Keerthi R, Vaibhav N, Raut Rohan
Department of Oral and Maxillofacial Surgery, V S Dental College and Hospital, K R Road, V V Puram, Bangalore, 560004 India.
J Maxillofac Oral Surg. 2015 Mar;14(Suppl 1):383-7. doi: 10.1007/s12663-014-0631-y. Epub 2014 Jun 6.
Vestibuloplasty techniques are widely carried out to make the denture bearing area more suitable and adequate to receive the intended prosthesis. One of the major challenges after a vestibuloplasty procedure is to reduce post operative discomfort, scar contracture and subsequent loss in sulcular depth. A raw bony surface, as is obtained after Clark's vestibuloplasty is prone not only to infections and increased pain, but also to increased scarring during the healing phase. Skin grafts have been most commonly used to cover the exposed periosteal surface but they have their own disadvantages. There is a constant search for biocompatible membranes/materials which would satisfy most criteria required of a biological scaffold. Amnion is the innermost layer of the placenta with certain unique properties. Here we discuss the efficacy of amniotic membrane as a biological dressing after vestibuloplasty.
前庭成形术技术被广泛应用,以使义齿承托区更适合并足以容纳预期的修复体。前庭成形术后的主要挑战之一是减轻术后不适、瘢痕挛缩以及随后龈沟深度的丧失。如克拉克前庭成形术后所形成的裸露骨面不仅容易感染且疼痛加剧,而且在愈合阶段瘢痕形成也会增加。皮肤移植是覆盖暴露骨膜表面最常用的方法,但也有其自身的缺点。人们一直在寻找能满足生物支架所需大多数标准的生物相容性膜/材料。羊膜是胎盘的最内层,具有某些独特特性。在此,我们讨论羊膜作为前庭成形术后生物敷料的疗效。