INCREASING GUM THICKNESS IN THE AREA OF PLANNED IMPLANTS BY CHANGING GUM BIOTYPE

Anastasiya Chekanova; Natan Sel'skiy; Lyalya Musina; Margarita E. Shimova

doi:10.18481/2077-7566-2024-20-3-124-132

VAK Russia 3.1.7 UDC 616.31

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INCREASING GUM THICKNESS IN THE AREA OF PLANNED IMPLANTS BY CHANGING GUM BIOTYPE

Published in Actual problems in dentistry · Volume 20, Issue 3 · Pages 124–132 · Rubric: SURGICAL DENTISTRY AND IMPLANTOLOGY

DOI: https://doi.org/10.18481/2077-7566-2024-20-3-124-132

Received: 16.10.2024 Accepted: 31.10.2024 Published: 31.10.2024 Language of publication: RUS

Authors

Anastasiya Chekanova

Natan Sel'skiy

Lyalya Musina

Margarita E. Shimova

Anastasiya Chekanova

Academic degree: candidate of medical sciences

Ural State Medical University Assistant of the department · Department of Surgical Dentistry, Otorhinolaryngology and Maxillary Surgery · Russian Federation · Yekaterinburg

Natan Sel'skiy

Academic degree: doctor of medical sciences

Bashkirskiy gosudarstvennyy medicinskiy universitet professor kafedry ortopedicheskoy stomatologii i chelyustno-licevoy hirurgii s kursami IDPO · Russian Federation · Уфа

Lyalya Musina

Academic degree: doctor of sciences in biology

Bashkir State Medical University, All-Russian Central Clinical Hospital Leading Researcher · Department of Morphology · Russian Federation · Ufa

Margarita E. Shimova

Academic degree: candidate of medical sciences

Ural State Medical University Docent of Department · Department of Surgical Dentistry, Otorhinolaryngology and Facial Surgery · Ekaterinburg

ABSTRACT

The initial deficiency or complete absence of attached keratinized gum in the area of the above-mentioned implants are features of the use of dental implantation. The most common way to increase gum thickness is through the use of connective tissue grafts. A gingival autograft from the palatal surface of the upper jaw is transferred to a specially prepared recipient site of the alveolar process, which needs to increase the thickness of the attached gum. Since the increase in gingival thickness is the result of plastic surgery, the original biological phenotype of the gingiva does not change. This article describes a technique for increasing the thickness of the gums by changing the initial biological phenotype of the gums through the use of an allogeneic graft as a connective tissue graft: a fascial limiter for directed tissue regeneration “Alloplant”. Materials and methods. Clinical studies were performed on volunteers with a thin gum phenotype in the area of the planned dental implant: dental implantation was performed using soft tissue autografts from the mucous membrane of the patient's upper palate; Dental implantation was performed using the Alloplant fascial limiter for directed tissue regeneration. The thickness of the gums was determined by morphological examination of tissues. Results. The thickness of the gum tissue of operated patients using the Alloplant fascial limiter for directed tissue regeneration in the implant projection was more than 1.5 mm with an increase in gum thickness to 2.3 mm. The gum phenotype changed to thick, which was confirmed by the results of morphological studies. Conclusion. Allograft fascial limiter for directed tissue regeneration “Alloplant”, when used as a connective tissue graft, in accordance with the method described in this article, forms the phenotype of “thick” gums (thickness more than 1.5 mm) in the projection of dental implant platforms (thickness more than 1.5 mm), which allows predictable perform restoration on implants.

KEYWORDS

biotype leads to treatment, implant, attached gum, alloplant, keratinized gum

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GOST

Chekanova A. A., Sel'skiy N. E., Musina L. A., Shimova M. E. INCREASING GUM THICKNESS IN THE AREA OF PLANNED IMPLANTS BY CHANGING GUM BIOTYPE // Actual problems in dentistry. 2024. no. 3. pp. 124-132. DOI: https://doi.org/10.18481/2077-7566-2024-20-3-124-132. (Date of access 23.10.2026).

MLA

Anastasiya Chekanova, Sel'skiy N. E., Musina L. A., Shimova M. E.. "INCREASING GUM THICKNESS IN THE AREA OF PLANNED IMPLANTS BY CHANGING GUM BIOTYPE." Actual problems in dentistry 20.3 (2024): 124-132. DOI: https://doi.org/10.18481/2077-7566-2024-20-3-124-132.

APA

Chekanova A. A., Sel'skiy N. E., Musina L. A., Shimova M. E. (2024). INCREASING GUM THICKNESS IN THE AREA OF PLANNED IMPLANTS BY CHANGING GUM BIOTYPE. Actual problems in dentistry, 20(3), 124-132. https://doi.org/10.18481/2077-7566-2024-20-3-124-132

Chicago

Anastasiya Chekanova, Sel'skiy N. E., Musina L. A., Shimova M. E.. "INCREASING GUM THICKNESS IN THE AREA OF PLANNED IMPLANTS BY CHANGING GUM BIOTYPE." Actual problems in dentistry 20, no. 3 (2024): 124-132. https://doi.org/10.18481/2077-7566-2024-20-3-124-132.

WIKI

{{cite journal | author = Chekanova A. A., Sel'skiy N. E., Musina L. A., Shimova M. E. | title = INCREASING GUM THICKNESS IN THE AREA OF PLANNED IMPLANTS BY CHANGING GUM BIOTYPE | journal = Actual problems in dentistry | year = 2024 | volume = 20 | issue = 3 | pages = 124-132 | doi = 10.18481/2077-7566-2024-20-3-124-132 }}

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