Abstract
Today, there is a growing scientific interest in the condition of the soft tissues surrounding dental implants and their impact on the long-term prognosis of implant treatment. It is known that risk factors for the development of peri-implantitis include deficiency or complete absence of attached keratinized gum in the implant area. The paper provides a comparative literature analysis of various methods of mucogingival surgery in the field of dental implants. The paper presents a comparative literature analysis of various methods of mucogingival surgery in the field of dental implants. It is shown that information on the terms of use of dental implants and the conditions of their functioning is quite contradictory. Loss of implants occurs for a number of reasons, among which an important place is occupied by periimplantitis, progressive loss of bone tissue and attached gum in the periimplant zone. The risk of remote postoperative complications remains very high. Complications may be associated with the fact that in clinical practice the features of the histostructure of the gum in the adentia zone are not taken into account. It is concluded that soft tissue plastic surgery as one of the stages of surgical preparation after reconstructive interventions on the jaws is justified according to the literature. At the same time, the problem of creating a peri-implant “buffer” zone, despite significant advances in the development of new technologies for its formation, has not been finally resolved. Discussions continue about the role of attached keratinized gum around implants.
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