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Vestibuloplasty by Modified Kazanjian Technique in Treatment With Dental Implants

Ponzoni, Daniela DDS, PhD; Jardim, Ellen Cristina Gaetti DDS, MSc,; de Carvalho, Paulo Sérgio Perri DDS, PhD

Journal of Craniofacial Surgery: July 2013 - Volume 24 - Issue 4 - p 1373–1375
doi: 10.1097/SCS.0b013e3182860524
Technical Experiences/Technical Strategies

Dentists are often faced with extensively resorbed mandibular ridges with shallow buccal vestibule and high insertion of the mentalis muscle in relation to the crest of the ridge, causing the displacement of the prosthesis. Vestibuloplasty techniques aim at eliminating the muscle insertions, reposition the mucosa, and increase the area chapeável, giving more stability to the prosthesis. Among the techniques to deepen the vestibule are submucosal vestibuloplasties by secondary epithelialization and with mucosal and skin grafts. We will discuss vestibuloplasty by secondary epithelialization with emphasis on the so-called modified Kazanjian technique. This technique provides an appropriate result and does not require hospitalization, additional surgery at the donor, or prolonged periods without the use of prosthesis.

From the Department of Oral and Maxillofacial Surgery, UNESP Araçatuba, São Paulo, Brazil.

Received September 30, 2012.

Accepted for publication December 13, 2012.

Address correspondence and reprint requests to Ellen Cristina Gaetti Jardim, DDS, Department of Oral and Maxillofacial Surgery, UNESP Araçatuba - Satildeo Paulo, Araçatuba, Brazil; E-mail:

The authors report no conflicts of interest.

© 2013 by Mutaz B. Habal, MD.