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KMID : 0353320130370010049
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Oral Biology Research
2013 Volume.37 No. 1 p.49 ~ p.55
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Ridge augmentation by vasculized interpositional periosteal-connective tissue grafting: Cases report
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Yang Keon-Il
Han Jeong-Gyun
Cho Ah-Young
Yang Jin-Young
Yu Sang-Joun
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Abstract
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A total of three patients underwent vasculized interpositional periosteal-connective tissue grafting for alveolar ridge augmentation. All patients had a Seibert Class III alveolar defect in which the alveolar ridge was retracted horizontally and vertically in maxillary anterior area. Fixed prosthetics were planned in order to restore missing teeth. Scaling and root planing were completed 1 month before the ridge augmentation. For proper restoration of alveolar ridge, vasculized interpositional periosteal-connective tissue grafting with or without alloplast (synthetic bone) was performed, followed by primary closing of the surgical site and soft tissue augmentation. Stitches were taken out 2 weeks after surgery, and no complications were observed such as infection or inflammation. Alveolar ridge became vertically and horizontally thicker compared to before surgery, which made it possible to restore esthetic prosthetics. These cases show that it is possible to restore esthetic alveolar ridge for fixed prosthetics using vasculized interpositional periosteal-connective tissue grafting.
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KEYWORD
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Alveolar ridge defect, Connective tissue graft, Ridge augmentation, Soft tissue augmentation
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