Abstract

Overview: The vestibuloplasty is a procedure that is often used to create a sufficient attached gingiva and

enhancement of denture seating area prior to prosthetic treatment.

Clinical case: In this article authors demonstrate a clinical case with advanced atrophy of the alveolar

ridge of the mandible, where to solve the problem they are using a combination of the Clark's method for

vestibuloplasty and covering the large wound surface with xenogeneic graft, thereby saving the patient's

second operative field for graft harvesting.

Discussion: Slow resorbtion and fast revascularization of the graft created the perfect condition for

smooth running of the postoperative period.

Picture 1: Making of the incision

Picture 2: In the area of tooth 43 the periosteum got ruptured, which is probably due to the multiple

decubitus trauma in the area.

Picture 3: As expected, the blood-nerve shaft was highly positioned and localized in the sub-mucosa

Picture 4: A re-hydrated Mucoderm was shaped according the defect size and was fixed with sutures

Picture 5: Fast re-vascularization and integration in the surrounding tissue (1 week after the operation)

Picture 6: 10 days after the operation

Picture 7: 14 days after the operation

Picture 8: Due to the slow resorption, Mucoderm is infiltrated by the surrounding soft tissue (1 month after

the operation