Subject(s)
Anesthesia, Dental/methods , Periodontal Ligament , Adult , Anesthesia, Local/methods , Humans , Male , Middle AgedSubject(s)
Anesthesia, Dental , Anesthesia, Local , Periodontal Ligament , Adult , Humans , Male , Middle Aged , Nerve Block , Tooth Extraction/adverse effectsABSTRACT
The results of a cephalometric analysis of 70 patients in whom a mandibular vestibulolingual sulcoplasty with free skin graft was done are presented. The subjects were 56 women and 14 men who had worn dentures for an average of 17 years and had been followed up for as long as five years after the operation. The analysis showed an average of 1.7 mm loss of anterior height in the symphysis region in the first year after operation. After that time, no further increase in bone loss was observed. There was a tendency for greater resorption in patients with a small gonial angle. No correlation was found between the degree of resorption and sex, age, beta angle, and symphysis angle. There was a strong correlation between the loss in anterior height of the symphysis region and the loss of area in square millimeters.
Subject(s)
Bone Resorption/etiology , Mandibular Diseases/etiology , Skin Transplantation , Vestibuloplasty/adverse effects , Adult , Aged , Atrophy/pathology , Cephalometry , Female , Follow-Up Studies , Humans , Male , Mandible/pathology , Middle Aged , Postoperative ComplicationsSubject(s)
Skin Transplantation , Vestibuloplasty/methods , Adult , Aged , Consumer Behavior , Denture Retention , Female , Follow-Up Studies , Humans , Male , Middle Aged , Surveys and QuestionnairesABSTRACT
Soft tissue changes of the upper and lower lips and the chin after mandibular vestibulolingual sulcoplasty with free skin grafting have been evaluated between one and five years postoperatively. Increases in chin prominence averaging 2.5 mm appeared within the first year after the operation. Prominence of the chin then remained unchanged at least through five years. A mean decrease in the height of the lower lip of 2.6 mm was found. These changes are possible complications of mandibular vestibulolingual sulcoplasty with free skin grafting, and must be considered in the final choice of preprosthetic surgery to be performed on a given patient.
