Clinical outcomes after the use of complete autologous oral mucosa equivalents: preliminary cases

Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 May;113(5):e4-e11. doi: 10.1016/j.tripleo.2011.07.030. Epub 2012 Jan 27.

Abstract

Objective: Previously, we reported how to obtain complete autologous oral mucosa equivalents (CAOMEs) composed of an autologous plasma scaffold and fibroblasts together with immature keratinocytes able to build an oral epithelium with a structure similar to that of the oral mucosa. In this study, we present the clinical outcomes after applying our CAOMEs as grafts.

Study design: Four patients who needed a CAOME to restore a defect of oral mucosa were selected. Two of the patients suffered from ankyloglossia, and the other 2 required a restoration of the keratinized gum of the alveolar rim. To assess the outcomes, the scale designed by Ewers et al. was used.

Results: Clinical and functional improvements were achieved in the patients with ankyloglossia. In cases of gum restoration, the mucosa was regenerated and a prosthetic restoration with implants was achieved.

Conclusions: The results obtained points to the potential use of CAOME in intraoral lining.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cell Culture Techniques
  • Cells, Cultured
  • Fibrin Tissue Adhesive
  • Fibroblasts / transplantation
  • Humans
  • Keratinocytes / transplantation*
  • Membranes, Artificial*
  • Mouth Mucosa / cytology*
  • Mouth Mucosa / physiology
  • Mouth Mucosa / surgery
  • Mouth Neoplasms / surgery
  • Regeneration
  • Tissue Engineering / methods*
  • Tissue Scaffolds*
  • Transplantation, Autologous

Substances

  • Fibrin Tissue Adhesive
  • Membranes, Artificial