Превентивна пластика порушень архітектоніки присінка рота

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. Research methods. 30 people aged 12–15 years with maxillomandibular anomalies and disorders of the architectonics of the vestibule of the mouth and 15 people of the comparison group. All patients had buccal frenulum plastic surgery using our proposed method. Patients of group I (15 people) were prescribed chlorhexidine-denta, patients of group II (15 people) were prescribed chlorhexidine-denta and a preparation based on hyaluronic acid in the postoperative period. Scientific novelty. Clinical studies have shown that all patients have anomalies of buccal frenum fixationin 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 vestibule of the mouth. The results of clinical and laboratory examination showed the advantage of the proposed treatment plan. 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 in the ІІ group significantly differ from those in the І group (p < 0.05). Conclusions. 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. We can achieve the desired therapeutic effect in the treatment of such patients and prevent relapses only by eliminating the etiological factor. The use of preparations based on hyaluronic acid in the postoperative period stimulates reparative processes in the operated area and contributes to the formation of a normotrophic scar. Plastics of buccal frenulums are prevention of abnormal position of premolars and gum recession in the area of canines and premolars. It is important for preventive dentistry. Key words: vestibule of the mouth, buccal frenum, hyaluronic acid, mucosal graft.