Acellular dermal allograft for vestibuloplasty--an alternative to autogenous soft tissue grafts in preprosthetic surgical procedures: a clinical report.
Various vestibular extension procedures have been described in the literature over the past 6 decades, including the use of free gingival grafts. An acellular dermal allograft has been used as a substitute for autogenous soft tissue grafts in root coverage procedures. This clinical report describes the use of such an allograft as a substitute for palatal donor tissue in the vestibular extension of an edentulous maxillary arch with multiple frenum attachments before fabrication of a complete denture. In this patient, healing was uneventful, and 6-month clinical observations demonstrated an apical positioning of the mucogingival junction with an increase in vestibular depth, and the absence of multiple frenae. The acellular dermal allograft appears to be a useful substitute for autogenous palatal grafts in preprosthetic surgery. This approach has many advantages over the free gingival graft, including no donor site morbidity, unlimited availability, and better color match.
Bhola
Monish
M
Department of Periodontology and Dental Hygiene, University of Detroit Mercy School of Dentistry, Detroit, MI, USA. monishbhola@hotmail.com
Newell
Donald H
DH
Hancock
Everett B
EB
D000368:Aged; D005889:Gingival Recession / Q000601:surgery*; D005893:Gingivoplasty / Q000379:methods*; D006801:Humans; D007576:Jaw, Edentulous, Partially / Q000534:rehabilitation / Q000601:surgery*; D007742:Labial Frenum / Q000601:surgery; D008297:Male; D008437:Maxilla; D016038:Skin Transplantation / Q000379:methods*; D014184:Transplantation, Homologous; D014727:Vestibuloplasty / Q000379:methods*