Use of an Impacted Post and Polyethylene Tube with Sutures as Fixation Methods during Vestibuloplasty Procedures
Journal Title: International Journal of Dental Science and Innovative Research (IJDSIR) - Year 2018, Vol 1, Issue 3
Abstract
Background and Objectives: The purpose of this study was to clinically evaluate the efficacy of impacted post in terms of vestibular depth and relapse in comparison with polyethylene tubes with sutures as the fixation method in mandibular vestibuloplasty procedures. To avoid the need to use stents after mandibular vestibuloplasty procedures and eliminate the sharp “V” at the depth of newly created sulcus. Methods: Ten patients with shallow mandibular labial sulcus (1-4 mm) an high mentalis muscle attachment were selected for this study. All the patients underwent Clarks’ vestibuloplasty procedure. Five patients received impacted posts and other five-polyethylene tube with sutures as the fixation method for the apically positioned flap. Collagen membrane was used as the graft in all patients. All patients were reviewed at the end of 10 days, 1 month, and 3 months. Depth of the vestibule was recorded. Stents were not used in any of the patients. The measurements recorded were subjected to statistical analysis using independent Student‘t’ test. Results: A total gain of 7.11 mm (SD=.21) for polyethylene tube fixations group and 6.79 mm (SD=.50) was achieved at the end of 3rd month. Relapse percentage at the end of three months for polyethylene tube with sutures fixation method ranged between 16.6% and 28% with a mean of 22.684% (SD 5.046), and for impacted posts the relapse percentage ranged between 16.6%and 28.5% with a mean relapse of 22.959% (SD 7.797), on comparison p=.949 (p>.005) which is statistically not significant. Interpretation and Conclusion: Both the methods of fixation yielded satisfactory results concerning the depth gained and relapse percentage. Need to use the stents was eliminated. There was no formation of sharp “V” at the newly created sulcus. Wound healing was uneventful. All the patients were comfortable and satisfied with their prosthesis.
Authors and Affiliations
Dr. Radheshyam Chourasiya
Keywords
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