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Palatal CTG graft
Posted on 10.04.2012 06:45 AM
By yazad gandhi
In Soft Tissue Enhancement
A palatal CTG graft was procured and the first photograph is of day 2 postop which shows good healing.
The second one is of day 7 when you see a punched out lesion, patient doesn't remember any trauma to the site.
Possible cause please Dr.Maurice?
day 2 postop
day 7 postop
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5 Comments
Paul Kozy DDS says on 10.04.2012 07:17 AM
The area of the "lesion" was the result of the remaining palatal flaps being very thin. This compromised the edges of these flaps and led to sloughing of the external surface.
I have had this happen many times and the palate will heal nicely by granulating from the margins of the "lesion".
The patient, if uncomfortable, may like a steroid-orabase topical palliative ointment.
yazad gandhi says on 10.04.2012 07:49 AM
Thanks Paul, thought so that it was due to a compromise in vascularity.
Andres Freixas says on 10.04.2012 09:47 AM
I cant tell for the pictures but, its the implant of the 9# in a good driven prosthetic place?
Regards. Andres Paraud
Sormani Queiroz says on 10.04.2012 02:55 PM
For me the injury looks like necrotizing sialometaplasia in which necrosis occurs due to ischemia of the glandular tissue of the palate, may be due to surgical trauma or even by anesthesia near the greater palatine foramen. No further treatment is needed, just local measures to provide comfort to the patient.
THEO ODYSSEOS says on 11.28.2012 01:52 PM
this is the result of a thin remaining soft tissue at the donor site.you can prevent this or reduce the incidence by placing a vacuum plate on the palate after surgery for a week, or placing a resorbable (collagen type)membrane or(PRF or PRGF) and apply presure for 5-10 min post op. or both.good luck