Biomaterial Database

Acellular dermal allograft for vestibuloplasty--an alternative to autogenous soft tissue grafts in preprosthetic surgical procedures: a clinical report. 2003

Monish Bhola, and Donald H Newell, and Everett B Hancock

Department of Periodontology and Dental Hygiene, University of Detroit Mercy School of Dentistry, Detroit, MI, USA. monishbhola@hotmail.com

Various vestibular extension procedures have been described in the literature over the past 6 decades, including the use of free gingival grafts. An acellular dermal allograft has been used as a substitute for autogenous soft tissue grafts in root coverage procedures. This clinical report describes the use of such an allograft as a substitute for palatal donor tissue in the vestibular extension of an edentulous maxillary arch with multiple frenum attachments before fabrication of a complete denture. In this patient, healing was uneventful, and 6-month clinical observations demonstrated an apical positioning of the mucogingival junction with an increase in vestibular depth, and the absence of multiple frenae. The acellular dermal allograft appears to be a useful substitute for autogenous palatal grafts in preprosthetic surgery. This approach has many advantages over the free gingival graft, including no donor site morbidity, unlimited availability, and better color match.

UI	MeSH Term	Description	Entries
D007576	Jaw, Edentulous, Partially	Absence of teeth from a portion of the mandible and/or maxilla.
D007742	Labial Frenum	ORAL MUCOSA that connect the GINGIVA to the midline of the upper or lower lips.	Labial Fraenum,Lower Labial Frenum,Mandibular Labial Fraenum,Mandibular Labial Frenum,Maxillary Labial Fraenum,Upper Labial Frenum,Labial Frenulum,Maxillary Labial Frenum,Fraenum, Labial,Frenulum, Labial,Frenum, Labial,Labial Fraenum, Mandibular,Labial Fraenum, Maxillary,Labial Frenum, Lower,Labial Frenum, Mandibular,Labial Frenum, Maxillary,Labial Frenum, Upper,Labial Frenums, Mandibular,Lower Labial Frenums,Mandibular Labial Frenums,Maxillary Labial Fraenums,Maxillary Labial Frenums,Upper Labial Frenums
D008297	Male		Males
D008437	Maxilla	One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS.	Maxillae,Maxillary Bone,Bone, Maxillary,Bones, Maxillary,Maxillary Bones,Maxillas
D005889	Gingival Recession	Exposure of the root surface when the edge of the gum (GINGIVA) moves apically away from the crown of the tooth. This is common with advancing age, vigorous tooth brushing, diseases, or tissue loss of the gingiva, the PERIODONTAL LIGAMENT and the supporting bone (ALVEOLAR PROCESS).	Gingival Atrophy,Atrophy of Gingiva,Gingiva Atrophies,Gingiva Atrophy,Gingival Atrophies,Gingival Recessions,Recession, Gingival,Recessions, Gingival
D005893	Gingivoplasty	Surgical reshaping of the gingivae and papillae for correction of deformities (particularly enlargements) and to provide the gingivae with a normal and functional form, the incision creating an external bevel. (Dorland, 28th ed)	Gingivoplasties
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368	Aged	A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available.	Elderly
D014184	Transplantation, Homologous	Transplantation between individuals of the same species. Usually refers to genetically disparate individuals in contradistinction to isogeneic transplantation for genetically identical individuals.	Transplantation, Allogeneic,Allogeneic Grafting,Allogeneic Transplantation,Allografting,Homografting,Homologous Transplantation,Grafting, Allogeneic
D014727	Vestibuloplasty	Those procedures designed to widen the zone of attached gingiva and deepen the vestibular depth which will facilitate the clearance of the area for natural food passage, and provide access for toothbrushing and interdental stimulation.	Vestibuloplasties