Anterior Ridge Extension Using Modified Kazanjian Technique in Mandible- A Clinical Study
Identifieur interne : 000A56 ( Main/Curation ); précédent : 000A55; suivant : 000A57Anterior Ridge Extension Using Modified Kazanjian Technique in Mandible- A Clinical Study
Auteurs : Jagannadham Vijay Kumar ; Pandi Srinivas Chakravarthi ; Meka Sridhar ; Kolli Naga Neelima Devi ; Vivekananad Sabanna Kattimani ; Krishna Prasad LingamaneniSource :
- Journal of Clinical and Diagnostic Research : JCDR [ 2249-782X ] ; 2016.
Abstract
Good alveolar ridge is a prerequisite for successful conventional/ implant supported partial/complete denture. Extensively resorbed ridges with shallow vestibule and high insertion of muscles in to the ridge crest, leads to failure of prosthesis. Success of prosthesis depends on surgical repositioning of mucosa and muscle insertions, which increases the depth of vestibule and denture flange area for retention. So, the study was planned to provide good attached gingiva with adequate vestibular depth using Modified Kazanjian Vestibuloplasty (MKV).
To evaluate efficacy of MKV technique for increasing vestibular depth in anterior mandible so that successful prosthesis can be delivered. Efficacy of the technique was evaluated through operating time required, vestibular depth achieved, scarring or relapse and any postoperative complications associated with the healing.
Total of 10 patients were included in the study, who had minimum 20mm of bone height and less than 5mm of vestibular depth for MKV procedure. The results were tabulated and statistical analysis was carried out to assess vestibular depth achieved i.e. from crest of the ridge to junction of attached mucosa both pre and postoperatively. The study results were compared with existing literature.
Healing of raw surface was uneventful with satisfactory achievement of vestibular depth. The average gain in vestibular depth was 11 mm. The patients had good satisfaction index for prosthesis.
Even in the era of implant prosthesis Modified Kazanjian technique is worth to practice to achieve good results and overcorrection is not required as that of standard Kazanjian technique. It provides adequate attached gingiva for successful prosthesis. Extension of vestibular depth enables fabrication of better denture flange with improved oral hygiene. This technique does not require hospitalization and additional surgery for grafts.
Url:
DOI: 10.7860/JCDR/2016/16606.7192
PubMed: 27042579
PubMed Central: 4800645
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PMC:4800645Le document en format XML
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<author><name sortKey="Kumar, Jagannadham Vijay" sort="Kumar, Jagannadham Vijay" uniqKey="Kumar J" first="Jagannadham Vijay" last="Kumar">Jagannadham Vijay Kumar</name>
<affiliation><nlm:aff id="aff1"> Ex-Post Graduate Student, Department of Oral and Maxillofacial Surgeon,<institution>Sibar Institute of Dental Sciences</institution>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Anterior Ridge Extension Using Modified Kazanjian Technique in Mandible- A Clinical Study</title>
<author><name sortKey="Kumar, Jagannadham Vijay" sort="Kumar, Jagannadham Vijay" uniqKey="Kumar J" first="Jagannadham Vijay" last="Kumar">Jagannadham Vijay Kumar</name>
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<author><name sortKey="Chakravarthi, Pandi Srinivas" sort="Chakravarthi, Pandi Srinivas" uniqKey="Chakravarthi P" first="Pandi Srinivas" last="Chakravarthi">Pandi Srinivas Chakravarthi</name>
<affiliation><nlm:aff id="aff2"> Professor, Department of Oral and Maxillofacial Surgery,<institution>Sibar Institute of Dental Sciences</institution>
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<author><name sortKey="Sridhar, Meka" sort="Sridhar, Meka" uniqKey="Sridhar M" first="Meka" last="Sridhar">Meka Sridhar</name>
<affiliation><nlm:aff id="aff3"> Professor, Department of Oral and Maxillofacial Surgery,<institution>Sibar Institute of Dental Sciences</institution>
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<author><name sortKey="Devi, Kolli Naga Neelima" sort="Devi, Kolli Naga Neelima" uniqKey="Devi K" first="Kolli Naga Neelima" last="Devi">Kolli Naga Neelima Devi</name>
<affiliation><nlm:aff id="aff4"> Professor, Department of Oral and Maxillofacial Surgery,<institution>Sibar Institute of Dental Sciences</institution>
,<addr-line>Guntur, Andhra Pradesh, India</addr-line>
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<author><name sortKey="Kattimani, Vivekananad Sabanna" sort="Kattimani, Vivekananad Sabanna" uniqKey="Kattimani V" first="Vivekananad Sabanna" last="Kattimani">Vivekananad Sabanna Kattimani</name>
<affiliation><nlm:aff id="aff5"> Reader, Department of Oral & Maxillofacial Surgery,<institution>SIBAR Institute of Dental Sciences</institution>
,<addr-line>Guntur, Andhra Pradesh, India</addr-line>
.</nlm:aff>
</affiliation>
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<author><name sortKey="Lingamaneni, Krishna Prasad" sort="Lingamaneni, Krishna Prasad" uniqKey="Lingamaneni K" first="Krishna Prasad" last="Lingamaneni">Krishna Prasad Lingamaneni</name>
<affiliation><nlm:aff id="aff6"> Principal, Professor & Head of Department, Department of Oral & Maxillofacial Surgery,<institution>Sibar Institute of Dental Sciences</institution>
,<addr-line>Guntur, Andhra Pradesh, India</addr-line>
.</nlm:aff>
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<front><div type="abstract" xml:lang="en"><sec><title>Introduction</title>
<p>Good alveolar ridge is a prerequisite for successful conventional/ implant supported partial/complete denture. Extensively resorbed ridges with shallow vestibule and high insertion of muscles in to the ridge crest, leads to failure of prosthesis. Success of prosthesis depends on surgical repositioning of mucosa and muscle insertions, which increases the depth of vestibule and denture flange area for retention. So, the study was planned to provide good attached gingiva with adequate vestibular depth using Modified Kazanjian Vestibuloplasty (MKV).</p>
</sec>
<sec><title>Aim</title>
<p>To evaluate efficacy of MKV technique for increasing vestibular depth in anterior mandible so that successful prosthesis can be delivered. Efficacy of the technique was evaluated through operating time required, vestibular depth achieved, scarring or relapse and any postoperative complications associated with the healing.</p>
</sec>
<sec><title>Materials and Methods</title>
<p>Total of 10 patients were included in the study, who had minimum 20mm of bone height and less than 5mm of vestibular depth for MKV procedure. The results were tabulated and statistical analysis was carried out to assess vestibular depth achieved i.e. from crest of the ridge to junction of attached mucosa both pre and postoperatively. The study results were compared with existing literature.</p>
</sec>
<sec><title>Results</title>
<p>Healing of raw surface was uneventful with satisfactory achievement of vestibular depth. The average gain in vestibular depth was 11 mm. The patients had good satisfaction index for prosthesis.</p>
</sec>
<sec><title>Conclusion</title>
<p>Even in the era of implant prosthesis Modified Kazanjian technique is worth to practice to achieve good results and overcorrection is not required as that of standard Kazanjian technique. It provides adequate attached gingiva for successful prosthesis. Extension of vestibular depth enables fabrication of better denture flange with improved oral hygiene. This technique does not require hospitalization and additional surgery for grafts.</p>
</sec>
</div>
</front>
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