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논문 기본 정보

자료유형
학술저널
저자정보
Sangip Lee (Kyung Hee University) Yu Jin Jee (Kyung Hee University) Deok-Won Lee (Kyung Hee University)
저널정보
대한치의학회 Journal of Korean Dental Science Journal of korean dental science Vol.7 No.1
발행연도
2014.6
수록면
38 - 42 (5page)

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초록· 키워드

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Bisphosphonate-related osteonecrosis of the jaw (BRONJ) is defined as exposed necrotic bone without evidence of healing for at least 8 weeks in the maxillofacial area in a patient with history of bisphosphonate use. Obtaining complete coverage of the hard tissue by soft tissue in BRONJ patients is especially important. Therefore, managing the mucosa is one of the key factors in a successful outcome, but this is especially hard to achieve in BRONJ patients. Various applications of buccal fat pad in oral reconstruction?including the closure of surgical defects following tumor excision, repair of surgical defects following the excision of leukoplakia and submucous fi brosis, closure of primary and secondary palatal clefts, coverage of maxillary and mandibular bone grafts, and lining of sinus surface of maxillary sinus bone graft in sinus lift procedures for maxillary augmentation?have been studied. Eliminating all potential sites of infection and post-operative infection control is crucial in BRONJ. We present a case using the buccal fat pad pedicle for a stage 3 BRONJ defect. Uneventful total epithelialization of the buccal fat pad regardless of size was noted. In summary, the buccal fat pad has versatile application and various recipient sites for surgical utilization. It is an easy technique, with promising overall success rates. With careful selection and handling, buccal fat graft can resolve problems with soft tissue coverage in stage 2 or 3 BRONJ patients.

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Introduction
Case Report
Discussion
References

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