[NONSURGICAL RECONSTRUCTION METHOD INTERDENTALLY PAPILLAE IN THE RESTATION OF APROXIMAL CAVITIES AS ONE OF THE STAGES OF REHABILITATION OF PATIENTS WITH GENERALIZAD PERIODONTITIS].

Abstract

Reconstruction of missing papilla--the basis of modern concepts of objective treatment of dental diseases. Interproximal spaces are important anatomical structures, as are bulky in the mouth and repeated many times. Violation of relations between different structural elements increases the risk of inflammation in periodontitis. Patients with approximal caries posteriors and generalized periodontitis studied anthropometric parameters of the structures of the interdental spaces and their impact on the volume papilla before and after restoration, carried out with move a contact point to the apex. The results showed that the relationship between anthropometric data interdental had certain patterns in all groups surveyed. Important was a clear relationship between anthropometric indicators of basic elements of interdental spaces. In the absence of the interproximal papilla length (IPL) was on average 7.2 mm, the distance from the gingival margin to the proximal contact--3.9 mm and the horizontal distance between the roots at the enamel--cement border (HDR) reached 3.2 mm. Following the restoration with move a contact point to the apex to an average of 4.5 mm IPL, there was a significant increase in the interdental papillae. In the case of patients prior to treatment was determined by a thin biotype, the small width of attached gingival significant HDR--volume papilla week after restorations movement of the contact point to the root apex contact point is not increased. The results obtained require long-term studies for the possibility of forecasting the success of the restoration or preservation of the interdental papillae in the restoration of approximal cavities on the stages of rehabilitation of patients with generalized periodontitis.