Indian Journal of Public Health Research & Development

Vol 3, No 1 (2012)
Pages: 102-104
Published: 2012-01-12

Affiliations
1 Department of oral and maxillofacial surgery, Government Dental College and Research Institute,
Bangalore, Karnataka, IN

Role of Collagen in Vestibuloplasty - a Comparative Study

Hemavathy Osuraman 1, Jaya Prasad N. Shetty 1, Chandan Prabhakar 1, A. R. Pradeep 1
The ridge extension procedures are required to improve the denture stability and retention.
Vestibuloplasty is a procedure performed to gain more amount of clinical ridge where there is adequate
basal bone, by uncovering it surgically and repositioning the overlying mucosa and muscle attachment.
In the present study, a comparison of "kazanjian technique with collagen" and "kazanjian technique
without collagen" was done to evaluate the efficiency of collagen in maintaining the vestibular depth, in
a follow up period of 3 months. 20 patients who were referred to department of oral and maxillofacial
surgery for ridge extension were treated with kazanjian technique, in 10 patients raw labial surface of
wound was covered with collagen and in the other 10 patients it was left to heal by secondary
epithelialisation. Vestibular depth and complications if any were reviewed and recorded on 1st day, 1st
week, 1st month and 3 months post operatively. The total increase in vestibular depth after 3 months in
technique with collagen is 9.5 - 11 mm where as in technique without using collagen 5.5 - 8 mm.
Reviewing the results with regard to maintainance of vestibular depth and complications, we
recommend the "kazanjian technique with collagen" over the "kazanjian technique without collagen".
References
1. Kazanjian V H. Surgery as an aid to more efficient service with prosthetic dentures, J.A.D.A 1935;
566- 582.
2. Macintosh RB, Obwegwser HL. Pre prosthetic surgery: A scheme for its effective employment. J
Oral surg 1967; 25: 397- 413.
3. Bruce Donoff R. Biological basis for vestibuloplasty procedures. J Oral Surg 1976; 34: 890-896.
4. Kethley JL, Gamble JW. The lip switch, a modification of kazanjians labial vestibuloplasty. J Oral
Surg 1978; 36: 701- 705.
5. Hillerup S. Pre prosthetic vestibular sulcus extension by operation of Edlan and Mejchar, Int J
oral surg 1979; 8: 333 339.
6. David Hall H. Vestibuloplasty, mucosal grafts (palatal and buccal). J Oral surg 1971; 29: 776-791.
7. Landesman HM, Levin BA. A patient survey of denture tolerance before and after a mandibular
vestibuloplasty with skin grafting. JADA 1975; 90: 806 810.
8. Samit A, Kent K. Complications associated with skin graft vestibuloplasty. Oral surg Oral med
Oral pathol 1983; 56: 586- 592.

9. Hansen EH, Adawy AM, Hillreup SM. Mandibular vestibulolingual sulcoplasty with free skin
grafts. A five year follow-up study. J Oral Maxillofac Surg 1983; 41: 173-176.
10. Hillerup S. Preprosthetic mandibular vestibuloplasty with free skin graft. Int J Oral Maxillofac
Surg 1987; 16:270-278.
11. Hillerup S, Hansen EH, Erikse E. Influence of skin graft pathology on residual ridge reduction
after mandibular vestibuloplasty. Int J Maxillofac Surg 1991; 49: 1132-1133.
12. Omura S, Mizuki N, Kawabe R, Haimotos. A newly developed collagen silicone bilayer membrane
as a mucosal substitute. A preliminary study. Br J Oral Maxillofac Surg 1997; 35:85.
13. Bessho K, Murakami K, T. Lizuka. The use of a new bilayer artificial dermis for vestibular
extension. Br J Oral Maxillofacial Surg 1998; 36: 457-459.
14. M.Samandari, M.Yaghmaei, M.Ejlali, M.Moshref, A.Saffa, Use of amnion as a graft material in
vestibuloplasty: a preliminary report. Oral Surg, Oral Medic, Oral Pathol, Oral Radio & Endo
2004; 5: 574-578.
15. Harle F. follow-up investigation of surgical correction of the atrophic alveolar ridge by visor
osteotomy. J maxillofac surgery 1979; 7(4): 283-293.
16. Brons R, Bosker H, Van Dijk L. Visor osteotomy and vestibuloplasty- a one stage procedure. A
preliminary report. Intl J Oral Surg 1977; 6(3): 127-30.
17. Shafer S.C, Parnell A.G. Hydroxyapatite augmentation of mandible with simultaneous mucosal
graft vestibuloplasty. J Oral Maxillofac Surg 1984; 41: 173- 176.