Abstract :
Aim and Objective: 1) Comparing the vestibular depth achieved in the mandibular anterior region with the two techniques. i.e Modified Kazanjian and Lipswitch technique 2) Patient satisfaction.
Materials and Methods: In the present study a comparison of two techniques of vestibuloplasty, i.e. Modified Kazanjian and Lipswitch techniques was done to evaluate the efficiency in maintaining the vestibular depth in a follow up period of 6 months. 40 patients medically fit patients who required
vestibuloplasty procedure were selected; 20 patients underwent Modified Kazanjian technique and 20 patients underwent Lipswitch technique. Vestibular Depth, patient compliance and complications if any were recorded and reviewed on the 1st day, 1 week, 1 month and 6 months postoperatively.
Results: The immediate post-operative depth in modified Kazanjian group ranged from 10.3 to 15.3 mm, it was 9.8 to 14.9 mm after 1 week, 9.5 to 14.5 mm after one month and 4.8 to 13.9 mm after 6 months postoperatively. The immediate post-operative depth in Lipswitch group ranged from 11.2 to 15.1 mm. it was 11.6 to 14.9 mm after 1 week, 10.6 to 14.8 mm after 1 month and 10.2 to 14.2 mm after 6 months postoperatively. The percentage of increase in vestibular depth 6 months postoperatively was 166.70% in Modified Kazanjian technique and in that of Lipswitch technique it was 283.88% which showed a highly significant P value of 0.003.
Conclusion: Reviewing the results with regard to the maintenance of vestibular depth, patient compliance and complications, we recommend Lipswitch technique over the Modified Kazanjian technique for vestibuloplasty.
Keyword :
Lipswitch, Mandibular anterior sulcus depth, Kazanjian, Modified Kazanjian, Orthopantamogram, Vestibuloplasty, Denture.