PMID: 9174890Apr 1, 1997Paper

The optimal vestibuloplasty in preprosthetic surgery of the mandible

Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
T Fröschl, A Kerscher

Abstract

Two studies (1981-1990 retrospective, and 1989-1993 prospective) were performed to determine the optimal methods in preprosthetic surgery. The first study deals with four different types of grafts (split-thickness skin, mucosal, mesh mucosal, palatal) in combination with vestibuloplasties and lowering of the floor of the mouth. The parameters, vestibular depth, mobility and resilience of the transplants were examined. Keratinized grafts (split-thickness skin and palatal) showed advantages. On the basis of a high rate of complications at the site of harvesting of palatal mucosa and the limited amount of palatal mucosa available for grafting, we prefer a split-thickness skin graft. A second prospective study to compare the Edlan- and Kazanjian-plasty showed the disadvantages of both methods. The Edlan-plasty, in combination with implants, showed a small amount of bone resorption; the Kazanjian-plasty showed a significant loss of attached mucosa. Both methods were therefore abandoned in our clinic. For cases with insufficient width of attached mucosa, we recommend a vestibuloplasty secondarily, with keratinized grafts. If there is a deep palatal vault and the need for a large amount of graft material, a split-thickness skin graft ...Continue Reading

References

Jun 1, 1987·International Journal of Oral and Maxillofacial Surgery·S Hillerup
Jul 1, 1972·Plastic and Reconstructive Surgery·M González-Ulloa
Mar 1, 1983·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·E Hjørting-HansenS Hillerup
Apr 1, 1982·International Journal of Oral Surgery·S Hillerup

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Citations

Oct 4, 2012·Journal of Periodontology·Christian M SchmittKarl A Schlegel
Oct 16, 2012·Journal of Surgical Technique and Case Report·Umut TuncelNaci Kostakoğlu
Oct 26, 2011·The British Journal of Oral & Maxillofacial Surgery·Chaitanya R KothariMeenakshi C Kothari
Feb 24, 2009·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Susanne Heberer, Katja Nelson
Nov 10, 2006·Clinical Oral Implants Research·Sebastian SauerbierRainer Schmelzeisen
Apr 25, 2006·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Jenny Hwai-Jen FongShou-Yen Kao
Nov 29, 2005·The British Journal of Oral & Maxillofacial Surgery·S G HakimP Sieg
Aug 12, 2009·Clinical Oral Implants Research·Daniel S ThomaRonald E Jung
Jan 18, 2007·Dental Traumatology : Official Publication of International Association for Dental Traumatology·Shou-Yen KaoTze-Cheung Yeung
Sep 11, 2003·The Journal of International Medical Research·M MetinA Alkan
Jan 1, 2009·Plastic and Reconstructive Surgery·Hugo St-HilaireEduardo D Rodriguez
Apr 22, 2005·Journal of Oral Rehabilitation·J D Raguse, H J Gath
Jan 23, 2020·Journal of the Korean Association of Oral and Maxillofacial Surgeons·Jeong-Kui Ku, Dae Ho Leem
Sep 11, 2003·Journal of Prosthodontics : Official Journal of the American College of Prosthodontists·Monish BholaEverett B Hancock

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