ヒドロキシアパタイトか粒を用いたいわゆるｏｐｅｎ　ｍｕｃｏｓａｌ　ｆｌａｐ　ｔｅｃｈｎｉｑｕｅによる歯槽堤形成術の経験

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  • Hydroxylapatite reconstruction of alveolar ridge deficiency with an open mucosal flap technique.

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Several techniques that use interposed autogenous bone grafts to augment the atrophied mandibular and maxillary alveolar ridges have been described by many authors.<BR>Hydroxylapatite (HA) augmentation of a deficient edentulous alveolar ridge was reported by Kent in 1980. Since then, the technique advocated for placing HA requires creation of a crestal subperiosteal tunnel by blind dissection through bilateral mucoperiosteal incisions in the canine areas. Although satisfactory results have generally been reported, a few problems have been encountered.<BR>These problems include permanent elevation of the buccal sulcus, often necessitating secondary vestibuloplasty.<BR>To circumvent this problem, Barsan and Kent (1985) and Lew (1985) reported a modified technique, involving HA reconstruction of alveolar ridge deficiency with an open mucosal flap technique.<BR>Recently the authors of the present article used this open mucosal flap technique with HA in two cases and obtained satisfactory results.<BR>Case 1 was a 52 year-old female, the location of the incision was in the region between the first premolars of the maxilla.<BR>Case 2 was a 55 year-old female, the location of the incision was in the region between the second molars of the mandible.

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