INCREASING GUM THICKNESS IN THE AREA OF PLANNED IMPLANTS BY CHANGING GUM BIOTYPE

The initial deficiency or complete absence of attached keratinized gum in the area of the above-mentioned implants are features of the use of dental implantation. The most common way to increase gum thickness is through the use of connective tissue grafts. A gingival autograft from the palatal surface of the upper jaw is transferred to a specially prepared recipient site of the alveolar process, which needs to increase the thickness of the attached gum. Since the increase in gingival thickness is the result of plastic surgery, the original biological phenotype of the gingiva does not change. This article describes a technique for increasing the thickness of the gums by changing the initial biological phenotype of the gums through the use of an allogeneic graft as a connective tissue graft: a fascial limiter for directed tissue regeneration “Alloplant”. Materials and methods. Clinical studies were performed on volunteers with a thin gum phenotype in the area of the planned dental implant: dental implantation was performed using soft tissue autografts from the mucous membrane of the patient's upper palate; Dental implantation was performed using the Alloplant fascial limiter for directed tissue regeneration. The thickness of the gums was determined by morphological examination of tissues. Results. The thickness of the gum tissue of operated patients using the Alloplant fascial limiter for directed tissue regeneration in the implant projection was more than 1.5 mm with an increase in gum thickness to 2.3 mm. The gum phenotype changed to thick, which was confirmed by the results of morphological studies. Conclusion. Allograft fascial limiter for directed tissue regeneration “Alloplant”, when used as a connective tissue graft, in accordance with the method described in this article, forms the phenotype of “thick” gums (thickness more than 1.5 mm) in the projection of dental implant platforms (thickness more than 1.5 mm), which allows predictable perform restoration on implants.