Hillerup S, Hjørting-Hansen E, Eriksen E, Solow B
Department of Oral and Maxillofacial Surgery, Royal Dental College, Copenhagen, Denmark.
Int J Oral Maxillofac Surg. 1990 Aug;19(4):212-5. doi: 10.1016/s0901-5027(05)80394-7.
The present study is a 5-year clinical and radiographic follow-up of 51 patients who had undergone a combined vestibuloplasty with a split skin graft and lowering of the floor of the mouth. Our purpose was to examine the effect of clinically evident graft pathology on the residual ridge reduction. The clinical records of the graft condition were classified into: healthy graft, partial loss of keratinization, and total loss of keratinization. The residual ridge reduction was monitored by ridge height measurements at different locations, and by the symphyseal and mandibular body areas. Patients with clinical signs of graft pathology (reddening, loss of keratinization) suffered a significantly more severe residual ridge reduction than those with a healthy skin graft (p less than 0.01). Subsequent findings including smear tests showing Candida albicans hyphae, and improvement of graft condition after antimycotic therapy, indicated that the graft pathology observed is a candidiasis.
本研究是对51例接受了联合前庭成形术、分层皮片移植和口底降低术的患者进行的为期5年的临床和影像学随访。我们的目的是研究临床上明显的移植病理对剩余牙槽嵴吸收的影响。移植状况的临床记录分为：健康移植、部分角化丧失和完全角化丧失。通过测量不同部位的牙槽嵴高度以及联合和下颌体区域来监测剩余牙槽嵴吸收情况。有移植病理临床体征（发红、角化丧失）的患者比有健康皮片移植的患者剩余牙槽嵴吸收明显更严重（p小于0.01）。后续发现包括涂片检查显示白色念珠菌菌丝，以及抗真菌治疗后移植状况改善，表明观察到的移植病理是念珠菌病。
