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Influence of skin graft pathology on residual ridge reduction after mandibular vestibuloplasty. A 5-year clinical and radiological follow-up study.

Identifieur interne : 00BF37 ( Main/Merge ); précédent : 00BF36; suivant : 00BF38

Influence of skin graft pathology on residual ridge reduction after mandibular vestibuloplasty. A 5-year clinical and radiological follow-up study.

Auteurs : S. Hillerup [Danemark] ; E. Hj Rting-Hansen ; E. Eriksen ; B. Solow

Source :

RBID : pubmed:1698891

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English descriptors

Abstract

The present study is a 5-year clinical and radiographic follow-up of 51 patients who had undergone a combined vestibuloplasty with a split skin graft and lowering of the floor of the mouth. Our purpose was to examine the effect of clinically evident graft pathology on the residual ridge reduction. The clinical records of the graft condition were classified into: healthy graft, partial loss of keratinization, and total loss of keratinization. The residual ridge reduction was monitored by ridge height measurements at different locations, and by the symphyseal and mandibular body areas. Patients with clinical signs of graft pathology (reddening, loss of keratinization) suffered a significantly more severe residual ridge reduction than those with a healthy skin graft (p less than 0.01). Subsequent findings including smear tests showing Candida albicans hyphae, and improvement of graft condition after antimycotic therapy, indicated that the graft pathology observed is a candidiasis.

PubMed: 1698891

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Le document en format XML

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<nlm:affiliation>Department of Oral and Maxillofacial Surgery, Royal Dental College, Copenhagen, Denmark.</nlm:affiliation>
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<term>Alveolar Process (diagnostic imaging)</term>
<term>Alveolar Process (pathology)</term>
<term>Candidiasis, Oral (pathology)</term>
<term>Cephalometry</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Jaw, Edentulous (surgery)</term>
<term>Keratins</term>
<term>Male</term>
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<term>Mandibular Diseases (pathology)</term>
<term>Middle Aged</term>
<term>Mouth Floor (pathology)</term>
<term>Mouth Mucosa (pathology)</term>
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<term>Vestibuloplasty (methods)</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Candidose buccale (anatomopathologie)</term>
<term>Céphalométrie</term>
<term>Femelle</term>
<term>Humains</term>
<term>Kératines</term>
<term>Maladies mandibulaires (anatomopathologie)</term>
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<term>Résorption alvéolaire (imagerie diagnostique)</term>
<term>Sujet âgé</term>
<term>Transplantation de peau</term>
<term>Vestibuloplastie ()</term>
<term>Études de suivi</term>
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<term>Keratins</term>
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<term>Candidose buccale</term>
<term>Maladies mandibulaires</term>
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<term>Plancher de la bouche</term>
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<term>Maladies mandibulaires</term>
<term>Processus alvéolaire</term>
<term>Résorption alvéolaire</term>
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<term>Vestibuloplasty</term>
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<term>Alveolar Bone Loss</term>
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<div type="abstract" xml:lang="en">The present study is a 5-year clinical and radiographic follow-up of 51 patients who had undergone a combined vestibuloplasty with a split skin graft and lowering of the floor of the mouth. Our purpose was to examine the effect of clinically evident graft pathology on the residual ridge reduction. The clinical records of the graft condition were classified into: healthy graft, partial loss of keratinization, and total loss of keratinization. The residual ridge reduction was monitored by ridge height measurements at different locations, and by the symphyseal and mandibular body areas. Patients with clinical signs of graft pathology (reddening, loss of keratinization) suffered a significantly more severe residual ridge reduction than those with a healthy skin graft (p less than 0.01). Subsequent findings including smear tests showing Candida albicans hyphae, and improvement of graft condition after antimycotic therapy, indicated that the graft pathology observed is a candidiasis.</div>
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