Retrospective case series analysis of vestibuloplasty with free gingival graft and titanium mesh around dental implant
10.5125/jkaoms.2020.46.6.417
- Author:
Jeong-Kui KU
1
;
Dae Ho LEEM
Author Information
1. Department of Oral and Maxillofacial Surgery, School of Dentistry and Institute of Oral Bioscience, Research Institute of Clinical Medicine of Jeonbuk National University-Biomedical Research Institute of Jeonbuk National University Hospital, Jeonbuk National University, Jeonju, Korea
- Publication Type:CASE SERIES STUDY
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2020;46(6):417-421
- CountryRepublic of Korea
- Language:English
-
Abstract:
Objectives:The purpose of this paper is to introduce an effective technique to easily obtain adequate amounts of keratinized gingiva and vestibular depth.
Materials and Methods:Free gingiva (vertical height 10 mm) was harvested on the palatal mucosa and a partial thickness flap was elevated on the recipient site with same width as the free gingiva graft. After a conventional suture, a titanium mesh covered the graft and was fixed with miniscrews.Titanium mesh was removed 4.1±2.5 weeks after surgery. The amount of keratinized gingiva and vestibular depth was measured at the final follow-up.
Results:Nine patients (males 4, females 5; 53.9±14.1 years) who underwent bone graft surgery before vestibuloplasty were included. No free gingival graft failure or complications were encountered in any of the patients. The relapse rate for vestibular depth (23.3%) was lower than that for keratinized gingiva (48.3%) after 34.4±14.4 months (P=0.010).
Conclusion:Vestibuloplasty with a free gingival graft using titanium mesh could be achieved with an acceptable amount of keratinized gingiva and an appropriate vestibular depth around dental implant.
