Vestibuloplasty: Indications and Techniques

Following complete loss of teeth, the alveolar bone undergoes various degrees of resorption, particularly in response to tissue-supported conventional dentures. This results in loss of vestibule and decreased surface area for denture support. In this presentation, Dr. H. Ryan Kazemi reviews various vestibuloplasty procedures that have been described for restoring the vestibular depth and increasing denture surface area. Additionally, he discusses application of vestibuloplasty in management of patients with bone augmentation and implants who commonly present with decreased vestibular depth, inadequate zone of keratinized gingiva, and thin soft tissue biotype. A step-by-step surgical technique is presented that will increase vestibular depth, zone of attached gingiva, and soft tissue thickness for enhanced aesthetics and function of dental implants.

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