektivnosti primeneniya razlichnyh metodov augmentacii myagkih tkaney v oblasti dental'nyh implantatov. Parodontologiya. 2023;28(3):286-295. [I.P. Ashurko. et al. Comparative analysis of the effectiveness of using various methods of soft tissue augmentation in the area of dental implants. Periodontology. 2023;28(3):286-295. (In Russ.)]. https://pdfs.semanticscholar.org/9f26/b29fae6adba6bc5cdfcd87df70974185a0d5.pdf
13. Lysov A.D., Bulanov S.I., Sofronov M.V. i dr. Sposob formirovaniya stabil'noy myagkotkannoy bufernoy zony vokrug postoyannyh individual'nyh abatmentov pri odnomomentnoy ustanovke dental'nyh implantatov v usloviyah tonkogo biotipa desny na nizhney chelyusti. Patent № 2680481 C1 Rossiyskaya Federaciya. MPK A61C 8/00. № 2018120827 : zayavl. 05.06.2018 : opubl. 21.02.2019. [A.D. Lysov, S.I. Bulanov, M.V. Sofronov et al. Method for forming a stable soft tissue buffer zone around permanent individual abutments during one-stage installation of dental implants in conditions of thin gingival biotype on the lower jaw. Patent No. 2680481 C1 Russian Federation. IPC A61C 8/00. No. 2018120827: declared 05.06.2018: published 21.02.2019. (In Russ.)]. https://elibrary.ru/item.asp?id=37357016
14. Durnovo E.A. i dr. Sravnitel'nyy analiz klinicheskoy effektivnosti razlichnyh metodov ustraneniya recessiy desny. Blizhayshie i otdalennye rezul'taty. Uspehi sovremennoy nauki i obrazovaniya. 2016;3(9):174-181. [E.A. Durnovo et al. Comparative analysis of clinical effectiveness of various methods of eliminating gingival recessions. Immediate and remote results. Advances in modern science and education. 2016;3(9):174-181. (In Russ.)]. https://elibrary.ru/item.asp?id=26744328
15. Kulakov A.A., Badalyan V.A., Parinov D.A. i dr. Sovremennye podhody uvelicheniya ob'ema myagkih tkaney v oblasti zubov i implantatov s ispol'zovaniem soedinitel'notkannyh autotransplantatov. Mezhdunarodnyy zhurnal prikladnyh i fundamental'nyh issledovaniy. 2020;2:69-73. [A.A. Kulakov, V.A. Badalyan, D.A. Parinov et al. Modern approaches to increasing the volume of soft tissues in the area of teeth and implants using connective tissue autografts. International Journal of Applied and Fundamental Research. 2020;2:69-73. (In Russ.)]. https://elibrary.ru/item.asp?id=42513813
16. Makarova N.I., Slukina M.S., Peskova A.V. Primenenie transplantatov dlya augmentacii myagkih tkaney v oblasti dental'nyh implantatov. Sovremennaya nauka: aktual'nye problemy teorii i praktiki. Seriya: Estestvennye i tehnicheskie nauki. 2023;4-2:189-194. [N.I. Makarova, M.S. Slukina, A.V. Peskova. Use of transplants for soft tissue augmentation in the area of dental implants. Modern science: current problems of theory and practice. Series: Natural and technical sciences. 2023;4-2:189-194. (In Russ.)]. https://elibrary.ru/item.asp?id=54287849
17. Sheikh Z., Hamdan N., Glogauer M. The New Classification Scheme for Periodontal Diseases and Conditions // Journal of the Ontario Dental Association. – 2019:30-34. https://www.researchgate.net/publication/332131841_Clinical_New_Disease_Classification_System_The_New_Classification_Scheme_for_Periodontal_Diseases_and_Conditions
18. Grudyanov A.I., Fomenko E.V. Klassifikaciya zabolevaniy parodonta i periimplantatnyh tkaney (Evro-Perio, 2018). Dostoinstva i nedostatki. Stomatologiya. 2021;100(2):189-194. [A.I. Grudyanov, E.V. Fomenko. Classification of periodontal diseases and peri-implant tissues (Euro-Perio, 2018). Advantages and disadvantages. Dentistry. 2021;100(2):189-194. (In Russ)]. https://doi.org/10.17116/stomat202110002176
19. Nosova M.A., Panculaya V.G., Sharov A.N., Mihaĭlova E.S., Rizaeva S.M., Privalova K.A., Postnikov M.A. Ocenka sravnitel'noĭ effektivnosti odnokratnoĭ ekspozicii gelevoĭ formy kombinirovannyh sostavov pri ustanovke formirovateleĭ desnevoĭ manzhety v implantat odnomomentno s mukogingival'noĭ plastikoĭ autotransplantatom. Klinicheskoe issledovanie. Rossiĭskiĭ vestnik dental'noĭ implantologii. 2023;4(62):39-52. [M.A. Nosova, V.G. Pantsulaya, A.N. Sharov, E.S. Mikhailova, S.M. Rizaeva, K.A. Privalova, M.A. Postnikov. Evaluation of the comparative effectiveness of a single exposure of the gel form of combined compositions during the installation of gingival cuff formers in an implant simultaneously with mucogingival grafting with an autograft. Clinical study. Russian Bulletin of Dental Implantology. 2023;4(62):39-52. (In Russ.)]. https://elibrary.ru/item.asp?id=68502304
20. Nosova M.A., Berezina D.D., Volova L.T., Sharov A.N., Trunin D.A., Postnikov M.A. Effektivnost' primeneniya allogennoĭ dura mater dlya preventivnogo hirurgicheskogo lecheniya obrazovaniya odinochnyh i mnozhestvennyh recessiĭ desny pered ortodonticheskim lecheniem nes'emnoĭ ortodonticheskoĭ tehnikoĭ: klinicheskoe issledovanie. Parodontologiya. 2021;26(4):317-326. [M.A. Nosova, D.D. Berezina, L.T. Volova, A.N. Sharov, D.A. Trunin, M.A. Postnikov. Efficiency of using allogeneic dura mater for preventive surgical treatment of single and multiple gingival recessions before orthodontic treatment with fixed orthodontic appliances: a clinical study. Periodontology. 2021;26(4):317-326. (In Russ.)]. https://doi.org/10.33925/1683-3759-2021-26-4-317-326.
