EXPERIENCE OF USING LASERS FOR VESTIBULOPLASTY IN PERY-IMPANT AREA

Abstract

In this article authors raised the problem of the formation of an attached gum zone in the implant area. The important factors in the long-term and stable outcome of dental implantation are the availability of sufficient bone volume, adequate oral hygiene and correct positioning of the implant. Current studies point at the role of periodontal soft tissues in achieving an aesthetic result as a result of implant treatment. Review of the literature about the statistics of mucositis and peri-implantitis, problems of the dental implantation planning, alternative points of view on the recipient tooth socket, trauma of the donor site, etc. point at the immediacy of the problem. The problem of the advantages and disadvantages of methods and materials for gingival plastics continue to be relevant. The article presents the experience of the formation of a protective soft tissue buffer zone around the implant as a result of laser vestibuloplasty. Dental lasers are successfully used for the reconstruction of soft tissues in preparation for orthopedic treatment, plastic surgery of the oral cavity vestibule and frenulum. Laser application as a surgical instrument allows to make an incision more precisely and to overview the surgical area. Operative technique does not differ from the vestibuloplasty for the periodontal diseases. As a result of using an erbium or diode laser, the necessary vestibule of the oral cavity is formed. Features of the epithelialization of the oral mucosa and fixation of the movable edge of the wound make it possible to increase the area of the immobile gum. The authors presented a photo protocol describing the clinical case. According to indications, the use of the laser radiation allows to achieve the necessary clinical result for the long-term clinical and aesthetic success of dental implantation.