Professional paper
An operative method for combined atrophic changes of the alveolar ridge
Ivo Miše
; Zavod za oralnu kirurgiju Stomatološkog fakulteta, Zagreb
Abstract
In the introduction various types of atrophy of the alveolar ridge, such as uniform atrophy, irregular atrophy, apparent surplus of gingiva propria, a shallow fornix etc. are listed by the author. Principles of surgical treatment for every individual form of atrophy are given. The author maintains that operative methods are purposive but also specific for individual types of atrophy. The problem arises when simultaneously a combination of different types of atrophy and atrophic conditions occurs with various accompanying phenomena which may be reflected in a great number of variants. In such cases one operative intervention is often not sufficient. In view of this the author devised an operative method by means of which he solved combined atrophic conditions. The incision passes only through the mucosa along the crest of the alveolar ridge in addition to two vertical incisions which border the operative field. The mucosa is then separated from the submucosa at the level necessary for the new fixed mucosa. Thereafter in the same region of the incision the submucosa and the periosteum are severed and pushed towards the fornix. The surface on the bone is then smoothed and the periosteum is sutured with the mucosa at the level to which it is necessary for the new fixed mucosa to extend. The mucosa is then sutured in the section of the incisions. When the suturing is completed, the mucosa is drawn towards the fornix to make it adhere close to the bone and it is then with small nails fixed. If the fornix is to be deepened at the same time it is necessary after preparing the mucosa and peeling off the submucossa and the periosteum to excise the submucosa and the periosteum to the level of the prepared mucosa in the region of the fornix and then suture the periosteum to the mucosa while the remaining procedure is unchanged. In cases of a sac-like protruding gingiva propria an the crest of the alveolar ridge the procedure is the same, only before suturing the wound the surplus of gingiva propria is excised, i.e. the palatine part remaining from the incision an the crest of the alveolar ridge. The results were quite good. The postoperative course was normal, the mucosa adhered firmly to the bone and there was no recurrence. The author states that the alveolar ridge was smooth and abundant, covered entirely by an immobile mucosa, there was no surplus of mucosa on the crest of the ridge and the fornix was sufficiently deep.All this prompted the author to conclude that in individual types of alveolar ridge atrophy it is necessary to apply well known methods appropriate for that specific atrophic condition. On the basis of his experience the author considers that his method is to be given priority over the well known methods applied in cases where combined atrophies are involved, since identical results are obtained as with the well known methods while all the problems are solved in one operative intervention.
Keywords
Hrčak ID:
108195
URI
Publication date:
15.12.1971.
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