Abstract
The background and the basis of mouth preparation before any prosthodontic treatment should be thoroughly kept in mind. Complete denture rehabilitation enhanced by pre prosthetic mouth preparation can improve the prognosis and outcome of a successful prosthodontic service. Vestibuloplasty is one such type of surgical mouth preparation that improves stability and retention of a denture. We present a case of an elderly female patient who reported dissatisfaction with newly made previous dentures. The main source of dissatisfaction being poor stability and retention. Intra oral examination showed severely resorbed mandibular residual alveolar ridge. A secondary epithelialization vestibuloplasty procedure using the Kazanjans technique with the help of a guided surgical splint was performed as part of preprosthetic surgical preparation. With an increase of more than five millimeter in ridge height, the patient compliance was substantially improved to new dentures.
Keywords: vestibule, epithelialization, bone graft, preprosthetic surgery, mouth preparation.
References
[1] Greenstein G, Cavallaro J, Romanos G, Tarnow D. Clinical recommendations for avoiding and managing surgical complications associated with implant dentistry: A review. J Periodontol. 2008;79:1317-29.
[2] Atanasov D. . Oral surgery. Tafprint,Plovdiv, 2011: 255-259.
[3] Chang HS, Hsieh YD, Hsu ML. Long-term survival rate of implant supported overdentures with various attachment systems: A 20-year retrospective study. J Dent Scien 2015; 10:55–60.
[4] Konstantinova D, Djongova E, Arnautska H, Georgiev T, Peev S, Dimova M. Presentation of a modified method of vestibuloplasty with an early prosthetic loading. J of IMAB. 2015;21:964-968.
[5] Sikkerimath BC, Dandagi S, Gudi SS, Jayapalan D. Comparison of vestibular sulcus depth in vestibuloplasty using standard Clark’s technique with and without amnion as graft material. Ann Maxillofac Surg 2012;2:30-5.
[6] Kazanjian VH. Surgery as an Aid to More Efficient Service with Prosthetic Dentures. J Am Dent Assoc 1935; 22: 566-581.
[7] Clark HB Jr. Deepening of labial sulcus by mucosal flap advancement. J Oral Surg. (Chic) 1953;11:165-8.
[8] Kethley JL Jr, Gamble JW. The lipswitch: a modification of Kazanjian’s labial vestibuloplasty. J Oral Surg 1978;36: 701-5.
[9] Edlan, A, Mejchar B. Plastic surgery of the vestibulum in periodontal therapy. Int Dent J 1963: 13: 593-596.
[10] Kazanjian, V. H.: Surgical Operations as Related to Satisfactory Dentures, D. Cosmos 1924; 66: 387
[11] Altkorn D, Vokes T: Treatment of postmenopausal osteoporosis. JAMA 2001; 285:1415.
Corresponding Author
Khurshid A Mattoo
Assistant Professor, Department of Prosthodontics, College of dentistry, JU
DOI: https://dx.doi.org/10.18535/jmscr/v8i4.62
