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논문 기본 정보

자료유형
학술저널
저자정보
Gyu-Un Jung (Korea University Anam Hospital) Jin-Woo Kim (Ewha Womans University Medical Center) Eun-Kyoung Pang (Ewha Womans University Medical Center) Sun-Jong Kim (Ewha Womans University Medical Center)
저널정보
대한치과의사협회 대한치과의사협회지 대한치과의사협회지 Vol.54 No.7 (Wn.566)
발행연도
2016.7
수록면
501 - 512 (12page)

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초록· 키워드

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We evaluated a self-inflatable osmotic tissue expander for its utility in creating sufficient soft tissue elongation for primary closure after bone grafting. Six patients with alveolar defects who required vertical augmentation of >6 mm before implant placement were enrolled. All had more than three prior surgeries, and flap advancement for primary coverage was restricted by severely fibrosed scars. Expanders were inserted beneath the flap and fixed with a screw. After 4 weeks, expander removal and bone grafting were performed simultaneously. A vertical block autograft and guided bone regeneration and distraction osteogenesis were performed. Expansion was sufficient to cover the grafted area without additional periosteal incision. Complications included mucosal perforation and displacement of the expander. All augmentation procedures healed uneventfully and the osseous implants were successfully placed. The tissue expander may facilitate primary closure by increasing soft tissue volume. In our experience, this device is effective, rapid, and minimally invasive, especially in fibrous scar tissue.

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ABSTRACT
Ⅰ. Introduction
Ⅱ. Materials and Methods
Ⅲ. Results
Ⅳ. Discussion
Ⅴ. Conclusions
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