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Lip Adhesion Treatment With Modified CLARKS Vestibuloplasty and Dental Implants


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Lip and cheek adhesion to the opposing alveolus with complete or partial loss of the vestibular dimension represents a challenging problem for reconstruction. It usually occurs due to primary inadequate vestibular soft tissue repair following complicated trauma cases, burns, and lesions of the oral cavity. Surgical removal of scar tissue and creation of new vestibule is complicated by re adhesion between the opposing connective tissue surfaces. The aim of this study was to present a case report of surgical removal of hyperplasia in the oral cavity. Epulis fissuratum is a pseudo tumor growth located over the soft tissue of the vestibule sulcus caused by the chronic irritation from the poorly adapted dentures. The case discussed in the present study reported with massive fibrous mass (6x3x1 cm) multiple folds located in mandibular vestibular sulcus with contracture extending bilaterally from 2nd premolar to second 2nd premolar region. Large fibrous, sclerotic lesion surgically removed and increased sulcus depth with mandibular labial vestibuloplasty using Clark’s technique followed by grafting with dura -mater over the denuded periostium. After first vestibuloplasty denture is hardly prepared. Second vestibuloplasty is made in order to maintain an adequate morphology of the vestibule and improving adaptation of full prostheses which is placed by two wires on canines supply to adequate retention and stability. When adequate vestibular sulcus depth was obtained, two dental implants were inserted in the canine-canine region.. An appliance for sulcular guidance is used both before and after the surgical procedure, until dentures are prepared. After completion of surgery, prosthetic part of treatment are conducted with bar retained implant-overdenture. Patient was satisfied with the results of the treatment after clinical follow-up.


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© Copyright 2020 Morressier GmbH.
All rights reserved.