Anterior Ridge Extension Using Modified Kazanjian Technique in Mandible- A Clinical Study
Introduction: Good alveolar ridge is a prerequisite for successful conventional/ implant supported partial/complete denture. Extensively resorbed ridges with shallow vestibule and high insertion of muscles in to the ridge crest, leads to failure of prosthesis. Success of prosthesis depends on su...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/7192/16606_CE[Ra]_F(Sh)_PF1(EKAK)_PFA(AK)_PF2(PAG).pdf |
| Summary: | Introduction: Good alveolar ridge is a prerequisite for
successful conventional/ implant supported partial/complete
denture. Extensively resorbed ridges with shallow vestibule and
high insertion of muscles in to the ridge crest, leads to failure
of prosthesis. Success of prosthesis depends on surgical
repositioning of mucosa and muscle insertions, which increases
the depth of vestibule and denture flange area for retention.
So, the study was planned to provide good attached gingiva
with adequate vestibular depth using Modified Kazanjian
Vestibuloplasty (MKV).
Aim: To evaluate efficacy of MKV technique for increasing
vestibular depth in anterior mandible so that successful
prosthesis can be delivered. Efficacy of the technique
was evaluated through operating time required, vestibular
depth achieved, scarring or relapse and any postoperative
complications associated with the healing.
Materials and Methods: Total of 10 patients were included in
the study, who had minimum 20mm of bone height and less
than 5mm of vestibular depth for MKV procedure. The results
were tabulated and statistical analysis was carried out to assess
vestibular depth achieved i.e. from crest of the ridge to junction
of attached mucosa both pre and postoperatively. The study
results were compared with existing literature.
Results: Healing of raw surface was uneventful with satisfactory
achievement of vestibular depth. The average gain in vestibular
depth was 11 mm. The patients had good satisfaction index for
prosthesis.
Conclusion: Even in the era of implant prosthesis Modified
Kazanjian technique is worth to practice to achieve good
results and overcorrection is not required as that of standard
Kazanjian technique. It provides adequate attached gingiva for
successful prosthesis. Extension of vestibular depth enables
fabrication of better denture flange with improved oral hygiene.
This technique does not require hospitalization and additional
surgery for grafts. |
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| ISSN: | 2249-782X 0973-709X |