from 01.01.2013 until now
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
student
Moscow, Moscow, Russian Federation
UDK 616.31 Стоматология. Заболевания ротовой полости и зубов
Introduction. Dental implantation often requires additional surgical interventions in order to create optimal bone parameters. The peculiarity of such manipulations is the excessive mobilization of the muco-periosteal flap and the incision of the periosteum fibers, which leads to its scarring and thinning of the mucous membrane with the formation of a deficiency of the attached keratinized gum. Objective: to increase the effectiveness of surgical treatment of patients with a deficiency of the attached keratinized gum and a small vestibule of the oral cavity using laser technologies. Materials and methods. A patient with a deficiency of the attached keratinized gum in the area of dental implants in the positions of teeth 3.6, 3.7 and with a small vestibule of the oral cavity, who is shown a vestibuloplasty operation using a free connective tissue autograft. The graft was taken from the sky using a diode laser. Results and discussion. As a result of the surgical intervention, the increase in the area of the attached keratinized gum was 5.4 mm in the implant area 36, 4.4 mm in the implant area 37. The use of laser technologies during vestibuloplasty has a number of advantages: shorter surgery time, good hemostasis, high visualization of the surgical field, unexpressed pain syndrome and collateral edema in the recipient and donor areas, shorter rehabilitation period. The postoperative area of the donor zone of the hard palate when using a diode laser on the 20th day looks similar to that after surgery performed with a scalpel on the 45th day. Creating a “laser bandage" on the palate causes less discomfort to patients when chewing and articulating. Conclusions. The use of a diode laser increases the effectiveness of surgical treatment of patients with a small vestibule of the mouth and a deficiency of the attached keratinized gum at all stages of the operation and contributes to a more favorable course of the rehabilitation period.
deficiency of attached keratinized gum, laser vestibuloplasty, gum management in the field of implants, diode laser, dentistry
1. Ashurko I.P., Tarasenko S.V., Esayan A.V., Galyas A.I., Kustova Yu.I. Sravnitel'nyy gistomorfometricheskiy analiz myagkih tkaney, sformirovavshihsya v oblasti dental'nyh implantatov posle peresadki soedinitel'notkannogo transplantata i kollagenovogo matriksa. Rossiyskaya stomatologiya. 2022;15(2):22-30. [Ashurko I.P., Tarasenko S.V., Esayan A.V., Galyas A.I., Kustova J.I. Comparative histomorphometric analysis of peri-implant soft tissue formed after the augmentation with connective tissue graft and collagen matrix. Russian journal of stomatology. 2022;15(2):22 30. (In Russ.)]. https://doi.org/10.17116/rosstomat20221502122
2. Luk'yanenko A.A., Gocenko S.M., Kazanceva N.N. Vestibuloplastika s ispol'zovaniem svobodnogo transplantata s neba. Sovremennye problemy nauki i obrazovaniya. 2012;(1). [Lukyanenko A.A., Gotsenko S.M., Kazantseva N.N. Vestibuloplasty with the use of palatal free graft. Modern problems of science and education. 2012;(1). (In Russ.)]. https://science-education.ru/ru/article/view?id=5501
3. Morozova E.A., Tarasenko S.V., Zhuravleva A.N., Filimonova L.B., Stekol'schikova E.V. Klinicheskoe primenenie izlucheniya diodnogo lazera dlya hirurgicheskogo lecheniya pacientov so stomatologicheskimi zabolevaniyami. Rossiyskiy mediko-biologicheskiy vestnik imeni akademika I.P. Pavlova. 2018;26(2):268-279. [Morozova E.A., Tarasenko S.V., Zhuravlev A.N., Filimonova L.B., Stekolschikova Y.V. Clinical application of diode laser radiation for surgical treatment of patients with dental diseases. I. P. Pavlov Russian Medical Biological Herald. 2018;26(2):268-279. (In Russ.)]. https://doi.org/10.23888/PAVLOVJ2018262268-279
4. Svitich O.A., Poddubikov A.V., Timashev P.S., D'yachkova E.Yu., Gostev M.S., Vartanova N.O. Sravnitel'nyy analiz rosta uslovno-patogennyh mikroorganizmov polosti rta na poverhnosti kollagenovyh membran: eksperimental'noe issledovanie. Parodontologiya. 2023;28(4):337-346. [Svitich O.A., Poddubikov A.V., Timashev P.S., Dyachkova E.Yu., Gostev M.S., Vartanova N.O. Comparative analysis of the growth of conditionally pathogenic microorganisms of the oral cavity on the surface of collagen membranes: an experimental study. Periodontology. 2023;28(4):337-346. (In Russ.)]. https://www.elibrary.ru/item.asp?id=59499606
5. Ciciashvili, A. M., Panin A.M., Volosova E.V. Uspeshnost' lecheniya i vyzhivaemost' dental'nyh implantatov pri razlichnyh podhodah k lecheniyu pacientov s ispol'zovaniem dental'nyh implantatov v usloviyah ogranichennogo ob'ema kostnoy tkani. Rossiyskiy stomatologicheskiy zhurnal. 2020;24(1):32-38. [Tsitsiashvili A.M., Panin A.M., Volosova E.V. The success of treatment and survival of dental implants in different approaches to the treatment of patients using dental implants in conditions of limited bone volume. Russian journal of dentistry. 2020;24(1):32-38. (In Russ.)]. https://doi.org/10.18821/1728-2802-2020-24-1-32-38
6. Abou-Arraj R.V., Pizzini A., Nasseh P., Basma H.S. Soft Tissue Grafting Around Implants: Why, When, and How? Current Oral Health Reports. 2020;7:381-396. https://doi.org/10.1007/s40496-020-00291-1
7. Ameida F.X., Cotrim K.C., Kalil E.C., Bechara K., Dalla R., Rovai E.S., et al. Is there an effective way to control pain perception after free gingival graft removal? A systematic review and meta-analysis. Brazilian dental journal. 2023;34(6):10-29. https://doi.org/10.1590/0103-6440202305503
8. Blanco J., Carral C., Argibay O., Liñares A. Implant placement in fresh extraction sockets. Periodontology 2000. 2019;79(1):151-167. https://doi.org/10.1111/prd.12253
9. Del Fabbro M., Tommasato G., Pesce P., Ravidà A., Khijmatgar S., Sculean A., et al. Sealing materials for post-extraction site: a systematic review and network meta-analysis. Clinical Oral Investigations. 2022;26(2):1137-1154. https://doi.org/10.1007/s00784-021-04262-3
10. Fekrazad R., Chiniforush N., Kalhori K. All done procedure by laser in free gingival graft treatment: A case series study. Journal of cosmetic and laser therapy. 2019;21(1):4-10. https://doi.org/10.1080/14764172.2017.1418518
11. Jiang H., Liu L., Dong Y., Yu M., Yuan Y., Tian L. Study on short-term clinical observation of the effect of apically repositioned flap combined with free gingival graft to widen keratinized tissue in implant area. African health sciences. 2023;23(2):346-352. https://doi.org/10.4314/ahs.v23i2.38
12. Ozan O., Orhan K., Aksoy S., Icen M., Bilecenoglu B., Sakul, B.U. The Effect of Removable Partial Dentures on Alveolar Bone Resorption: A Retrospective Study with Cone-Beam Computed Tomography. Journal of Prosthodontics. 2013;22(1):42-48. https://doi.org/10.1111/j.1532-849X.2012.00877.x
13. 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. Journal of periodontology. 2021;92(1):21-44. https://doi.org/10.1002/JPER.19-0716
