Vestibuloplasty - indications, different approaches, reviews

The success and confidence of a person largely depends on how well it looks. The general image includes a beautiful smile, neat, well-groomed appearance, pleasant speech.

But not everyone can boast of pleasant external data, even and white teeth. In these cases, many resort to dental services to change their appearance.

In modern medicine, there are many methods that allow changing the internal and external contours of the mouth. Among them, this type of surgical intervention is distinguished, such as vestibuloplasty, which is a correction of the oral cavity by performing a surgical operation.

This method refers to plastic types of surgical intervention. This method is used in those cases when a person has a small mouth of the mouth and some other indications.

With the use of vestibuloplasty, the tension of the gum decreases as a result of the intraoral muscles moving.

Indications and contraindications

Vestibuloplastiku oftenspend on the lower jaw. Apply this intervention if it is necessary to deepen and( or) widen the vestibule of the mouth, when its insignificant area can lead to various kinds of disorders and pathologies.

Indications for use are:

• prevention of gum recession;
• periodontitis of a chronic nature;
• in order to improve the effectiveness in the preparation for orthopedic treatment;
• implantation of dentures;
• logopedic disorders;
• in order to eliminate cosmetic defects.

These readings are considered the most common. However, according to the specialist's decision, vestibuloplasty can be performed in some other situations.

The operation is not allowed in such cases:

• in the patient is diagnosed with osteomyelitis;
• observed extensive caries of teeth;
• radiated irradiation of the head or neck area;
• in case of recurrence of any disease of the oral cavity;
• with existing blood pathologies and cerebral lesions;
• if malignant neoplasms are diagnosed.

If you have at least one of the above items, the body must be prepared in advance for surgery.

For example, when the pathological condition of the teeth they must be cured, after radiation therapy it is important to restore the body and the like. In the absence of such an opportunity, the specialist will propose an alternative solution.

Varieties of surgical intervention

Currently, several authors have proposed several effective methods for conducting vestibuloplasty, each of which has its own peculiarities.

By Clark

Vestibuloplasty by Clark is one of the easiest. It is carried out on a large area on the threshold of the mouth. It is also worth noting that more often this method is used to correct the upper jaw.

Course of intervention:

• , anesthesia is administered first to the patient;
• dissect the space between the mobile mucosa and the gum;
• with scissors exfoliates the mucous lips;
• tendons and muscles move deeper;
• single muscle fibers are removed;
• at the end of the mucosal flap is sewn to the periosteum.

The Edlan-Mejer method

Vestibuloplasty according to Edlan Meyher is considered more demanded, because it gives the best result. But, despite this, there are some drawbacks, the main one of which is the nakedness of the inner part of the lip.

This type of intervention is used when it is necessary to correct the lower jaw. The same manipulations are carried out as in Clark's method.

Glickman method

The feature of this method is its versatility. Its application is possible not only on a large site, but also locally. The dissection is at the place where the lip is attached. After that, exfoliate the soft tissue. A new free edge is sewn to the place of the indentation.

According to Schmidt

This kind of surgical intervention is different from the previous ones. In the course of it, there is no detachment of the periosteal tissue. The muscle is cut in parallel to its direction. The free edges of the new flap are advanced into the depths and fixed by sutures.

Tunnel method

This variant of vestibuloplasty is used to correct the lower or upper jaw. This method is the least traumatic in comparison with the rest.

Incisions are made along the bridle and in the horizontal direction towards the premolars. Due to this, wound defects significantly decrease, which contributes to their faster healing on the tenth day.

Laser treatment

Refers to innovative methods. The laser acts as a scalpel. It should be borne in mind that such a correction is even less traumatic.

There is a great opportunity to increase the area and expand the vestibule.

Vestibuloplasty, which is performed by laser, has several advantages:

• slight puffiness or its complete absence;
• accurate cut;
• no bleeding;
• decrease in the number of pathogenic microorganisms;
• reduction of microcirculation of vessel walls;
• fast recovery;
• minimum scars.

Whichever correction method is used, it is important to remember that a sparing mode is required for recovery.

Rehabilitation period

During the first two weeks after the surgical intervention, it is important to avoid excessive physical exertion. In addition, it is recommended to exclude from the diet any irritating food:

• acute;
• is saline;
• fried;
• solid products.

For the subsequent maintenance treatment, the doctor prescribes preparations of an antiseptic group. Their use is necessary for the treatment of wounds, which must be carried out daily.

Also in the rehabilitation period it is recommended to perform some simple exercises:

• massage with the fingers, which is performed from the outside;
• touching the tip of the tongue to the area of ​​the mouth of the mouth;
• lip puffing for two minutes, this exercise is done up to five times a day.

Possible complications of

The development of any severe consequences after this intervention is extremely rare. As a rule, only non-compliance with the prescribed postoperative regimen can provoke them. In some situations, purulent inflammation can occur. But these are only isolated cases, the percentage of which is less than 0.1 of the total number of operations.

Sometimes bleeding may occur or sensitivity may change at the site of the incision. Do not be afraid of this, because such phenomena after a while pass.

Through surgery to new life

Reviews of patients who underwent vestibuloplasty in one way or another.

The price of vestibuloplasty will depend on the method used. The price threshold varies around three to six thousand rubles. Laser method of carrying out the operation within 7-10 thousand rubles.