期刊
INTERNATIONAL JOURNAL OF PERIODONTICS & RESTORATIVE DENTISTRY
卷 36, 期 3, 页码 329-337出版社
QUINTESSENCE PUBLISHING CO INC
DOI: 10.11607/prd.2644
关键词
-
资金
- University of Michigan Periodontal Graduate Student Research Fund
Severe vertical ridge deficiency in the anterior maxilla represents one of the most challenging scenarios in bone regeneration. Under ideal circumstances, guided bone regeneration in combination with soft tissue management has shown predictable esthetic and functional outcomes. Success largely relies on primary wound closure during and after the surgical procedure. Surgical sites present different challenges that need to be considered when designing the lap. The goal of this article is to propose a classification of lap designs that considers vestibular depth and scar formation around the periosteum when performing vertical ridge augmentation in the atrophic anterior maxilla. The four clinical conditions proposed under this classification are (1) shallow vestibule with healthy periosteum, (2) deep vestibule with healthy periosteum, (3) shallow vestibule with scarred periosteum, and (4) deep vestibule with scarred periosteum. The classification will allow clinicians to achieve tension-free closure and more predictable vertical bone gain.
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