Хірургічна корекція порушень архітектоніки присінка рота з використанням мукозних трансплантатів

Abstract

The aim of the study. Improving the effectiveness of сomplex treatment of patients with maxillomandibular anomalies and disorders of the architectonics of the vestibule of the mouth through surgical and orthodontic treatment. Research methods. 30 people aged 9–12 years with maxillomandibular anomalies and disorders of the architectonics of the vestibule of the mouth were examined and treated. Patients of I group (15 people) underwent plastic surgery of the vestibule of the mouth by the classical method, and patients of II group (15 people) – the proposed correction of the architectonics of the vestibule of the mouth, where the wound heals with primary tension using palatine mucosal grafts. Scientific novelty. Clinical studies have shown that all patients (30) had changes in the architecture of the vestibule of the mouth, which appeared with low attachment of the frenulum of the lip on maxilla and high – on mandible; 86.6 % (26/30) of patients have connective tissue strands in the area of the canines and premolars. The results of cytomorphometric and rheographic studies indicated a deficiency of blood supply in these areas. We found that up to 12 years in children may increase the depth of the mouth. The results of clinical and laboratory examination showed the advantage of the proposed treatment plan and our developed surgical correction of disorders of the architectonics of the vestibule of the mouth, where the wound heals with primary tension. Long-term results indicate the formation of a normorthophic scar, the absence of recurrences and recessions of the gums in the area of projections of connective tissue strands, the normalization of clinical and laboratory parameters. The obtained data significantly differ from those in the group of patients where the surgical wound heals with secondary tension (p < 0.05). Conclusions. The formation of the depth of the mouth of the mouth occurs up to 12 years, which is why you need to follow the recommendations for time intervals when performing surgery in the area of the mouth of the mouth. Surgical correction of disorders of the architectonics of the vestibule of the mouth is an important and necessary stage of complex treatment of patients with maxillomandibular anomalies and disorders of the architectonics of the vestibule of the mouth, because only by eliminating the etiological factor we can achieve the desired therapeutic effect in the treatment of such patients. Key words: vestibule of the mouth, frenulum of the lips, connective tissue strands, mucosal transplants.