Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2015, vol. 21, issue 4
Subject Area: Dentistry
Pages: 964-968
DOI: 10.5272/jimab.2015214.964
Published online: 27 November 2015

J of IMAB 2015 Oct-Dec;21(4):964-968
Desislava Konstantinova1, Elitza Djongova2, Hristina Arnautska1, Tihomir Georgiev2Corresponding Autor, Stefan Peev3, Mariana Dimova4
1) Department of Prosthetic Dental Medicine and Orthodontics, Faculty of Dental Medicine, Medical University Varna
2) Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Medical University Varna
3) Department of Periodontology, Faculty of Dental Medicine, Medical University Varna
4) Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University Sofia, Bulgaria.

Experience reveals that preliminary surgical correction is quite often expedient in mounting dentures for edentulous jaws.
The purpose of the investigation is to introduce a method of vestibuloplasty for edentulous jaws by which the dentures are better held in place and retained. The use of xenoderm grafts with early insertion of the prostheses subsequent to surgical manipulation shows excellent results.
Materials and methods: Patients were divided into two groups - with the first group the prosthesis was made prior to surgery and placed on the 7th day after removal of sutures. With the second group the prostheses were made following a complete healing of soft tissue, i.e. 1 month after surgery. With both groups xenoderm grafts were applied to cover the open wound surface area.
Results: The post-operative period for both groups of patients proceeded normally and without complications. For the group with early prosthetic loading due to the method of vestibuloplasty it was possible to maintain the depth of the vestibule.
Conclusions: The method proposed by the authors using xenoderm grafts and early loading on the newly-formed vestibule has proved a success and implies further in-depth application with larger group of patients.

Key words: vestibuloplasty, preprosthetic surgery, xenodermal transplant,

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Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Konstantinova D, Djongova E, Arnautska H, Georgiev T, Peev S, Dimova M. Presentation of a modified method of vestibuloplasty with an early prosthetic loading. J of IMAB. 2015 Oct-Dec;21(4):964-968.

Correspondence to: Tihomir Georgiev; 18, Hristo Popovich str., Varna 9000, Bulgaria; E-mail:

1. Housset, P. [La Prothese Physiologique].- L'Odontologie, 1947 [in French]
2. Hyland R, Ellis J, Thomason M, El-Feky A, Moynihan P. A qualitative study on patient perspectives of how conventional and implant-supported dentures affect eating. J Dent. 2009 Sep;37(9):718-723. [PubMed] [CrossRef]
3. Kawai Y, Murakami H, Shariati B, Klemetti E, Blomfield JV, Billette L, et al. Do traditional techniques produce better conventional complete dentures than simplified techniques? J Dent. 2005;33:659-668. [PubMed] [CrossRef]
4. Акеrmаnn F.  [Symposium de chirurgie pre prothetique chez I, edente total.] [in French] Schw Mschr Zahnk. 1956; 6
5. Buisson G, Solas J.  Surgical procedures in the preparation of the mouth for complete prostheses. Intern DJ. 1958;3.
6. Clark HB. Deepening of labial sulcus by mucosal flap. Advancement report of case. J Oral Surg. 1953;11:165
7. Kaznijan VH. Surgery as aid to more efficient service with prosthetic dentures., J Am Dnt Assos,  1935; 22:566-72
8. Kazanijan, VH. Essentials of Oral Surgery, Blair VP, IvyRH, eds 3rd edn. St.Louis. MO: Cv mosby;1944
9. Davis WH. Surgical management of soft tissue problems in Recostructive Preprosthetic Oral and Maxillofacial Surgery (Fonseca R.J., Davis W.H.,eds) Philadelphia. Pa WB Sanders.1986; 69-116
10. Edlan A, Mejchar B. Plastic surgery of the vestibule in periodontal therapy. InterDent J.13,1963,4, 593-596.
11.Obwegeser H. Die Submucose Vestibuleplastik. Dtsch Zahnartztl Z. 1959;14:629
12. Basa S, Ercan MT, Aras T, Araz, K. Blood flow to palatal mucosal grafts in mandibular labial vestibuloplasty measured by 133Xe clearance technique. Int J Oral Maxillofac Surg. 1987;16:548-53
13. Goldberg JS, Bayers SS, Di Stefano J. Follow–up study of palatal graft donor sites in 24 patients. J Oral Surg. 1978; 36:608-9
14. Hashemi HM, Parhiz A, Ghafari S. Vestibuloplasty: allograft versus mucosal graft, Int J Oral Maxillofac Surs. 2012 Apr;41(4):527-30. [PubMed] [CrossRef]
15. Show SR, Shelton DW, Billingsley ML, Newhouse RF. Expansion meshed skin graft in care of the donor site in skin grafting vestibuloplasty. J Oral Surg. 1981 Jan;39(1):26-29. [PubMed]
16. Bhola M, Newell DH, Hancock EB. Acellular dermal allograft for vestibuloplasty--an alternative to autogenous soft tissue grafts in preprosthetic surgical procedures: a clinical report. J Prosthodont. 2003 Jun;12(2):133-7. [PubMed]
17. Georgiev T. [Clinical case of application of xenodermal graft Mucoderm in vestibuloplastics]. [in Bulgarian] Dental Review. 2012; 4:43-47.
18. Hillerup S, Eriksen E, Solow B. Reduction of mandibular residual ridge after vestibuloplasty. A two-years follow–up study comparing the Edlanflap, mucosal and skin graft operations. Int J Oral Maxillofac Surg., 1989 Oct;18(5):271-6. [PubMed]
19. Khariton VS, Tarasik MI, Soboleva LM. [Age features of vestibule depth and its role in the development of periodontal disease.] [in Russian] Stomatologiia (Mosk). 1985 Nov-Dec;64(6):16-7. [PubMed]
20. Ephros H, Klein R, Sallustio A. Preprosthetic Surgery. Oral Maxillofac Surg Clin North Am. 2015 Aug;27(3):459-72. [PubMed] [CrossRef].
21. Mozzati M, Mortellaro C, Gallesio G, Ruggiero T, Pol R. Surgical treatment of denture-induced fibrous hyperplasia with plasma rich in growth factors. J Craniofac Surg. 2015 May;26(3):772-5. [PubMed] [CrossRef].
22. Keerthi R, Vaibhav N, Raut R. Amniotic membrane as a biological scaffold after vestibuloplasty. J Maxillofac Oral Surg. 2015 Mar;14(Suppl 1):383-7. [PubMed] [CrossRef].
23. Velavan K, Kannan VS, Ahamed AS, Abia VR, Elavarasi E. A noble method of using intravenous infusion set as a stent in localized lower posterior vestibuloplasty: A technical note. J Pharm Bioallied Sci. 2015 Aug;7(Suppl 2):S806-8. [PubMed] [CrossRef].
24. Schmitt CM, Moest T, Lutz R, Wehrhan F, Neukam FW, Schlegel KA. Long-term outcomes after vestibuloplasty with a porcine collagen matrix (Mucograft®) versus the free gingival graft: a comparative prospective clinical trial. Clin Oral Implants Res. 2015 Feb 27. [Epub ahead of print] [PubMed] [CrossRef]
25. Barakat K, Ali A. Thermoplastic vestibuloplasty: a novel technique for treatment of lip and cheek adhesion. Craniomaxillofac Trauma Reconstr. 2014 Dec;7(4):258-62. [PubMed] [CrossRef]
26. Cortell-Ballester I, Figueiredo R, Gay-Escoda C. Lowering of the mouth floor and vestibuloplasty to support a mandibular overdenture retained by two implants. A case report. J Clin Exp Dent. 2014 Jul 1;6(3):e310-2. [PubMed] [CrossRef].
27. Dal Pont G. Surgical correction of the oral sulci. J Am Dent Assoc. 1960 Jul;61(1):56-62. [PubMed] [CrossRef]
28. Kemeny I, Varga I. [Einneues operatives VerfahrenzurVerbesserung der Stabilitaet der unterenProthese.] [in German] Schwez Mschr Zahnk. 1954, 2
29. Kemeny I, Varga I. [Operative fixation method of providing a denture in the lower jaw.] [in Russian], Dentistry. 1956, 1.
30. Skaloud F. Correction chirurgicale des musquese du vestibule avec prothese inferieure fixee. Rev. de Stom. 1949, p.12.

Received: 22 September 2015
Published online: 27 November 2015

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