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Elimination of soft tissue deficiency of the alveolar ridge in the experiment

https://doi.org/10.52581/1814-1471/85/04

Abstract

To date, dental implantation is the most common routine way to restore the continuity of dentition. Additional bone augmentation surgery is required in 50-80% of patients. In order to improve the results and reduce the risks of osseointegration, denudation and rejection of bone autografts, various ways of correcting the deficiency of soft tissues of the alveolar ridge are proposed, which include the use of free soft-woven autografts, the low efficiency of which is due to a high shrinkage coefficient.

The purpose of the study: to test an experimental model of a vascularized muco-periosteal flap to eliminate the volume deficit of the soft tissues of the alveolar ridge.

Material and methods. On the basis of the vivarium of the Stavropol State Agrarian University (StSAU), 15 biological mannequins (heads of female dwarf pigs) were subjected to a pilot experimental study. The study was conducted in accordance with the decision of the local Ethics Committee of the StSAU, as well as the provision of the World Convention on the Protection of Animals and the Procedure for the Treatment of Experimental Animals adopted by the Helsinki Council in 2002.

Results. In the course of the study, the technical stages of the tested intervention were clarified, the metric parameters of the elimination of defects of the alveolar ridge were determined.

Conclusion. The results obtained will make it possible to eliminate extended soft tissue defects of the alveolar ridge by increasing the possibility of tissue sampling in the donor bed in a volume not less than 3 times greater than the intake of free palatine flaps.

About the Authors

Kh. M. Magomedova
Dagestan State Medical University
Russian Federation

Khadizhat M. Magomedova - Assistant, the Department of Surgical Dentistry and Maxillofacial Surgery, Dagestan State Medical University.

1, Lyakhov st., Makhachkala, Republic of Dagestan, 367000



V. A. Sletova
Stavropol State Medical University
Russian Federation

Valeriya A. Sletova - Assistant, the Department of Dentistry, Stavropol State Medical University.

310, Mira st., Stavropol, 355017



I. V. Gabbasova
Stavropol State Medical University
Russian Federation

Irina V. Gabbasova - Lecturer, the Department of Surgical Dentistry and Maxillofacial Surgery, Stavropol State Medical University.

310, Mira st., Stavropol, 355017



E. M. Uzdenov
North Caucasus State Academy
Russian Federation

Eldar M. Uzdenov - head of the Center for Promoting the Health of Students, Pupils, North Caucasian State Academy.

36, Stavropolskaya st., Cherkessk, Karachay-Cherkess Republic, 369001



K. S. Gandylyan
Stavropol State Medical University
Russian Federation

Kristina S. Gandylyan - Cand. Med. sci., Associate Professor, head of the Department of Surgical Dentistry and Maxillofacial Surgery, Stavropol State Medical University.

310, Mira st., Stavropol, 355017



S. V. Sirak
Stavropol State Medical University
Russian Federation

Sergey V. Sirak - Dr. Med. sci., Professor, head of the Department of Dentistry, Stavropol State Medical University.

310, Mira st., Stavropol, 355017



A. A. Sletov
Stavropol State Medical University
Russian Federation

Alexander A. Sletov - Dr. Med. sci., Associate Professor, Professor, the Department of Surgical Dentistry and Maxillofacial Surgery, Stavropol State Medical University.

310, Mira st., Stavropol, 355017



References

1. Burukhina O.I., Teterina G.V., Raykher T.Ye., Lyubova O.Yu. Faktory riska pri planirovanii dental'noy implantatsii [Risk factors in planning dental implantation]. Byulleten Severnogo gosudarstvennogo meditsinskogo universiteta - Bulletin of the Northern State Medical University. 2012;1(28):76-77 (In Russ.).

2. Daga D., Mehrotra D., Mohammad S., Singh G., Natu S.M. Tentpole technique for bone regeneration in vertically deficient alveolar ridges: A review. J Oral Biol Craniofac Res. 2015 May-Aug;5(2):92-97. doi: 10.1016/j.jobcr.2015.03.001. Epub 2015 Apr 3. PMID: 26258021; PMCID: PMC4523592.

3. Garaev Z.I., Javadov R.A., Nasirova Kh.B. Snizheniye riska razvitiya oslozhneniy dental'noy implantacii [Reducing the risk of complications of dental implantation]. Sovremennaya stomatologiya - Modern Dentistry. 2014. No. 2 (59) (in Russ.). URL: https://cyberleninka.ru/article/n/reduction-riska-razvitiya-oslozhneniy-dentalnoy-implantatsii (accessed: 06/29/2022).

4. Vintaev V.V., Loktionova M.V., Gabbasova I.V. et al. Odnomomentnaya kostnaya i myagkotkanaya augmentatsiya modifitsirovannym vaskulyarizirovannym slizisto-nadkostnichnym loskutom [Simultaneous bone and soft tissue augmentation with a modified vascularized mucoperiosteal flap]. Glavnyy vrach Yuga Rossii - Chief Physician of the South of Russia. 2022;3(84):37-39 (In Russ.).

5. S.V. Sirak, T.L. Kobylkina, V.N. Lenev et al. Diagnostika i lecheniye khirurgicheskikh oslozhneniy dental'noy implantatsii: kliniko-rentgenologicheskiye osobennosti [Diagnosis and treatment of surgical complications of dental implantation: clinical and radiological features]. Stavropol, Stavropol State Medical University. 2020:60 p. (In Russ.). ISBN 978-5-89822-672-5

6. Sletov A.A., Mikhalchenko D.V., Zhidovinov A.V. et al. Sposob formirovaniya slizisto-nadkostnichnogo nebnogo loskuta [Method for forming a mucoperiosteal palatine flap]. Patent No. 2743838 C1 Russian Federation, IPC A61B 17/00; applicant Volgograd State Medical University of the Ministry of Health of the Russian Federation. No. 2020113748; Appl. 04.03.2020; publ. 26.02.2021 (in Russ.).

7. Lysov A.D., Lysova M.D. Sposob dental'noy implantatsii odnomomentno s plastikoy myagkikh tkaney [Simultaneous method of dental implantation with soft tissue plasty]. Patent No. 2546104 C2 Russian Federation, IPC A61C 8/00, A61B 17/24; applicant Reaviz Medical Institute. No. 2014109733/14; Appl. 03.13.2014; publ. 04.10.2015 (in Russ.).

8. Selsky N.Ye., Trokhalin A.V., Zarudiy R.F. Sposob rekonstrukcii nizhney chelyusti allogennym transplantatom s od-nomomentnoy dental'noy implantatsiyey (varianty) [A method for reconstructing the lower jaw with an allogeneic graft with one-stage dental implantation (options)]. Patent No. 2595087 C1 Russian Federation, IPC A61B 17/24. No. 2015138290/14; Appl. 09.08.2015; publ. 08.20.2016 (in Russ.).

9. Brailovskaya T.V., Vedyaeva A.P., Kalinin R.V. et al. Uvelicheniye shiriny keratinizirovannoy prikreplennoy desny u patsiyentov pri provedenii dental'noy implantacii [Augmentation the width of a keratinized attached gingiva in patients with dental implantation]. Sechenovskiy vestnik - The Sechenov Medical Journal. 2018;4(34):5-15 (In Russ.). DOI 10.26442/22187332.2018.4.5-15

10. Gileva K.S., Verbo Ye.V., Butsan S.B. et al. Ustraneniye skvoznykh defektov neba i al'veolyarnogo otrostka verkhney chelyusti shchechnym slizisto-myshechnym loskutom na litsevoy arterii [Elimination of through defects of the palate and alveolar process of the upper jaw with a buccal muco-muscular flap on the facial artery]. Plasticheskaya khirurgiya i esteticheskaya meditsina - Plastic Surgery and Aesthetic Medicine. 2019;3:29-37 (In Russ.). DOI 10.17116/plast.hirurgia201903129

11. Ragimov Ch.R., Akhundov A.A., Farzaliev I.M. et al. Rekonstruktsiya polnosloynyh defektov shchechnoy oblasti, voznikshih posle udaleniya opukholey, s primeneniyem modifitsirovannoy metodiki vzyatiya submental'nogo loskuta [Reconstruction of full-thickness chick defects formed after tumor removal using a modified technique for submental flap dissection]. Opukholi golovy i shei - Head and Neck Tumors. 2018;8(2):27-33 (In Russ.). DOI 10.17650/2222-1468-2018-8-2-27-33


Review

For citations:


Magomedova Kh.M., Sletova V.A., Gabbasova I.V., Uzdenov E.M., Gandylyan K.S., Sirak S.V., Sletov A.A. Elimination of soft tissue deficiency of the alveolar ridge in the experiment. Issues of Reconstructive and Plastic Surgery. 2023;26(2):35-42. (In Russ.) https://doi.org/10.52581/1814-1471/85/04

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ISSN 1814-1471 (Print)