VESTIBULOPLASTY: A TREATMENT FOR SHALLOW VESTIBULE

Abstract

 Introduction: The residual ridge is reduced after tooth loss or tooth extraction and is the major obstruction in fabrication of complete denture and implant supported prosthesis. In the formation of complete denture, many clinicians usually faces problems with resorbed mandibular ridges or with larger bony bases. It is mainly the presence of high muscle attachment and hypertrophic soft tissue which reduces the usable areas for retention of mandibular denture. Vestibuloplasty involves surgical procedure for reallocation of mucosa and muscle attachment thereby increasing the vestibular depth.In dentulous patient, shallow vestibule and inadequate attached gingiva may create a barrier in oral hygiene maintenance and gingival recession due to muscle traction. Aim: to present a clinical case of atrophid anterior mandibular ridge whereby performing modied kanzanjian transpositional ap technique, so we could successfully deliver the prosthesis. Methodology:A65yr old female reported with atrophied mandibular ridge to prosthodontics department for fabrication of complete denture and then was send to periodontics and oral surgery for vestibuloplasty. Technique selected for vestibuloplasty was modied kanzanjian transpositional ap technique with acrylic stent balanced with stainless steel screws which was done to increase the vestibular depth. Result: Clinically by comparing the vestibular depth pre-operatively and post operatively, it was found that it increases from 7mm to 19mm checked by using standard metal scale. Conclusion: Vestibuloplasty involves surgical procedure for reallocation of mucosa and muscle attachment thereby increasing the vestibular depth. This incase of edentulous patients aids prosthodontist to deliver complete denture and incases of dentulous patient it supports to improve oral hygiene because we are dealing with unfavorable environment rather than a pathologic condition.