DOI QR코드

DOI QR Code

Combined application of roll flap and combination onlay-interpositional graft to enhance esthetics of maxillary anterior fixed partial denture: A case report

  • Oh, Sang-Chun (Department of Prosthodontics, College of Dentistry, Wonkwang University) ;
  • Cha, Dong-Hee (Department of Prosthodontics, College of Dentistry, Wonkwang University) ;
  • Lee, Jae-In (Department of Prosthodontics, College of Dentistry, Wonkwang University)
  • Received : 2015.09.09
  • Accepted : 2015.11.30
  • Published : 2016.02.29

Abstract

In the maxillary anterior region, reconstruction of the localized alveolar ridge defect is very important in enhancing the esthetics of fixed partial denture. A 40-year-old female patient presented with a chief complaint of the inconvenience and unesthetic problem of 3-unit maxillary anterior prosthesis due to alveolar ridge resorption. After removal of old prosthesis, intraoral examination revealed moderate (buccolingually 4 mm) ridge deficiency in missing tooth region, leading to the diagnosis of Class I alveolar ridge defect. One of the reconstruction techniques to overcome this problem might be a technique that combines two types of soft tissue augmentation techniques. The purpose of this paper was to demonstrate the new combined technique of roll flap and combination onlay-interpositional graft utilized to acquire sufficient dimension of recipient area by one time of operation and to present the esthetic improvement of fixed partial denture by using this procedure in case of maxillary anterior localized ridge defect.

Keywords

References

  1. Lazzara RJ. Managing the soft tissue margin: the key to implant aesthetics. Pract Periodontics Aesthet Dent 1993;5:81-8.
  2. Seibert JS, Salama H. Alveolar ridge preservation and reconstruction. Periodontol 2000 1996;11:69-84. https://doi.org/10.1111/j.1600-0757.1996.tb00185.x
  3. Seibert JS. Ridge augmentation to enhance esthetics in fixed prosthetic treatment. Compendium 1991;12:548, 550, 552 passim.
  4. Yildirim M, Hanisch O, Spiekermann H. Simultaneous hard and soft tissue augmentation for implant-supported singletooth restorations. Pract Periodontics Aesthet Dent 1997;9:1023-31; quiz 1032.
  5. Studer S, Naef R, Scharer P. Adjustment of localized alveolar ridge defects by soft tissue transplantation to improve mucogingival esthetics: a proposal for clinical classification and an evaluation of procedures. Quintessence Int 1997;28:785-805.
  6. Abrams L. Augmentation of the deformed residual edentulous ridge for fixed prosthesis. Compend Contin Educ Gen Dent 1980;1:205-13.
  7. Scharf DR, Tarnow DP. Modified roll technique for localized alveolar ridge augmentation. Int J Periodontics Restor Dent 1992;12:415-25.
  8. Seibert JS. Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts. Part I. Technique and wound healing. Compend Contin Educ Dent 1983;4:437-53.
  9. Coslet JG, Rosenberg ES, Tisot R. The free autogenous gingival graft. Dent Clin North Am 1980;24:651-82.
  10. Orth CF. A modification of the connective tissue graft procedure for the treatment of type II and type III ridge deformities. Int J Periodontics Restor Dent 1996;16:266-77.
  11. Langer B, Calagna L. The subepithelial connective tissue graft. J Prosthet Dent 1980;44:363-7. https://doi.org/10.1016/0022-3913(80)90090-6
  12. Garber D, Rosenberg E. The edentulous ridge in fixed prosthodontics. Compend Contin Educ Dent 1981;2:212-23.
  13. Seibert JS, Louis JV. Soft tissue ridge augmentation utilizing a combination onlay-interpositional graft procedure: a case report. Int J Periodontics Restor Dent 1996;16:310-21.
  14. Stimmelmayr M, Allen EP, Reichert TE, Iglhaut G. Use of a combination epithelized-subepithelial connective tissue graft for closure and soft tissue augmentation of an extraction site following ridge preservation or implant placement: description of a technique. Int J Periodontics Restor Dent 2010;30:375-81.
  15. Allen EP, Gainza CS, Farthing GG, Newbold DA. Improved technique for localized ridge augmentation. A report of 21 cases. J Periodontol 1985;56:195-9. https://doi.org/10.1902/jop.1985.56.4.195
  16. Perenack J, Wood RJ, Block MS, Gardiner D. Determination of subepithelial connective tissue graft thickness in the dog. J Oral Maxillofac Surg 2002;60:415-21. https://doi.org/10.1053/joms.2002.31229
  17. Oliver RC, Loe H, Karring T. Microscopic evaluation of the healing and revascularization of free gingival grafts. J Periodontal Res 1968;3:84-95. https://doi.org/10.1111/j.1600-0765.1968.tb01908.x
  18. Wiskott HWA. Fixed Prosthodontics: Principles and clinics. Great Britian: Quintessence, 2011. p. 243.