A method using vestibulo-sulcoplasty combining a split-thickness skin graft and a palatal keratinized mucosa graft for peri-implant tissue secondary to oral cancer surgery.
Identifieur interne : 007255 ( Main/Exploration ); précédent : 007254; suivant : 007256A method using vestibulo-sulcoplasty combining a split-thickness skin graft and a palatal keratinized mucosa graft for peri-implant tissue secondary to oral cancer surgery.
Auteurs : Shou-Yen Kao [République populaire de Chine] ; Man-Tin Lui ; Jenny Fong ; Dmsc Che-Wei Wu ; Cheng-Hsien Wu ; Hsi-Feng Tu ; Kai-Feng Hung ; Tze-Cheung YeungSource :
- The Journal of oral implantology [ 0160-6972 ] ; 2005.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Carcinome épidermoïde (), Carcinome épidermoïde (rééducation et réadaptation), Femelle, Fibrose buccale sous-muqueuse (rééducation et réadaptation), Fibrose buccale sous-muqueuse (étiologie), Humains, Mandibule (), Muqueuse de la bouche (transplantation), Mâchoire édentée (rééducation et réadaptation), Mâchoire édentée (étiologie), Mâle, Pose d'implant dentaire endo-osseux (), Procédures de chirurgie maxillofaciale et buccodentaire (effets indésirables), Résorption alvéolaire (rééducation et réadaptation), Résorption alvéolaire (étiologie), Transplantation de peau, Tumeurs de la bouche (), Tumeurs de la bouche (rééducation et réadaptation), Vestibuloplastie ().
- MESH :
- effets indésirables : Procédures de chirurgie maxillofaciale et buccodentaire.
- rééducation et réadaptation : Carcinome épidermoïde, Fibrose buccale sous-muqueuse, Mâchoire édentée, Résorption alvéolaire, Tumeurs de la bouche.
- étiologie : Fibrose buccale sous-muqueuse, Muqueuse de la bouche, Mâchoire édentée, Résorption alvéolaire.
- Adulte d'âge moyen, Carcinome épidermoïde, Femelle, Humains, Mandibule, Mâle, Pose d'implant dentaire endo-osseux, Transplantation de peau, Tumeurs de la bouche, Vestibuloplastie.
English descriptors
- KwdEn :
- Alveolar Bone Loss (etiology), Alveolar Bone Loss (rehabilitation), Carcinoma, Squamous Cell (rehabilitation), Carcinoma, Squamous Cell (surgery), Dental Implantation, Endosseous (methods), Female, Humans, Jaw, Edentulous (etiology), Jaw, Edentulous (rehabilitation), Male, Mandible (surgery), Middle Aged, Mouth Mucosa (transplantation), Mouth Neoplasms (rehabilitation), Mouth Neoplasms (surgery), Oral Submucous Fibrosis (etiology), Oral Submucous Fibrosis (rehabilitation), Oral Surgical Procedures (adverse effects), Skin Transplantation, Vestibuloplasty (methods).
- MESH :
- adverse effects : Oral Surgical Procedures.
- etiology : Alveolar Bone Loss, Jaw, Edentulous, Oral Submucous Fibrosis.
- methods : Dental Implantation, Endosseous, Vestibuloplasty.
- rehabilitation : Alveolar Bone Loss, Carcinoma, Squamous Cell, Jaw, Edentulous, Mouth Neoplasms, Oral Submucous Fibrosis.
- surgery : Carcinoma, Squamous Cell, Mandible, Mouth Neoplasms.
- transplantation : Mouth Mucosa.
- Female, Humans, Male, Middle Aged, Skin Transplantation.
Abstract
Twelve patients presented with oral submucosal fibrosis and loss of keratinized gingiva in a compromised vestibule of a severely deficient mandibular edentulous ridge secondary to oral cancer surgery. They received implant rehabilitation with a total of 49 fixtures without major bone graft augmentation. To overcome vestibular compromise, soft tissue management consisting of simultaneous vestibulo-sulcoplasty, split-thickness skin graft (STSG), and palatal keratinized mucosa graft (KMG) was performed as a second stage when healing abutment was transferred to replace the cover screw of the dental implant. Postoperative follow-up of all patients consisted of clinical and radiographic examinations for an average of 4 years, revealing good stability of implant fixtures with a 91.8% success rate and generally healthy peri-implant tissue, the latter with an average sulcus depth of 2.9 +/- 0.6 mm. Satisfactory results were also demonstrated regarding improved morphology of the vestibule, cosmetics, and prosthetic functionality. Vestibulo-sulcoplasty combining STSG and palatal KMG offers a stable and convenient method for rebuilding peri-implant tissue without need for bone grafting in selected patients who have compromised atrophic ridges secondary to cancer surgery.
DOI: 10.1563/1548-1336(2005)31[186:AMUVCA]2.0.CO;2
PubMed: 16145846
Affiliations:
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sortKey="Fong, Jenny" sort="Fong, Jenny" uniqKey="Fong J" first="Jenny" last="Fong">Jenny Fong</name></author><author><name sortKey="Wu, Dmsc Che Wei" sort="Wu, Dmsc Che Wei" uniqKey="Wu D" first="Dmsc Che-Wei" last="Wu">Dmsc Che-Wei Wu</name></author><author><name sortKey="Wu, Cheng Hsien" sort="Wu, Cheng Hsien" uniqKey="Wu C" first="Cheng-Hsien" last="Wu">Cheng-Hsien Wu</name></author><author><name sortKey="Tu, Hsi Feng" sort="Tu, Hsi Feng" uniqKey="Tu H" first="Hsi-Feng" last="Tu">Hsi-Feng Tu</name></author><author><name sortKey="Hung, Kai Feng" sort="Hung, Kai Feng" uniqKey="Hung K" first="Kai-Feng" last="Hung">Kai-Feng Hung</name></author><author><name sortKey="Yeung, Tze Cheung" sort="Yeung, Tze Cheung" uniqKey="Yeung T" first="Tze-Cheung" last="Yeung">Tze-Cheung Yeung</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="RBID">pubmed:16145846</idno><idno type="pmid">16145846</idno><idno 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split-thickness skin graft and a palatal keratinized mucosa graft for peri-implant tissue secondary to oral cancer surgery.</title><author><name sortKey="Kao, Shou Yen" sort="Kao, Shou Yen" uniqKey="Kao S" first="Shou-Yen" last="Kao">Shou-Yen Kao</name><affiliation wicri:level="1"><nlm:affiliation>Oral and Maxillofacial Surgery, Department of Dentistry, Taipei Veterans General Hospital, Taipei, Taiwan, ROC. sykao@vghtpe.gov.tw</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Oral and Maxillofacial Surgery, Department of Dentistry, Taipei Veterans General Hospital, Taipei, Taiwan</wicri:regionArea><wicri:noRegion>Taiwan</wicri:noRegion></affiliation></author><author><name sortKey="Lui, Man Tin" sort="Lui, Man Tin" uniqKey="Lui M" first="Man-Tin" last="Lui">Man-Tin Lui</name></author><author><name sortKey="Fong, Jenny" sort="Fong, Jenny" uniqKey="Fong J" first="Jenny" last="Fong">Jenny Fong</name></author><author><name sortKey="Wu, Dmsc Che Wei" sort="Wu, Dmsc Che Wei" uniqKey="Wu D" first="Dmsc Che-Wei" last="Wu">Dmsc Che-Wei Wu</name></author><author><name sortKey="Wu, Cheng Hsien" sort="Wu, Cheng Hsien" uniqKey="Wu C" first="Cheng-Hsien" last="Wu">Cheng-Hsien Wu</name></author><author><name sortKey="Tu, Hsi Feng" sort="Tu, Hsi Feng" uniqKey="Tu H" first="Hsi-Feng" last="Tu">Hsi-Feng Tu</name></author><author><name sortKey="Hung, Kai Feng" sort="Hung, Kai Feng" uniqKey="Hung K" first="Kai-Feng" last="Hung">Kai-Feng Hung</name></author><author><name sortKey="Yeung, Tze Cheung" sort="Yeung, Tze Cheung" uniqKey="Yeung T" first="Tze-Cheung" last="Yeung">Tze-Cheung Yeung</name></author></analytic><series><title level="j">The Journal of oral implantology</title><idno type="ISSN">0160-6972</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Alveolar Bone Loss (etiology)</term><term>Alveolar Bone Loss (rehabilitation)</term><term>Carcinoma, Squamous Cell (rehabilitation)</term><term>Carcinoma, Squamous Cell (surgery)</term><term>Dental Implantation, Endosseous (methods)</term><term>Female</term><term>Humans</term><term>Jaw, Edentulous (etiology)</term><term>Jaw, Edentulous (rehabilitation)</term><term>Male</term><term>Mandible (surgery)</term><term>Middle Aged</term><term>Mouth Mucosa (transplantation)</term><term>Mouth Neoplasms (rehabilitation)</term><term>Mouth Neoplasms (surgery)</term><term>Oral Submucous Fibrosis (etiology)</term><term>Oral Submucous Fibrosis (rehabilitation)</term><term>Oral Surgical Procedures (adverse effects)</term><term>Skin Transplantation</term><term>Vestibuloplasty (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Carcinome épidermoïde ()</term><term>Carcinome épidermoïde (rééducation et réadaptation)</term><term>Femelle</term><term>Fibrose buccale sous-muqueuse (rééducation et réadaptation)</term><term>Fibrose buccale sous-muqueuse (étiologie)</term><term>Humains</term><term>Mandibule ()</term><term>Muqueuse de la bouche (transplantation)</term><term>Mâchoire édentée (rééducation et réadaptation)</term><term>Mâchoire édentée (étiologie)</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux ()</term><term>Procédures de chirurgie maxillofaciale et buccodentaire (effets indésirables)</term><term>Résorption alvéolaire (rééducation et réadaptation)</term><term>Résorption alvéolaire (étiologie)</term><term>Transplantation de peau</term><term>Tumeurs de la bouche ()</term><term>Tumeurs de la bouche (rééducation et réadaptation)</term><term>Vestibuloplastie ()</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Oral Surgical Procedures</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Procédures de chirurgie maxillofaciale et buccodentaire</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Alveolar Bone Loss</term><term>Jaw, Edentulous</term><term>Oral Submucous Fibrosis</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Dental Implantation, Endosseous</term><term>Vestibuloplasty</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Alveolar Bone Loss</term><term>Carcinoma, Squamous Cell</term><term>Jaw, Edentulous</term><term>Mouth Neoplasms</term><term>Oral Submucous Fibrosis</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Carcinome épidermoïde</term><term>Fibrose buccale sous-muqueuse</term><term>Mâchoire édentée</term><term>Résorption alvéolaire</term><term>Tumeurs de la bouche</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Carcinoma, Squamous Cell</term><term>Mandible</term><term>Mouth Neoplasms</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Mouth Mucosa</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Fibrose buccale sous-muqueuse</term><term>Muqueuse de la bouche</term><term>Mâchoire édentée</term><term>Résorption alvéolaire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Skin Transplantation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Carcinome épidermoïde</term><term>Femelle</term><term>Humains</term><term>Mandibule</term><term>Mâle</term><term>Pose d'implant dentaire endo-osseux</term><term>Transplantation de peau</term><term>Tumeurs de la bouche</term><term>Vestibuloplastie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Twelve patients presented with oral submucosal fibrosis and loss of keratinized gingiva in a compromised vestibule of a severely deficient mandibular edentulous ridge secondary to oral cancer surgery. They received implant rehabilitation with a total of 49 fixtures without major bone graft augmentation. To overcome vestibular compromise, soft tissue management consisting of simultaneous vestibulo-sulcoplasty, split-thickness skin graft (STSG), and palatal keratinized mucosa graft (KMG) was performed as a second stage when healing abutment was transferred to replace the cover screw of the dental implant. Postoperative follow-up of all patients consisted of clinical and radiographic examinations for an average of 4 years, revealing good stability of implant fixtures with a 91.8% success rate and generally healthy peri-implant tissue, the latter with an average sulcus depth of 2.9 +/- 0.6 mm. Satisfactory results were also demonstrated regarding improved morphology of the vestibule, cosmetics, and prosthetic functionality. Vestibulo-sulcoplasty combining STSG and palatal KMG offers a stable and convenient method for rebuilding peri-implant tissue without need for bone grafting in selected patients who have compromised atrophic ridges secondary to cancer surgery.</div></front></TEI><affiliations><list><country><li>République populaire de Chine</li></country></list><tree><noCountry><name sortKey="Fong, Jenny" sort="Fong, Jenny" uniqKey="Fong J" first="Jenny" last="Fong">Jenny Fong</name><name sortKey="Hung, Kai Feng" sort="Hung, Kai Feng" uniqKey="Hung K" first="Kai-Feng" last="Hung">Kai-Feng Hung</name><name sortKey="Lui, Man Tin" sort="Lui, Man Tin" uniqKey="Lui M" first="Man-Tin" last="Lui">Man-Tin Lui</name><name sortKey="Tu, Hsi Feng" sort="Tu, Hsi Feng" uniqKey="Tu H" first="Hsi-Feng" last="Tu">Hsi-Feng Tu</name><name sortKey="Wu, Cheng Hsien" sort="Wu, Cheng Hsien" uniqKey="Wu C" first="Cheng-Hsien" last="Wu">Cheng-Hsien Wu</name><name sortKey="Wu, Dmsc Che Wei" sort="Wu, Dmsc Che Wei" uniqKey="Wu D" first="Dmsc Che-Wei" last="Wu">Dmsc Che-Wei Wu</name><name sortKey="Yeung, Tze Cheung" sort="Yeung, Tze Cheung" uniqKey="Yeung T" first="Tze-Cheung" last="Yeung">Tze-Cheung Yeung</name></noCountry><country name="République populaire de Chine"><noRegion><name sortKey="Kao, Shou Yen" sort="Kao, Shou Yen" uniqKey="Kao S" first="Shou-Yen" last="Kao">Shou-Yen Kao</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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