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Management of the atrophic anterior maxilla by combined hydroxyapatite augmentation and vestibuloplasty: a pilot
1Department of Oral and Maxillofacial Surgery, School of Clinical Dentistry, University of Sheffield.
Abstract:
A technique is described to overcome the problem of the grossly resorbed maxillary alveolus and improve denture wear, by combining augmentation and increased soft tissue cover of the alveolar ridge. Manipulation and placement of the hydroxyapatite was facilitated by use of a hydroxyapatite/collagen composite (HAC) block. The procedure has been carried out in ten patients where extensive resorption contraindicated the use of permucosal implants. Six cases have been followed up for 2 to 3 years. After some initial compaction of HAC the improvement in ridge height has been maintained and long term improvement in denture function obtained.