FIELD: medicine; surgical dentistry; maxillofacial surgery.
SUBSTANCE: mucous membrane is incised along an alveolar crest, thus forming a lingual flap. After that, the formed lingual flap is tucked inside and fixed with the help of surgical sutures. Lingual flap is formed by exfoliation from the vestibular side of the mucous-submucosal flap, releasing the submucous-periosteal flap. Further, a submucous-periosteal flap is cut out from the vestibular side by separating the submucosal-periosteal flap from the alveolar process. Then cut out submucosal-periosteal flap is transferred to lingual side. At transition to the lingual side, the entire full-thickness complex of tissues, including the mucous-submucosal and submucosal-periosteal layers, is separated from the jaw bone. Further, the formed submucosal-periosteal flap is tucked inside and the free edges are bent to the border of the separated area. Then the detached mucous-submucosal flap is put into place, the flaps are closed.
EFFECT: method enables to safely and clinically effectively increase the volume of soft tissues of the lower jaw in the area of the installed lingual implants, providing the stability of the gingival contour, reliable functioning of implantation and orthopedic structures, higher stability of clinical result, reduced traumatization, and accelerated process of postoperative recovery.
7 cl, 3 ex
