Yekaterinburg, Ekaterinburg, Russian Federation
Ufa, Russian Federation
UDK 616.31 Стоматология. Заболевания ротовой полости и зубов
The problem of eliminating gum recession and replenishing the volume of lost bone tissue of the alveolar process in the area of gum recession is quite relevant, since these destructive processes are interrelated. The problem is aggravated by the presence of recessions of the gums of class IV according to Miller The article shows a solution to the problem of simultaneous elimination of gum recession of class IV according to Miller and replenishment of the volume of lost bone tissue of the alveolar process in the area of gum recession. In the described article, for dental prosthetics, the possibility of simultaneous surgical elimination of gum recession of class IV according to Miller and replenishment of the volume of lost bone tissue of the alveolar process in the area of gum recession is proved. . Involved in the operation, a tooth or a group of adjacent teeth with recession, gums of class IV according to Miller, are preliminarily removed. From the vestibular side of the alveolar process, a full-layered muco-periosteal flap is formed to a level below the apical part of the roots of the removed teeth. To restore the bone tissue of the alveolar process, bone material is used, laid on a resorbable membrane. The edges of adjacent areas of the gingival mucosa that are prone to recession are stitched together on the folded muco-periosteal flap of the alveolar process. To regenerate the soft tissues of the gum, a resorbed membrane "Mucograft" is sewn to the stitched edges of the mucous membrane of the gum from the inside. The mobilized folded muco-periosteal flap of the alveolar process is stretched over a membrane with bone material and stitched with non-absorbable threads without tension with the muco-periosteal flap of the palatine side. Six months later, the bone of the alveolar process was formed in the reconstruction area. Computer planning was performed for the installation of implants of removed teeth 1.1 and 1.3, a template was made and implants for teeth 1.1 and 1.3 were installed.
mucosal biotype, implant, attached gingiva, gingival recession, keratinized gingiva
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