THE VALUE OF THE VOLUME OF THE ATTACHED GUM IN THE PERI-IMPLANT AREA. CLINICAL CASE

Alexey Sharov; Maria Nosova; Ksenia Privalova; Ekaterina Mikhailova; Mihail Postnikov; Alexander Lysov; Valeriya Lysova; Anastasia Kiiko

doi:doi:10.18481/2077-7566-2024-20-3-78-85

VAK Russia 3 VAK Russia 3.1 VAK Russia 3.1.7 UDC 616.31 CSCSTI 76.29

THE VALUE OF THE VOLUME OF THE ATTACHED GUM IN THE PERI-IMPLANT AREA. CLINICAL CASE

Published в Actual problems in dentistry · Volume 20, Issue 3, 2024 · Pages 78–85 · Rubrics: PERIODONTIC DENTISTRY

DOI 10.18481/2077-7566-2024-20-3-78-85

Received: 21.08.2024 Accepted: 30.09.2024 Published: 31.10.2024

Authors

Alexey Sharov ¹ · Maria Nosova ² · Ksenia Privalova ³ · Ekaterina Mikhailova ⁴ iD · Mihail Postnikov ⁵ · Alexander Lysov ⁶ · Valeriya Lysova ⁷ · Anastasia Kiiko ⁸

1 LLC Dental Store Romashka (General Director)
Saint Petersburg, St. Petersburg, Russian Federation

2 City Polyclinic No. 40 (Dentist)
, LLC Dental Store Romashka (Clinical Consultant)
Saint Petersburg, St. Petersburg, Russian Federation

3 Pavlov First St. Petersburg State Medical University (Department of Surgical Dentistry, Clinical Resident)
Saint Petersburg, St. Petersburg, Russian Federation

4 St. Petersburg State University (Department of Therapeutic Dentistry, Associate Professor, performing medical work)
, LLC "Clinic "Classic" (General Director)
Saint Petersburg, St. Petersburg, Russian Federation

5 Samara State Medical University (Department of Therapeutic Dentistry, Associate Professor of Department)
Samara, Samara, Russian Federation

6 Reaviz Medical University (Therapeutic Dentistry Department, Associate Professor)
, Dental Clinic Dental Antistress (General Director)
Samara, Samara, Russian Federation

7 Samara State Medical University (Institute of Dentistry)
from 01.01.2020 to 01.01.2024 Samara, Samara, Russian Federation

8 Samara State Medical University (the Research Institute of Bionics and Personalized Medicine)
Samara, Samara, Russian Federation

ABSTRACT

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.

KEYWORDS

free gingival deepithelized graft tunnel method of gum augmentation attached gum peri-implantitis Fitodent

Information

Authors:

1. LLC Dental Store Romashka (General Director)

Saint Petersburg, St. Petersburg, Russian Federation

2. City Polyclinic No. 40 (Dentist)

LLC Dental Store Romashka (Clinical Consultant)

Saint Petersburg, St. Petersburg, Russian Federation

3. Pavlov First St. Petersburg State Medical University (Department of Surgical Dentistry, Clinical Resident)

Saint Petersburg, St. Petersburg, Russian Federation

4. St. Petersburg State University (Department of Therapeutic Dentistry, Associate Professor, performing medical work)

LLC "Clinic "Classic" (General Director)

Saint Petersburg, St. Petersburg, Russian Federation

5. Samara State Medical University (Department of Therapeutic Dentistry, Associate Professor of Department)

Samara, Samara, Russian Federation

6. Reaviz Medical University (Therapeutic Dentistry Department, Associate Professor)

Dental Clinic Dental Antistress (General Director)

Samara, Samara, Russian Federation

7. Samara State Medical University (Institute of Dentistry)
from 01.01.2020 to 01.01.2024
Samara, Samara, Russian Federation

8. Samara State Medical University (the Research Institute of Bionics and Personalized Medicine)

Samara, Samara, Russian Federation

Type:

Article

Pages:

from 78 to 85

Status:

Published

Subject area:

VAK Russia 3
VAK Russia 3.1
VAK Russia 3.1.7
UDC 616.31
CSCSTI 76.29

Language:

Russian

Keywords:

free gingival deepithelized graft, tunnel method of gum augmentation, attached gum, peri-implantitis, Fitodent

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THE VALUE OF THE VOLUME OF THE ATTACHED GUM IN THE PERI-IMPLANT AREA. CLINICAL CASE

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