A technique is described for deepening the mandibular labial sulcus in edentulous patients. It eliminates the need for dressings and stents. This technique provides for a predictable increase in vestibular depth, and separation and repositioning of the muscles of facial expression from the region near the crest of the ridge to a position lower on the body of the mandible. These muscles still maintain their ability to function but exert little effect in displacing the lower complete denture.

A technique for vestibular sulcus extension

The authors present a new design of splintage for fixation of the alveolar ridge mucosa following various vestibuloplasty procedures. From 1981–1987 50 acrylic buccal splints and 76 palatal splints were used, fixed by AO screws, in vestibuloplasty procedures. By using screws a controlled pressure equally distributed over the mucosa was achieved. The results demonstrate that screw fixation of the splints can avoid some of the common problems found especially with suture or nails. The acrylic buccal splint fixed by AO screws on to the alveolar bone is more convenient for the patient and produces a better operative result. The authors recommend it as the method of choice for submucosal and some modified submucosal vestibuloplasties.

An alternative method of fixation of alveolar ridge mucosa during the vestibuloplasty procedure.

Preprosthetic surgery in the front region of the mandible

Atlas of Implant Dentistry and Tooth-Preserving Surgery

Mandibular anterior ridge extension: A modification of the Kazanjian vestibuloplasty technique

Ridge extension: a modified operative technic.

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Ridge extension: a modified operative technic.