Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
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Ridge Augmentation Using Vascularized Interpositional Periosteal- Connective Tissue (VIP-CT) in Conjunction with Anterior Implant Placement in Maxilla : Report of Three Cases

상악 전치부의 임플란트 식립과 관련하여 혈관개재골막결합조직판막술을 이용한 치조제증대술: 3가지 증례보고

  • Kim, Yun-Sang (Department of Periodontology, Dental Hospital in Sanbon, Wonkwang University)
  • 김윤상 (원광대학교 산본치과대학병원 치주과학교실)
  • Published : 2008.06.30
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Abstract

Purpose: The aim of augmentation of the alveolar ridge is to restore absorbed alveolar ridges for future implant site or esthetic prosthodontic restoration. The present clinical report describes the anterior maxillary augmentation cases using a soft tissue rotated palatal flap, and considers various problems of before and after surgery. Method: First & second patients were treated by vascularized interpositional periosteal-connective tissue(VIP-CT) flap for horizontal soft tissue augmentation. Especially second patient was progressed with bone grafting at the same time. Third patient was treated by the same flap with bone graft and implant placement in single tooth missing premaxillary area. Result: The obtained horizontal augmentation width measured $0.5{\sim}2.7\;mm$. Conclusion: This technique constitutes a viable approach for augmentation the anterior sector of alveolar ridge with the placement of dental implants. But it needs correct diagnosis preparation and careful surgery skill.

Keywords

References

  1. Tarnow DP, Cho SC, Wallace SS. The effect of inter-implant distance on the height of inter-implant bone crest. J Periodontol 2000;71:546-549 https://doi.org/10.1902/jop.2000.71.4.546
  2. Kaldhal WB, Tussing GJ, Wentz FM, et al. Achieving an esthetic appearance with a fixed prosthesis by submucosal grafts. J Am Dent Assoc 1982;104:449-452 https://doi.org/10.14219/jada.archive.1982.0209
  3. Allen EA, Gainza CS, Farthing GG, et al. DA. Improved technique for localized ridge augmentation. J Periodontol 1985;56:195-199 https://doi.org/10.1902/jop.1985.56.4.195
  4. Seibert JS. Ridge augmentation to enhance esthetics in fixed prosthetic treatment. Comp Contin Dent Educ Dent 1993;12:548-561
  5. Seibert JS. Reconstruction of deformed partially edentulous ridges, using full thickness onlay grafts. Part I. Technique and wound healing. Compend Contin Educ Dent 1983;4:437-453
  6. Nyman S, Lang NP, Buser D, et al. Bone regeneration adjacent to titanium dental implants using guided tissue regeneration: a report of two cases. Int J Oral Maxillofac Implants 1990;5:9-14
  7. Langer B. The regeneration of soft tissue and bone around implants with and without membranes. Compend Contin Educ Dent 1996;17:268-270
  8. Makridis SD. Reconstruction of alveolar defects before implant placement. Compend Contin Educ Dent 1997;18:457-460
  9. Sclar AG. Soft Tissue and Esthetic Considerations in Implant Therapy. Korea Quintessence Publishing Co Ltd; 2004
  10. Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. I. Rationale and technique. Int J Periodont Rest Dent 1994;14:216-227
  11. Petrungaro PS. Using platelet-rich plasma to accelerate soft tissue maturation in esthetic periodontal surgery. Compend Contin Educ Dent 2001;22:729-745
  12. Edel A. Clinical evaluation of free connective tissue grafts used to increase the width of keratinized gingiva. J Clin Periodontol 1974;1:185-196 https://doi.org/10.1111/j.1600-051X.1974.tb01257.x
  13. Broome WC, Hutchinson RA, Mays EE. Histoplasmosis of the gingiva. Report of a case. J Periodontol 1976;47:95-97
  14. Sullivan HC, Atkins JH. Free autogenous gingival grafts. III Utilization of grafts in the treatment of gingival recession. Periodontics 1968;6:152-160
  15. Sullivan HC, Atkins JH. Free autogenous gingival grafts. I. Principles of successful grafting. Periodontics 1968;6:121-129
  16. Kullman L & Wouters HW. Neurofibromatosis, gigantism and subperiosteal haematoma. J Bone Joint Surg Br 1972;54:130-138
  17. Nappi JF, Lehman JA. The effects of surgicel on bone formation. Cleft Palate J 1980;17:291-296
  18. Valentini P & Abensur D. Maxillary sinus floor elevation for implant placement with denineralized freeze-dried bone and bovine bone(Bio-Oss): a clinical study of 20 patients Int J Perio Rest Dent 1997;17:232-241
  19. Piattelli M, Favero GA, Scarano A, Orsini G, Piatteli A. Bone reactions to anorganic bovine bone(Bio-Oss) used in sinus augmentation procedures: a histologic long-term report of 20 cases in humans. Int J Oral Maxillofac Implants 1999;14:835-840
  20. Valentini P, Abensur D, Wenz B, Peetz M, Schenk R. Sinus grafting with porous bone mineral(Bio-Oss) for implant placement: a 5-year study on 15 patients. Int J Perio Rest Dent 2000;20:245-253
  21. Hannerle CH & Lang NP. Single stage surgery combining transmucosal implant placement with guided bone regeneration and bioresorbable materials. Clin Oral Impl Research 2001;12:9-18 https://doi.org/10.1034/j.1600-0501.2001.012001009.x
  22. Camargo PM, Lekovic V, Weinlaender M, et al. A controlled re-entry study on the effectiveness of bovine porous bone mineral used in combination with a collagen membrane of porcine origin in the treatment of intrabony defects in humans. J Clin Periodontology 2000;27:889-896 https://doi.org/10.1034/j.1600-051x.2000.027012889.x
  23. Hammerle CH, Jung RE, Yaman D, Lang NP. Ridge augmentation by applying bioresorbable membranes and deproteinized bovine mineral: a report of twelve consecutive cases. Clin Oral Impl Res 2008;19:19-25 Epub Oct 22
  24. Friedmann A, Strietzel FP, Maretzki B, Pitaru S, Bernimiulin JP. Histological assessment of augmented jaw bone utilizing a new collagen barrier membrane compared to a standard barrier membrane to protect a granular bone substitute material. Clin Oral Impl Res 2002;13:587-594 https://doi.org/10.1034/j.1600-0501.2002.130603.x
  25. Hammerle CHF & Jung RE. Bone augmentation by means of barrier membranes Periodontology 2000 2003;33:36-53 https://doi.org/10.1046/j.0906-6713.2003.03304.x
  26. Conlan HJ, Rapley JW, Cobb CM Biostimulation of wound healing by low-energy laser irradiation. A review. J Clin Periodontol 1996;23:492-496 https://doi.org/10.1111/j.1600-051X.1996.tb00580.x
  27. Neiburger EJ. The effect of low-power lasers on intraoral wound healing. N Y State Dent J 1995;61:40-43
  28. Dortbudak O, Haas R, Mailath-Pokorny G. Biostimulation of bone marrow cells with a diode soft laser Clin Oral Impl Res 2000;11:540-545 https://doi.org/10.1034/j.1600-0501.2000.011006540.x
  29. Pourzarandian A, Watanabe H, Puwanpura S, Aoki A, and Ishikawa I. Effect of Low-level Er:YAG laser irradiation on cultured human gingival fibroblasts. J Periodontol 2005;76:187-193 https://doi.org/10.1902/jop.2005.76.2.187
  30. Qadri T, Mianda L, Tuner J Gustafsson A. The short-term effects of low-level lasers as adjunct therapy in the treatment of periodontal inflammation. J Clin Periodontol 2005;32:714-719 https://doi.org/10.1111/j.1600-051X.2005.00749.x
  31. Seibert JS. Ridge augmentation to enhance esthetics in fixed prosthetic treatment. Comp Contin Dent Educ Dent 1993;12:548-561
  32. Allen EA, Gainza CS, Farthing GG, et al. DA. Improved technique for localized ridge augmentation. J Periodontol 1985;56:195-199 https://doi.org/10.1902/jop.1985.56.4.195
  33. Lai YL, Chou IC, Liaw YC, et al. Triple immediate therapy (ridge expansion, soft tissue augmentation, and provisional restoration) of maxillary anterior single implant J Periodontol 2007;78:1348-1353 https://doi.org/10.1902/jop.2007.060487
  34. Studer SP, Lehner C, Bucher A, et al. Soft tissue correction of a single-tooth pontic space: a comparative quantitative volume assessment. J Pros Dent 2000;83:402-411 https://doi.org/10.1016/S0022-3913(00)70034-5
  35. Sclar AG. The vascualrized interpositional periosteal-connective tissue flap: a new technique for large-volume soft-tissue reconstruction and simultaneous hard and soft tissue augmentation of alveolar ridge defects in the anterior maxillary area. In: Sclar AG, editor. Soft tissue and Esthetic considerations in implant therapy. Chicago: Quintessence: 2001.p.106-110
  36. Sclar AG. Cosmetic soft-tissue enhancement for dental implants. Alpha Omegan 2000;93:38-46
  37. von Arx T, Buser D. Horizontal ridge augmentation using autogenous block grafts and the guided bone regeneration technique with collagen membranes: a clinical study with 42 patients. Clin Oral Impl Res 2006;17:359-366 https://doi.org/10.1111/j.1600-0501.2005.01234.x