Anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft
Identifieur interne : 001C87 ( Main/Exploration ); précédent : 001C86; suivant : 001C88Anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft
Auteurs : Gyu-Un Jung [Corée du Sud] ; Eun-Kyoung Pang [Corée du Sud] ; Chang-Joo Park [Corée du Sud]Source :
- Journal of Periodontal & Implant Science [ 2093-2278 ] ; 2014.
Abstract
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.
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.
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.
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.
Url:
DOI: 10.5051/jpis.2014.44.3.147
PubMed: 24921059
PubMed Central: 4050232
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 001F05
- to stream Pmc, to step Curation: 001F05
- to stream Pmc, to step Checkpoint: 001615
- to stream Ncbi, to step Merge: 005175
- to stream Ncbi, to step Curation: 005175
- to stream Ncbi, to step Checkpoint: 005175
- to stream Main, to step Merge: 001C94
- to stream Main, to step Curation: 001C87
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft</title><author><name sortKey="Jung, Gyu Un" sort="Jung, Gyu Un" uniqKey="Jung G" first="Gyu-Un" last="Jung">Gyu-Un Jung</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Ewha Womans University Graduate School of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Ewha Womans University Graduate School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Pang, Eun Kyoung" sort="Pang, Eun Kyoung" uniqKey="Pang E" first="Eun-Kyoung" last="Pang">Eun-Kyoung Pang</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Ewha Womans University Graduate School of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Ewha Womans University Graduate School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Chang Joo" sort="Park, Chang Joo" uniqKey="Park C" first="Chang-Joo" last="Park">Chang-Joo Park</name><affiliation wicri:level="3"><nlm:aff id="A2">Division of Oral and Maxillofacial Surgery, Department of Dentistry, Hanyang University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division of Oral and Maxillofacial Surgery, Department of Dentistry, Hanyang University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24921059</idno><idno type="pmc">4050232</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4050232</idno><idno type="RBID">PMC:4050232</idno><idno type="doi">10.5051/jpis.2014.44.3.147</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">001F05</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001F05</idno><idno type="wicri:Area/Pmc/Curation">001F05</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001F05</idno><idno type="wicri:Area/Pmc/Checkpoint">001615</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001615</idno><idno type="wicri:Area/Ncbi/Merge">005175</idno><idno type="wicri:Area/Ncbi/Curation">005175</idno><idno type="wicri:Area/Ncbi/Checkpoint">005175</idno><idno type="wicri:doubleKey">2093-2278:2014:Jung G:anterior:maxillary:defect</idno><idno type="wicri:Area/Main/Merge">001C94</idno><idno type="wicri:Area/Main/Curation">001C87</idno><idno type="wicri:Area/Main/Exploration">001C87</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft</title><author><name sortKey="Jung, Gyu Un" sort="Jung, Gyu Un" uniqKey="Jung G" first="Gyu-Un" last="Jung">Gyu-Un Jung</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Ewha Womans University Graduate School of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Ewha Womans University Graduate School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Pang, Eun Kyoung" sort="Pang, Eun Kyoung" uniqKey="Pang E" first="Eun-Kyoung" last="Pang">Eun-Kyoung Pang</name><affiliation wicri:level="3"><nlm:aff id="A1">Department of Periodontology, Ewha Womans University Graduate School of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Periodontology, Ewha Womans University Graduate School of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author><author><name sortKey="Park, Chang Joo" sort="Park, Chang Joo" uniqKey="Park C" first="Chang-Joo" last="Park">Chang-Joo Park</name><affiliation wicri:level="3"><nlm:aff id="A2">Division of Oral and Maxillofacial Surgery, Department of Dentistry, Hanyang University College of Medicine, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Division of Oral and Maxillofacial Surgery, Department of Dentistry, Hanyang University College of Medicine, Seoul</wicri:regionArea><placeName><settlement type="city">Séoul</settlement><region type="capital">Région capitale de Séoul</region></placeName></affiliation></author></analytic><series><title level="j">Journal of Periodontal & Implant Science</title><idno type="ISSN">2093-2278</idno><idno type="eISSN">2093-2286</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Purpose</title><p>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.</p></sec><sec><title>Methods</title><p>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.</p></sec><sec><title>Results</title><p>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.</p></sec><sec><title>Conclusions</title><p>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.</p></sec><sec><title>Graphical Abstract</title><p><graphic xlink:href="jpis-44-147-ab001.jpg" position="float" orientation="portrait"></graphic></p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Carlsson, Ge" uniqKey="Carlsson G">GE Carlsson</name></author><author><name sortKey="Bergman, B" uniqKey="Bergman B">B Bergman</name></author><author><name sortKey="Hedegard, B" uniqKey="Hedegard B">B Hedegard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pietrokovski, J" uniqKey="Pietrokovski J">J Pietrokovski</name></author><author><name sortKey="Massler, M" uniqKey="Massler M">M Massler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kois, Jc" uniqKey="Kois J">JC Kois</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kois, Jc" uniqKey="Kois J">JC Kois</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bitter, Rn" uniqKey="Bitter R">RN Bitter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author><author><name sortKey="Bragger, U" uniqKey="Bragger U">U Bragger</name></author><author><name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name></author><author><name sortKey="Nyman, S" uniqKey="Nyman S">S Nyman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author><author><name sortKey="Dula, K" uniqKey="Dula K">K Dula</name></author><author><name sortKey="Belser, Uc" uniqKey="Belser U">UC Belser</name></author><author><name sortKey="Hirt, Hp" uniqKey="Hirt H">HP Hirt</name></author><author><name sortKey="Berthold, H" uniqKey="Berthold H">H Berthold</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hermann, Js" uniqKey="Hermann J">JS Hermann</name></author><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Misch, Cm" uniqKey="Misch C">CM Misch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chiapasco, M" uniqKey="Chiapasco M">M Chiapasco</name></author><author><name sortKey="Abati, S" uniqKey="Abati S">S Abati</name></author><author><name sortKey="Romeo, E" uniqKey="Romeo E">E Romeo</name></author><author><name sortKey="Vogel, G" uniqKey="Vogel G">G Vogel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oda, T" uniqKey="Oda T">T Oda</name></author><author><name sortKey="Sawaki, Y" uniqKey="Sawaki Y">Y Sawaki</name></author><author><name sortKey="Ueda, M" uniqKey="Ueda M">M Ueda</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simion, M" uniqKey="Simion M">M Simion</name></author><author><name sortKey="Baldoni, M" uniqKey="Baldoni M">M Baldoni</name></author><author><name sortKey="Zaffe, D" uniqKey="Zaffe D">D Zaffe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Langer, B" uniqKey="Langer B">B Langer</name></author><author><name sortKey="Calagna, Lj" uniqKey="Calagna L">LJ Calagna</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Langer, B" uniqKey="Langer B">B Langer</name></author><author><name sortKey="Langer, L" uniqKey="Langer L">L Langer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goldstein, M" uniqKey="Goldstein M">M Goldstein</name></author><author><name sortKey="Boyan, Bd" uniqKey="Boyan B">BD Boyan</name></author><author><name sortKey="Schwartz, Z" uniqKey="Schwartz Z">Z Schwartz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tinti, C" uniqKey="Tinti C">C Tinti</name></author><author><name sortKey="Parma Benfenati, S" uniqKey="Parma Benfenati S">S Parma-Benfenati</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nemcovsky, Ce" uniqKey="Nemcovsky C">CE Nemcovsky</name></author><author><name sortKey="Artzi, Z" uniqKey="Artzi Z">Z Artzi</name></author><author><name sortKey="Moses, O" uniqKey="Moses O">O Moses</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Khoury, F" uniqKey="Khoury F">F Khoury</name></author><author><name sortKey="Happe, A" uniqKey="Happe A">A Happe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stajcic, Z" uniqKey="Stajcic Z">Z Stajcic</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Seibert, Js" uniqKey="Seibert J">JS Seibert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Herford, As" uniqKey="Herford A">AS Herford</name></author><author><name sortKey="Cooper, Tc" uniqKey="Cooper T">TC Cooper</name></author><author><name sortKey="Maiorana, C" uniqKey="Maiorana C">C Maiorana</name></author><author><name sortKey="Cicciu, M" uniqKey="Cicciu M">M Cicciu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gelb, Da" uniqKey="Gelb D">DA Gelb</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gher, Me" uniqKey="Gher M">ME Gher</name></author><author><name sortKey="Quintero, G" uniqKey="Quintero G">G Quintero</name></author><author><name sortKey="Assad, D" uniqKey="Assad D">D Assad</name></author><author><name sortKey="Monaco, E" uniqKey="Monaco E">E Monaco</name></author><author><name sortKey="Richardson, Ac" uniqKey="Richardson A">AC Richardson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author><author><name sortKey="Dula, K" uniqKey="Dula K">K Dula</name></author><author><name sortKey="Belser, U" uniqKey="Belser U">U Belser</name></author><author><name sortKey="Hirt, Hp" uniqKey="Hirt H">HP Hirt</name></author><author><name sortKey="Berthold, H" uniqKey="Berthold H">H Berthold</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Santana, Rb" uniqKey="Santana R">RB Santana</name></author><author><name sortKey="De Mattos, Cm" uniqKey="De Mattos C">CM de Mattos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rehrmann, A" uniqKey="Rehrmann A">A Rehrmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rosenquist, B" uniqKey="Rosenquist B">B Rosenquist</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Von Wowern, N" uniqKey="Von Wowern N">N von Wowern</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sclar, Ag" uniqKey="Sclar A">AG Sclar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fagan, Mc" uniqKey="Fagan M">MC Fagan</name></author><author><name sortKey="Miller, Re" uniqKey="Miller R">RE Miller</name></author><author><name sortKey="Lynch, Se" uniqKey="Lynch S">SE Lynch</name></author><author><name sortKey="Kao, Rt" uniqKey="Kao R">RT Kao</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Martinez Garcia, A" uniqKey="Martinez Garcia A">A Martinez-Garcia</name></author><author><name sortKey="Bueno, Jm" uniqKey="Bueno J">JM Bueno</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simion, M" uniqKey="Simion M">M Simion</name></author><author><name sortKey="Baldoni, M" uniqKey="Baldoni M">M Baldoni</name></author><author><name sortKey="Rossi, P" uniqKey="Rossi P">P Rossi</name></author><author><name sortKey="Zaffe, D" uniqKey="Zaffe D">D Zaffe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name></author><author><name sortKey="Becker, W" uniqKey="Becker W">W Becker</name></author><author><name sortKey="Dahlin, C" uniqKey="Dahlin C">C Dahlin</name></author><author><name sortKey="Becker, B" uniqKey="Becker B">B Becker</name></author><author><name sortKey="Donath, K" uniqKey="Donath K">K Donath</name></author><author><name sortKey="Morrison, E" uniqKey="Morrison E">E Morrison</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Machtei, Ee" uniqKey="Machtei E">EE Machtei</name></author><author><name sortKey="Cho, Mi" uniqKey="Cho M">MI Cho</name></author><author><name sortKey="Dunford, R" uniqKey="Dunford R">R Dunford</name></author><author><name sortKey="Norderyd, J" uniqKey="Norderyd J">J Norderyd</name></author><author><name sortKey="Zambon, Jj" uniqKey="Zambon J">JJ Zambon</name></author><author><name sortKey="Genco, Rj" uniqKey="Genco R">RJ Genco</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lekovic, V" uniqKey="Lekovic V">V Lekovic</name></author><author><name sortKey="Kenney, Eb" uniqKey="Kenney E">EB Kenney</name></author><author><name sortKey="Kovacevic, K" uniqKey="Kovacevic K">K Kovacevic</name></author><author><name sortKey="Carranza, Fa" uniqKey="Carranza F">FA Carranza</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wennstrom, Jl" uniqKey="Wennstrom J">JL Wennstrom</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carnio, J" uniqKey="Carnio J">J Carnio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carnio, J" uniqKey="Carnio J">J Carnio</name></author><author><name sortKey="Hallmon, Ww" uniqKey="Hallmon W">WW Hallmon</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liu, Cl" uniqKey="Liu C">CL Liu</name></author><author><name sortKey="Weisgold, As" uniqKey="Weisgold A">AS Weisgold</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country><region><li>Région capitale de Séoul</li></region><settlement><li>Séoul</li></settlement></list><tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Jung, Gyu Un" sort="Jung, Gyu Un" uniqKey="Jung G" first="Gyu-Un" last="Jung">Gyu-Un Jung</name></region><name sortKey="Pang, Eun Kyoung" sort="Pang, Eun Kyoung" uniqKey="Pang E" first="Eun-Kyoung" last="Pang">Eun-Kyoung Pang</name><name sortKey="Park, Chang Joo" sort="Park, Chang Joo" uniqKey="Park C" first="Chang-Joo" last="Park">Chang-Joo Park</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001C87 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001C87 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:4050232
|texte= Anterior maxillary defect reconstruction with a staged bilateral rotated palatal graft
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:24921059" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |