In recent years, the success of long-term dental implants has remained problematic, especially because of the increasing rate of mineral balance changes in patients with partial loss of teeth, regardless of their age, race and sex. This article describes the experience of 6 years of treatment with dental implants in a patient with secondary loss of tooth and mineral imbalance (osteopenia) due to vitamin D deficiency, in collaboration with endocrinologist. Along with basic dental care, special medicine was prescribed for this pathology. The bone system was monitored through regular blood tests, skeletal bone densitometry and X-ray of the maxillofacial region. This management plan allowed dental implants to be maintained in good condition for 7 years.

Oroantral fistula (OAF) often develops after extraction of posterior maxillary teeth and requires surgical closure. If it persists, OAF may result in maxillary sinusitis. This paper reports a case of an oroantral fistula, associated with chronic maxillary sinusitis. A 46-year-old female patient presented with a history of traumatic tooth extraction, which led to OAF formation. Three unsuccessful attempts were made to close it elsewhere. With one operation, we performed Caldwell-Luc surgery and closed OAF with a collagen membrane and plug and a buccal flap. The patient was assessed at 1-, 3-, 6-, and 12-month and 8-year follow-up visits, with no signs of maxillary sinusitis or OAF recurrence being found with the efficient amount of bone and opportunity for further dental rehabilitation like sinus lifting and dental implantation. We believe that this approach may be a viable option in similar cases.

The removal of the central incisor of the upper jaw is a challenging process, since the restoration of a single implant in the esthetic zone is of great responsibility. When tooth extraction with immediate implant placement is not possible, modern protocols imply the use of the socket preservation technique. This method of preserving socket properties significantly reduces changes that occur during the healing process of the postextracted area and along with soft tissue augmentation allows to achieve a satisfying aesthetic result. The aim of present case report is to assess capabilities of socket preservation concept and application of soft tissue augmentation in the anterior maxillary region. The treatment steps of a 35-year-old woman who needed to remove tooth 11 with further dental implant placement are described. The clinical case is of interest because after socket preservation and soft tissue augmentation, an acceptable aesthetic result was not reached. However, additional soft tissue augmentation made it possible to achieve the desired result, which was stable for 7 years.

Aim: Ankyloglossia is a congenital oral anomaly characterized by a short frenulum of tongue, which can cause nutritional, speech, and developmental problems. The limited movement of tongue may lead to the development of various anomalies of dentition. Thus, the purpose of this work is to compare the existing methods for surgical treatment of ankyloglossia that involve either laser technologies or scalpel. Methods: We analyzed literature sources about patients with the ankyloglossia treated with various surgical methods, such as the use of a scalpel, diode laser, CO2 laser, Er:YAG laser and Nd:YAG laser. Results: The results showed that lasers have multiple advantages over the scalpel: bloodless surgery, which provides good visualization of the surgery field; no need for suturing; the reduction of inflammation and pain in the postoperative period due to the bactericidal properties of the laser; minimal or no scar tissue; decreased surgery time. Conclusions: Thus, the laser technique is an alternative to conventional surgery, and, considering the upper mentioned benefits, it can be stated that the laser beam is more effective than a scalpel or scissors.

The current study analyzed Russian and foreign scientific evidence on oral mucosal regeneration published over the period between 2000 and 2020. The Central Scientific Medical Library, electronic Medical library (elibrary.ru), and the scientific database PubMed were searched for relevant experimental studies focusing on methods used to stimulate healing of excisional wounds in the palate. The aim of the review was to identify the most effective method of oral mucosal wound closure. The findings showed that the successful introduction of new methods for oral mucosal wound closure with reliable treatment outcomes was dependent on accurate experimental, laboratory, and histological substantiation of their effectiveness.