Oral Crest Lengthening for Increasing Removable Denture Retention by Means of CO2 Laser
The loss of teeth and their replacement by artificial denture is associated with many problems. The denture needs a certain amount of ridge height to give it retention and a long-term function. Crest lengthening procedures are performed to provide a better anatomic environment and to create proper s...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/738643 |
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| author | Samir Nammour Elie Gerges Rima Bou Tayeh Toni Zeinoun |
| author_facet | Samir Nammour Elie Gerges Rima Bou Tayeh Toni Zeinoun |
| author_sort | Samir Nammour |
| collection | DOAJ |
| description | The loss of teeth and their replacement by artificial denture is associated with many problems. The denture needs a certain amount of ridge height to give it retention and a long-term function. Crest lengthening procedures are performed to provide a better anatomic environment and to create proper supporting structures for more stability and retention of the denture. The purpose of our study is to describe and evaluate the effectiveness of CO2 laser-assisted surgery in patients treated for crest lengthening (vestibular deepening). There have been various surgical techniques described in order to restore alveolar ridge height by pushing muscles attaching of the jaws. Most of these techniques cause postoperative complications such as edemas, hemorrhage, pain, infection, slow healing, and rebound to initial position. Our clinical study describes the treatment planning and clinical steps for the crest lengthening with the use of CO2 laser beam (6–15 Watts in noncontact, energy density range: 84.92–212.31 J/cm2, focus, and continuous mode with a focal point diameter of 0.3 mm). At the end of each surgery, dentures were temporarily relined with a soft material. Patients were asked to mandatorily wear their relined denture for a minimum of 4–6 weeks and to remove it for hygienic purposes. At the end of each surgery, the deepest length of the vestibule was measured by the operator. No sutures were made and bloodless wounds healed in second intention without grafts. Results pointed out the efficiency of the procedure using CO2 laser. At 8 weeks of post-op, the mean of crest lengthening was stable without rebound. Only a loss of 15% was noticed. To conclude, the use of CO2 laser is an effective option for crest lengthening. |
| format | Article |
| id | doaj-art-1a02517c041744769e14134fa3bd4685 |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-1a02517c041744769e14134fa3bd46852025-02-03T01:26:17ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/738643738643Oral Crest Lengthening for Increasing Removable Denture Retention by Means of CO2 LaserSamir Nammour0Elie Gerges1Rima Bou Tayeh2Toni Zeinoun3Department of Dental Sciences, Faculty of Medicine, University of Liege, Liege, BelgiumDepartment of Prosthodontic, Faculty of Dentistry, Lebanese University, Beirut, LebanonDepartment of Oral and Maxillo-Facial Surgery, Faculty of Dentistry, Lebanese University, Beirut, LebanonDepartment of Oral and Maxillo-Facial Surgery, Faculty of Dentistry, Lebanese University, Beirut, LebanonThe loss of teeth and their replacement by artificial denture is associated with many problems. The denture needs a certain amount of ridge height to give it retention and a long-term function. Crest lengthening procedures are performed to provide a better anatomic environment and to create proper supporting structures for more stability and retention of the denture. The purpose of our study is to describe and evaluate the effectiveness of CO2 laser-assisted surgery in patients treated for crest lengthening (vestibular deepening). There have been various surgical techniques described in order to restore alveolar ridge height by pushing muscles attaching of the jaws. Most of these techniques cause postoperative complications such as edemas, hemorrhage, pain, infection, slow healing, and rebound to initial position. Our clinical study describes the treatment planning and clinical steps for the crest lengthening with the use of CO2 laser beam (6–15 Watts in noncontact, energy density range: 84.92–212.31 J/cm2, focus, and continuous mode with a focal point diameter of 0.3 mm). At the end of each surgery, dentures were temporarily relined with a soft material. Patients were asked to mandatorily wear their relined denture for a minimum of 4–6 weeks and to remove it for hygienic purposes. At the end of each surgery, the deepest length of the vestibule was measured by the operator. No sutures were made and bloodless wounds healed in second intention without grafts. Results pointed out the efficiency of the procedure using CO2 laser. At 8 weeks of post-op, the mean of crest lengthening was stable without rebound. Only a loss of 15% was noticed. To conclude, the use of CO2 laser is an effective option for crest lengthening.http://dx.doi.org/10.1155/2014/738643 |
| spellingShingle | Samir Nammour Elie Gerges Rima Bou Tayeh Toni Zeinoun Oral Crest Lengthening for Increasing Removable Denture Retention by Means of CO2 Laser The Scientific World Journal |
| title | Oral Crest Lengthening for Increasing Removable Denture Retention by Means of CO2 Laser |
| title_full | Oral Crest Lengthening for Increasing Removable Denture Retention by Means of CO2 Laser |
| title_fullStr | Oral Crest Lengthening for Increasing Removable Denture Retention by Means of CO2 Laser |
| title_full_unstemmed | Oral Crest Lengthening for Increasing Removable Denture Retention by Means of CO2 Laser |
| title_short | Oral Crest Lengthening for Increasing Removable Denture Retention by Means of CO2 Laser |
| title_sort | oral crest lengthening for increasing removable denture retention by means of co2 laser |
| url | http://dx.doi.org/10.1155/2014/738643 |
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