METHOD OF SURGICAL TREATMENT OF THE GUM RECESSION

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to dentistry, and can be used in plastic and reconstructive surgery of periodontium. Perform a cut in the recession of the gums in the form of the V-letter in the marginal and alveolar zone of the gum without affecting the area of the gingival papilla. Incisions from the common point diverge towards the base of the papillae. Form a partially-split flap. Form a submucosal tunnel from the side of the gingival margin in the recession area, for which tunnel tissue is cleaved without dissection of the gingival papillae. In the area of the formed tunnel, a subepithelial connective tissue transplant is laid on the periosteum from the palate, fixing it to the periosteum with sutures. Perform the subperiosteal suture of V-shaped incision in the apical part to the middle of the length of the incision, and perform the epithelial suture of the remaining two parts of the incision, thereby performing the Y-shaped suturing of the wound. In the area of the gingival margin of the tooth, in the recession region of the gum, apically, a single horizontal mattress suture is applied. In the area of the vestibular surface of the tooth, a "composite suture" is formed.;EFFECT: method provides a reduction in the risk of recurrence of a recession of the gum, provided that the gingival geometry is maximally restored.;1 cl, 1 ex