Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Correction of an unusual abnormal buccal frenum by Total Palatal Mucosal Free Graft : A Case Report

Total Palatal Mucosal Free Graft를 이용한 비정상 협소대 치험 1예

  • Park, Hyung-Sik (Dept. of Oral Surgery, College of dentistry, Yonsei University) ;
  • Kim, Sun-Yong (Dept. of Oral Surgery, College of dentistry, Yonsei University) ;
  • Lee, Sang-Hye (Dept. of Oral Surgery, College of dentistry, Yonsei University)
  • 박형식 (연세대학교 치과대학 구강의학과 교실) ;
  • 김선용 (연세대학교 치과대학 구강의학과 교실) ;
  • 이상휘 (연세대학교 치과대학 구강의학과 교실)
  • Published : 1990.12.31
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Abstract

This is a case report on an unusual - heavy buccal frenum in young lady which was treated by frenectomy, vestibuloplasty and total-palatal mucosal free graft. The authors noticed that this abnormal condition lead several chronic complications in young patient as like as premature loss of upper molar teeth, early and rapid loss of alveolar bone around insertion of frenum, over - extended eruption of lower molar teeth and abnormal mandibular movements, etc. After frenectomy and surgical extension of buccal vestiblue on both upper and lower posterior regions, we obtained a full - sized palatal mucosal graft and moved it on upper and lower extension area seperately as two pieces of free grafts to offer inherent function of denture - bearing mucogingiva and same color - matching with oral mucosa and to prevent post - operative relapse of vestibular height. We discussed here about unusual abnormality and their complications of unusual buccal frenum and its treatment.

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