Vascularized interpositional periosteal connective tissue flap: A modern approach to augment soft tissue

Chitra Agarwal; Savita Deora; Dennis Abrahm; Rohini Gaba; Baron Tarun Kumar; Praveen Kudva

doi:10.4103/0972-124X.145793

Journal of Indian Society of Periodontology

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ORIGINAL ARTICLE

Year : 2015 | Volume : 19 | Issue : 1 | Page : 72-77

Vascularized interpositional periosteal connective tissue flap: A modern approach to augment soft tissue

Chitra Agarwal¹, Savita Deora¹, Dennis Abrahm², Rohini Gaba³, Baron Tarun Kumar⁴, Praveen Kudva⁵
¹ Department of Periodontology, Jodhpur Dental College, Jodhpur, Rajasthan, India
² Department of Periodontology, Index Dental College, Indore,Madhya Pradesh, India
³ Department of Periodontology, Maharaja Gangasingh Dental College and Research Centre, Sri Ganganagar, India
⁴ Department of Periodontology, Bapuji Dental College and Hospital, Davangere, Karnataka, India
⁵ Department of Periodontology, Jaipur Dental College General Hospital, Jaipur, Rajasthan, India

Correspondence Address:
Chitra Agarwal
Shri Balaji Dental Hospital, Near Electricity Office, Fort Road, Nagori Gate Circle, Jodhpur 342 001, Rajasthan
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/0972-124X.145793

Context: Nowadays esthetics plays an important role in dentistry along with function of the prosthesis. Various soft tissue augmentation procedures are available to correct the ridge defects in the anterior region. The newer technique, vascularized interpositional periosteal connective tissue (VIP-CT) flap has been introduced, which has the potential to augment predictable amount of tissue and has many benefits when compared to other techniques. Aim: The study was designed to determine the efficacy of the VIP-CT flap in augmenting the ridge defect. Materials and Methods: Ten patients with Class III (Seibert's) ridge defects were treated with VIP-CT flap technique before fabricating fixed partial denture. Height and width of the ridge defects were measured before and after the procedure. Subsequent follow-up was done every 3 months for 1-year. Statistical Analysis Used: Paired t-test was performed to detect the significance of the procedure. Results: The surgical site healed uneventfully. The predictable amount of soft tissue augmentation had been achieved with the procedure. The increase in height and width of the ridge was statistically highly significant. Conclusion: The VIP-CT flap technique was effective in augmenting the soft tissue in esthetic area that remained stable over a long period.

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