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Anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft

PURPOSE: In the anterior maxilla, hard and soft tissue augmentations are sometimes required to meet esthetic and functional demands. In such cases, primary soft tissue closure after bone grafting procedures is indispensable for a successful outcome. This report describes a simple method for soft tis...

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Autores principales: Jung, Gyu-Un, Pang, Eun-Kyoung, Park, Chang-Joo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Periodontology 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4050232/
https://www.ncbi.nlm.nih.gov/pubmed/24921059
http://dx.doi.org/10.5051/jpis.2014.44.3.147
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author Jung, Gyu-Un
Pang, Eun-Kyoung
Park, Chang-Joo
author_facet Jung, Gyu-Un
Pang, Eun-Kyoung
Park, Chang-Joo
author_sort Jung, Gyu-Un
collection PubMed
description PURPOSE: In the anterior maxilla, hard and soft tissue augmentations are sometimes required to meet esthetic and functional demands. In such cases, primary soft tissue closure after bone grafting procedures is indispensable for a successful outcome. This report describes a simple method for soft tissue coverage of a guided bone regeneration (GBR) site using the double-rotated palatal subepithelial connective tissue graft (RPSCTG) technique for a maxillary anterior defect. METHODS: We present a 60-year-old man with a defect in the anterior maxilla requiring hard and soft tissue augmentations. The bone graft materials were filled above the alveolar defect and a titanium-reinforced nonresorbable membrane was placed to cover the graft materials. We used the RPSCTG technique to achieve primary soft tissue closure over the graft materials and the barrier membrane. Additional soft tissue augmentation using a contralateral RPSCTG and membrane removal were simultaneously performed 7 weeks after the stage 1 surgery to establish more abundant soft tissue architecture. RESULTS: Flap necrosis occurred after the stage 1 surgery. Signs of infection or suppuration were not observed in the donor or recipient sites after the stage 2 surgery. These procedures enhanced the alveolar ridge volume, increased the amount of keratinized tissue, and improved the esthetic profile for restorative treatment. CONCLUSIONS: The use of RPSCTG could assist the soft tissue closure of the GBR sites because it provides sufficient soft tissue thickness, an ample vascular supply, protection of anatomical structures, and patient comfort. The treatment outcome was acceptable, despite membrane exposure, and the RPSCTG allowed for vitalization and harmonization with the recipient tissue. GRAPHICAL ABSTRACT: [Image: see text]
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spelling pubmed-40502322014-06-11 Anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft Jung, Gyu-Un Pang, Eun-Kyoung Park, Chang-Joo J Periodontal Implant Sci Case Report PURPOSE: In the anterior maxilla, hard and soft tissue augmentations are sometimes required to meet esthetic and functional demands. In such cases, primary soft tissue closure after bone grafting procedures is indispensable for a successful outcome. This report describes a simple method for soft tissue coverage of a guided bone regeneration (GBR) site using the double-rotated palatal subepithelial connective tissue graft (RPSCTG) technique for a maxillary anterior defect. METHODS: We present a 60-year-old man with a defect in the anterior maxilla requiring hard and soft tissue augmentations. The bone graft materials were filled above the alveolar defect and a titanium-reinforced nonresorbable membrane was placed to cover the graft materials. We used the RPSCTG technique to achieve primary soft tissue closure over the graft materials and the barrier membrane. Additional soft tissue augmentation using a contralateral RPSCTG and membrane removal were simultaneously performed 7 weeks after the stage 1 surgery to establish more abundant soft tissue architecture. RESULTS: Flap necrosis occurred after the stage 1 surgery. Signs of infection or suppuration were not observed in the donor or recipient sites after the stage 2 surgery. These procedures enhanced the alveolar ridge volume, increased the amount of keratinized tissue, and improved the esthetic profile for restorative treatment. CONCLUSIONS: The use of RPSCTG could assist the soft tissue closure of the GBR sites because it provides sufficient soft tissue thickness, an ample vascular supply, protection of anatomical structures, and patient comfort. The treatment outcome was acceptable, despite membrane exposure, and the RPSCTG allowed for vitalization and harmonization with the recipient tissue. GRAPHICAL ABSTRACT: [Image: see text] Korean Academy of Periodontology 2014-06 2014-06-05 /pmc/articles/PMC4050232/ /pubmed/24921059 http://dx.doi.org/10.5051/jpis.2014.44.3.147 Text en Copyright © 2014 Korean Academy of Periodontology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/).
spellingShingle Case Report
Jung, Gyu-Un
Pang, Eun-Kyoung
Park, Chang-Joo
Anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft
title Anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft
title_full Anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft
title_fullStr Anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft
title_full_unstemmed Anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft
title_short Anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft
title_sort anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4050232/
https://www.ncbi.nlm.nih.gov/pubmed/24921059
http://dx.doi.org/10.5051/jpis.2014.44.3.147
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