Comparison of vestibular sulcus depth in vestibuloplasty using standard Clark′s technique with and without amnion as graft material

Abstract

Introduction:A number of materials are used as grafts in vestibuloplasty like mucosal and skin grafts with several advantages and disadvantages. To circumvent the disadvantages of these grafts, biological membranes such as amnion membranes are often recommended.Materials and Methods:The objective of this study was to clinically assess the vestibular sulcus depth in vestibuloplasty using Clark's technique with and without amnion as graft material. Twenty edentulous patients underwent mandibular labial vestibuloplasty using Clark's technique. Amnion was used as graft material in 10 patients (group I) and no grafts used in remaining 10 patients (group II). The vestibular depth was evaluated at time intervals of 1 week, 2 weeks, 1 month and 3 months, postoperatively.Results:Mean postoperative vestibular depth after 3 months in group I and II were 10.0 ± 3.13 mm and 7.8±0.63 mm, respectively. Mean of 2.2 ± 2.50 mm increase in depth was achieved after 3 months in Group I.Conclusion:Amnion graft is a viable and reliable option that promotes early healing and maintains postoperative vestibular depth.

Oral Crest Lengthening for Increasing Removable Denture Retention by Means of CO2Laser

“…Vestibular lengthening as a way of increasing the stability of the prosthesis was proposed to deepen the vestibule [ 3 ]. This generally involves increasing by deepening of vestibule without any addition of bone [ 1 ].…”

“…The oral rehabilitation of patients after loss of teeth has made significant progress recently. Lack of an adequate residual alveolar ridge and basal seat severely compromises the success of prosthodontic treatment [ 1 ]. Vestibuloplasty, ridge augmentation, and different types of implants were used to overcome the problems of flat alveolar ridge [ 2 ].…”

“…Vestibuloplasty, ridge augmentation, and different types of implants were used to overcome the problems of flat alveolar ridge [ 2 ]. A way of increasing the stability of the prosthesis in this circumstance is to deepen the vestibule [ 3 ]; it generally involves increasing by deepening of vestibule without any addition of bone [ 1 ]. In the preimplant era, vestibuloplasty was applied to deepen the vestibule with the aim of lining the vestibular trough with functional mucosa in order to form a valve-type margin [ 4 ].…”

Vestibuloplasty following denture hyperplasia resection with diode laser

“…This is the primary reason why patients often suffer from nonretentive complete prosthetic dentures with functional and esthetic limitations, including difficulties with eating and speaking, pain, loss of soft-tissue support, and compromised facial esthetics. [ 2 3 ]…”

The potential application of platelet-rich fibrin (PRF) in vestibuloplasty

“…Since removable dentures are a common treatment for optimal improvement in function and esthetics in patients with edentulism [ 1 ], pre-prosthetic surgeries—especially vestibuloplasty procedures—play an imperative role in preparing the oral environment for a better denture stability [ 2 ]. Vestibuloplasty surgeries are usually performed to provide adequate depth in labial or lingual vestibular area for denture flange [ 2 ]. Regarding the procedural aspect, several techniques have been proposed such as Kazanjian technique [ 3 ] and lip-switch technique [ 3 ].…”