METHOD FOR PERFORMING THE SECOND STAGE OF DENTAL IMPLANTATION AND SIMULTANEOUS ELIMINATION OF INSUFFICIENCY OF KERATINIZED ATTACHED GUM AROUND DENTAL IMPLANTS Russian patent published in 2021 - IPC A61B17/24 A61C8/00 

FIELD: medicine; surgical dentistry.

SUBSTANCE: in the area of intraosseous implants installed at the first stage with an insufficient area of the attached keratinized gum in the projection of plug screws, a horizontal incision is made, coronally retreating 5-6 mm from the border of the mucous-gingival junction from the palatine or tongue side. In this case, the incision is made to the bone. From edges of the horizontal incision, from the vestibular side, two relaxing vertical incisions are made. The second stage of dental implantation is performed. A temporary plug of an implant is replaced with a gum shaper. A split muco-periosteal flap together with the mobile mucosa is mobilized, and the apical movement is carried out, and the mobile mucosa is fixed at a new depth of the formed threshold with at least three resorbable U-shaped sutures. From edges of the horizontal incision, on the oral side, two vertical incisions are made to the periosteum with a length 2 mm exceeding the distance from the previously made horizontal incision to a tip of the crest of the alveolar process. Edges of vertical incisions are connected with the horizontal incision to the periosteum. The flap is mobilized. Along the edge of the oral flap facing the top of the crest of the alveolar process, arched cutouts are formed corresponding to the diameter of installed plugs. The formed split oral sliding flap is moved coronally towards installed gum shapers. Movable edges of flaps are sewn.

EFFECT: method makes it possible to increase the efficiency of the second stage of dental implantation and vestibuloplasty by creating conditions for the prevention of peri-implantitis.

1 cl, 6 dwg, 2 ex