ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 18 of 42
Up
УЖМБС 2020, 5(2): 130–138
https://doi.org/10.26693/jmbs05.02.130
Dentistry

Clinical Evaluation of Cheek Thickness Indices and Buccal Corridor Status in Patients with Different Facial Types during Surgical Extraction of Buccal Fat Body

Vovk Y. V., Ruzitzka O. V., Vovk V. Y.
Abstract

Individual features of the location of buccal fat pad in patients with different types of face should be taken into account to prevent the development of complications at surgical buccal fat pad sampling. Therefore, the purpose of our study was to elaborate the algorithm of clinical examination of patients with different types of face during the preparation of replacing tissue defects with buccal fat pad autotransplantation. Material and methods. We carried out examinations of 69 patients of different gender, age, different types of face in postextraction defects of tissues of alveolar processes. Types of patients’ faces were determined by Prosopic index. Thickness of buccal area was determined by Tobias G. et al., 1994. The clinical study of establishing the value of the buccal corridor was carried out on 17 patients out of 69. Statistical evaluation of obtained values of buccal corridor was carried out using Student criteria. Results and discussion. The study results showed that there was statistical relationship between the results of clinical indicator in patients with different types of face. In particular, in average value it was 8.83±0.77 mm in mesofacial type. Compared with mesophacyals, in brachyfacial it was higher on average by 1.4 times, аnd in dolichofacial lower than average by 1.1 times. The obtained results of statistical comparison of the relative value of the external buccal corridor in patients with different types of face objectively confirm the presence of statistically significant differences between the studied results. On average, dolichofacial patients have more value of this parameter in 1.25 times compared to mesofacial patients and in 1.44 times compared to brachiofacial patients.This confirms that the value of the external buccal corridor can be used for the evaluation of morphological and functional state of lateral parts of the buccal area of patients with different face types for individualized operative approaches for extracting buccal fat pad. Conclusion. The obtained results of scientific and practical analysis indicate the necessity of taking into account their parameters while choosing a surgical approach due to buccal fat pad autotransplantation. These results also proved the need for further extended research.

Keywords: buccal fat pad, autotransplantation, thickness of buccal area, buccal corridor, types of face

Full text: PDF (Ukr) 473K

References
  1. Polyachenko YuV, Zapolska EM, Salyutin RV. Napravlena dyferentsiatsiya stovburovykh klityn, shcho vydilenni z zhyrovoyi tkanyny [The differentiation of adipose stem cells is directed]. Bukovyn med visn. 2013; 17(1): 92-6. [Ukrainian]
  2. Kyryk VM, Butenko GM. Stvolovye kletky yz zhyrovoy̆ tkany: osnovnye kharakterystyky y perspektyvy klynycheskogo prymenenyya v regeneratyvnoy̆ medytsyne (obzor lyteratury) [Stem cells from adipose tissue: the main characteristics and prospects of clinical use in regenerative medicine (literature review)]. Zhurn Akad med nauk Ukraïny. 2010; 16(16): 576-604. [Russian]
  3. Farré-Guasch E. Adipose Stem Cells from Buccal Fat Pad and Abdominal Adipose Tissue for Bone tissue Engineering. Теsis Doctoral. Barcelona; 2011. 328 p.
  4. Mohan M, Shetty T, Gupta P. Buccal Fat Pad. Arch Dent Med Res. 2015; 1(3): 70-3.
  5. Shrivastava G, Padhiary S, Pathak H, Panda S, Lenka S. Buccal Fat Pad to Correct Intraoral Defects. Int J Sci Res Publ. 2013; 3(2).
  6. Deliberador TM, Mendes RT, Storrer CL, Giovanini AF, Zielak JC, Lopes TR. Autogenous bone graft combined with buccal fat pad as barrier in treatment of Class II furcation defect: a case report. Bull Tokyo Dent Coll. 2012; 53(3): 127-32. https://doi.org/10.2209/tdcpublication.53.127
  7. Jackson IT. Buccal fat pad removal. Aesthet Surg J. 2003 Nov-Dec; 23(6): 484-5. https://doi.org/10.1016/j.asj.2003.08.005
  8. Matarasso A. Managing the buccal fat pad. Aesthet Surg J. 2006 May-Jun; 26(3): 330-6. https://doi.org/10.1016/j.asj.2006.03.009
  9. Singh J, Prasad K, Lalitha RM, Ranganath K. Buccal pad of fat and its applications in oral and maxillofacial surgery: a review of published literature (February) 2004 to (July) 2009. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Dec; 110(6): 698-705. https://doi.org/10.1016/j.tripleo.2010.03.017
  10. Prashanth R, Nandini GD, Balakrishna R. Evaluation of Versatility and Effectiveness of Pedicled Buccal Fat Pad Used in the Reconstruction of Intra Oral Defects. J Maxillofac Oral Surg. 2013 Jun; 12(2): 152-9. https://doi.org/10.1007/s12663-012-0416-0
  11. Chakrabarti J, Tekriwal R, Ganguli A, Ghosh S, Mishra PK. Pedicled buccal fat pad flap for intraoral malignant defects: A series of 29 cases. Indian J Plast Surg. 2009 Jan-Jun; 42(1): 36-42. https://doi.org/10.4103/0970-0358.53010
  12. Science and practice of Occlussion. Ed by McNeil Ch. Quintessence Pub Co; 1997. p. 344-6.
  13. Zhang HM, Yan YP, Qi KM, Wang JQ, Liu ZF. Anatomical structure of the buccal fat pad and its clinical adaptations. Plast Reconstr Surg. 2002 Jun; 109(7): 2509-18, discussion 2519-20. https://doi.org/10.1097/00006534-200206000-00052
  14. Yousuf S, Tubbs RS, Wartmann CT, Kapos T, Cohen-Gadol AA, Loukas M. A review of the gross anatomy, functions, pathology, and clinical uses of the buccal fat pad. Surg Radiol Anat. 2010 Jun; 32(5): 427-36. https://doi.org/10.1007/s00276-009-0596-6
  15. Cho KH, Lee HS, Katori Y, Rodríguez-Vázquez JF, Murakami G, Abe S. Deep fat of the face revisited. Clin Anat. 2013 Apr; 26(3): 347-56. https://doi.org/10.1002/ca.22206
  16. Gierloff M, Stöhring C, Buder T, Gassling V, Açil Y, Wiltfang J. Aging changes of the midfacial fat compartments: a computed tomographic study. Plast Reconstr Surg. 2012 Jan; 129(1): 263-73. https://doi.org/10.1097/PRS.0b013e3182362b96
  17. Ruzhytska OV, Vovk YuV. Rezultaty eksperymentalnogo doslidzhennya morfologichnykh osoblyvostey zhyrovogo tila shchoky lyudey v zalezhnosti vid form yikh golovy ta oblychchya [The results of an experimental study of the morphological features of the fat body of the cheeks of people, depending on the shape of their head and face]. Visn probl biol i med. 2016; 2(2): 284-90. [Ukrainian]
  18. Gender N. Buccal shelf measurements. Dental Abstrcts. 2008; 53(4): 217-8.
  19. Ritter DE, Gandini LG, Pinto Ados S, Locks A. Esthetic Influence of Negative Space in the Buccal Corridor during Smiling. Angle Orthod. 2006 Mar; 76(2): 198-203. https://doi.org/10.1043/0003-3219(2006)076[0198:EIONSI]2.0.CO;2
  20. Tikku T, Khanna R, Maurya R, Ahmad N. Role of buccal corridor in smile esthetics and its correlation with underlying skeletal and dental structures. Indian J Dent Res. 2012 Mar-Apr; 23(2): 187-94. https://doi.org/10.4103/0970-9290.100424
  21. Gianelly AA. Arch width after extraction and nonextraction treatment. Am J Orthod Dentofacial Orthop. 2003 Jan; 123(1): 25-8. https://doi.org/10.1067/mod.2003.57
  22. Sarver DM. The importance of incisor positioning in the esthetic smile: the smile arc. Am J Orthod Dentofacial Orthop. 2001; 120: 98-111. https://doi.org/10.1067/mod.2001.114301
  23. Spahl TJ. Premolar extractions and smile esthetics. Am J Orthod Dentofacial Orthop. 2003 Jul; 124(1): 16A-17A; author reply 17A. https://doi.org/10.1016/s0889-5406(03)00395-0
  24. Martin R. Anthropometrie: Anleitung zu Selbständigen Anthropologischen Erhebungen und Deren Statistische Verarbeitung. Berlin; Heidelberg; 1925. P. 1-29. doi 10.1007/978-3-662-40451-5
  25. Tobias G, Binder W. The submalar triangle: Its anatomy and clinical significance. Facial Plast Surg Clin N Am. 1994; 2(3): 255-63.
  26. Nurfitrah A, Christnawati C, Alhasyimi AA. Comparison of esthetic smile perceptions among male and female Indonesian dental students relating to the buccal corridors of a smile. Dent J (Majalah Kedokteran Gigi). 2017; 50(3): 127-30. doi.org/10.20473/j.djmkg.v50.i3.p127-130
  27. Kablan F, Laster Z. The use of free fat tissue transfer from the buccal fat pad to obtain and maintain primary closure and to improve soft tissue thickness at bone-augmented sites: technique presentation and report of case series. Int J Oral Maxillofac Implants. 2014 Mar-Apr; 29(2): e220-31. https://doi.org/10.11607/jomi.te58
  28. Rapidis AD, Alexandridis CA, Eleftheriadis E, Angelopoulos AP. The use of the buccal fat pad for reconstruction of oral defects: review of the literature and report of 15 cases. J Oral Maxillofac Surg. 2000; 58: 158-63. https://doi.org/10.1016/s0278-2391(00)90330-6
  29. Hassani A, Khojasteh A, Alikhasi M. Repair of the perforated sinus membrane with buccal fat pad during sinus augmentation. J Oral Implantol. 2008; 34: 330-3. https://doi.org/10.1563/1548-1336-34.6.330
  30. Gutiérrez Santamaría J, Masiá Gridilla J, Pamias Romero J, Giralt López-de-Sagredo J, Bescós Atín MS. Fat grafting is a feasible technique for the sequelae of head and neck cancer treatment. J Craniomaxillofac Surg. 2017 Jan; 45(1): 93-8. https://doi.org/10.1016/j.jcms.2016.10.019