1986 Volume 32 Issue 2 Pages 203-210
Surgical augmentation for atrophic redidual ridge is one of the ultimate preprosthetic procedures facilitating an “ideal” denture construction.
In this paper, we present a 50-year-old female treated with surgical ridge augmentation of both jaws, who worried about excessive denture mobility. We apllied Le Fort I osteotomy with interpositional bone grafting and vestibuloplasty to maxilla. During 2 years following the operation minimal positional change of bone segment and alveolar resorption occured. In mandible, modified Härle's visor osteotomy and inferior (submental) border bone grafting in combination with vestibuloplasty using skin graft were adopted. The results were very stable the first 6 months after augmentation, but from 6 months to 2 years posterior alveolar ridges improved by visor osteotomy relapsed to pre-operative level and anterior vertical height increased by inferior border bone graft was reduced to 62 percent. Now the patient is almost satisfied with acceptable dentures without any surgical complications such as TMJ problems or neural damage.
