V Balaji, G Pushpalatha, Venugopal Sanjay, Baskar Dharshana, Reddy Anudeep, Sritam Sarmistha
Department of Periodontology and Implantology, Sri Siddhartha Dental College and Hospital, Sri Siddhartha Academy of Higher Education, Tumkur, IND.
Cureus. 2025 Jul 24;17(7):e88690. doi: 10.7759/cureus.88690. eCollection 2025 Jul.
This case report outlines a multidisciplinary surgical approach to vestibular deepening in a 62-year-old male with a severely resorbed edentulous maxilla and poor denture retention. To optimize the maxillary vestibular depth and prepare the arch for prosthetic rehabilitation, Clark's technique was utilized in the bilateral posterior region, while a diode laser-assisted periosteal release and frenectomy were performed in the anterior segment. These procedures enabled effective apical repositioning of the mucosa and muscle attachments without the need for grafting, thereby enhancing the extent of immobile mucosa essential for denture stability. Periodontal dressing was applied postoperatively to maintain vestibular depth and support tissue healing. The healing phase was uneventful, with notable improvement in vestibular depth and soft tissue quality, following which the patient was referred for final prosthetic restoration. This case highlights the clinical utility of combining traditional and laser-based vestibuloplasty techniques in managing challenging edentulous cases with limited vestibular depth.
本病例报告概述了一种多学科手术方法,用于治疗一名62岁男性严重吸收的无牙上颌骨且义齿固位差的前庭加深问题。为优化上颌前庭深度并为修复体修复准备牙弓,双侧后部区域采用了克拉克技术,而在前部进行了二极管激光辅助骨膜松解和系带切除术。这些手术能够在无需植骨的情况下有效地将黏膜和肌肉附着点向根尖重新定位,从而增加了义齿稳定性所需的固定黏膜范围。术后应用牙周敷料以维持前庭深度并支持组织愈合。愈合阶段顺利,前庭深度和软组织质量有显著改善,之后患者被转介进行最终的修复体修复。本病例突出了在处理前庭深度有限的具有挑战性的无牙病例时,结合传统和基于激光的前庭成形术技术的临床实用性。