Prospects of the use of buccal fat pad for closing defects of the alveolar processes of the jaws

  • O. V. Ruzhytska Danylo Halytskyi Lviv National Medical University
Keywords: buccal fat pad (Bichat`s fat pad), defects of maxillofacial area, methods of reconstructive plastic surgery, osteoplastic materials, autotransplantation, long-term observation


Summary. In modern surgical dental practice, doctors often meet with the need to close the soft tissue defects of the oral cavity. The researches in recent years are aimed to the development of such methods of surgery that would provide sanation of the inflammatory focus, the revival of physiological processes on place of soft tissue defects or create conditions for their recovery and provide a full function. The easy access to buccal fat pad causes interest of regarding its application for the closure of defects. The aim of the study – to analyze and learn the literature data of various methods of application of buccal fat pad for autotransplantation in closing defects of the maxillofacial area in comparison with the use of other transplants. In recent years, a large spread have methods of reconstructive plastic surgery by using autotransplantats. In the literature there are data on the positive results of surgical closure of tissue defects by autotransplantation of adipose tissue and, in particular, the buccal fat pad. The buccal fat pad has its own connective tissue capsule and well-developed vascular net, provides nutrition to the transplant and rapid healing of the postoperative wound; does not require prior preparation and adaptation to the recipient’s bed. It allows to use it in maxillofacial surgery to close the defects of the upper jaw, elimination of oral-antral connection, in the reconstruction of intraoral defects such as oral-antral fistula, with loss of bone mass of the lower jaw in the area of molars and premolars, to eliminate defects in cancer pathology of the face. Advantageous anatomical position, a good blood circulation and lack of innervation of buccal fat pad facilitates the task of surgeon and gives better results of operations. The studies has shown the process of epithelialization of wounds for 1 week after surgery and a stable clinical course without complications in the long-term observation, which proves the relevance of the use of buccal fat pad in modern maxillofacial surgery with the aim to improve existing and develop new methods of autotransplantation.

Author Biography

O. V. Ruzhytska, Danylo Halytskyi Lviv National Medical University

Ружицька Оксана Володимирівна – асистент кафедри хірургічної та ортопедичної стоматології ФПО Львівського національного медичного університету імені Данила Галицького;;



Modina, T.N., & Bolbat, M.V. (2014). Primenenie meditsinskogo kleya «Sulfakrilat» v stomatologicheskoy praktike [The application of medical glue «Sulfakrilat» in dental practice]. Biisk: Izdatelskiy dom «Biya» [in Russian].

Tsusliuk, V.P. (2001). Likuvannia khvorykh z pisliaoperatsiinymy defektamy shchelep [Treatment of patients with postoperative defects of the jaws]. Extended abstract of Candidate’s thesis. Kyiv [in Ukrainian].

Belikov, O.B. (2006). Ortopedychna reabilitatsiiа khvorykh z pisliaoperatsiinymy defektamy shchelep i miakykh tkanyn [Orthopedic rehabilitation of patients with postoperative defects of the jaws and soft tissues]. Extended abstract of Doctor’s thesis. Poltava [in Ukrainian].

Vovk, Yu.V., Vovk, V.Yu. & Deltsova, O.I. (2009). Eksperymentalne vyvchennia osteohenezu kistkovykh defektiv, zapovnenykh kaltsii-fosfatnym biomaterialom u poiednanni zi zbahachenoiu trombotsytamy plazmoiu krovi [Experimental study of reparative osteogenesis of bone defects filled with calcium-phosphate biomaterial in combination with rich on platelets blood plasma]. Novyny stomatolohii – News of Dentistry, 1, 53-63 [in Ukrainian].

Malanchuk, V.O. (Ed.). (2011). Khirurhichna stomatolo­hiia ta shchelepno-lytseva khirurhiia: pidruchnyk u 2-okh tom. [Surgical dentistry and maxillofacial surgery: textbook in 2 vol.]. Kyiv: LOHOS [in Ukrainian].

Malanchuk, V.A., Volovar, O.S., Tokarskyi, V.F. & Chuhanskyi, I.V. (2006). Ispolzovanie rezorbiruyemykh membran pri uvelichenii alveolyarnogo otrostka metodom autotransplantatsii kostnykh blokov [The use of resorbable membranes with the increase of the alveolar sprouts of the method of autotransplantation of bone blocks]. Proceedings: II Ukrainskyi mizhnarodnyi conhres «Stomatolohichna implantolohiia.Osteointehratsiia» – The Second Ukrainian International Congress «Dental impantology. Osteology». Kyiv [in Russian].

Timofeyeva, A.A. (2007). Khirurhicheskiye metody dentalnoy impantatsii [Surgical methods of dental implantation]. Kyiv: OOO «Chervona Ruta-Ture» [in Ukrainian].

Vovk, Yu.V. & Vovk, V.Yu. (2008). Rekonstruktsiia pisliaekstraktsiinykh defektiv zubnykh lanok za dopomohoiu tytanovykh membran «Mondeal®» [Placemarking reconstruction of bone defects of teeth holes with titanium membranes]. Proceedings: yuvileina mizhnarodna naukovo-praktychna konferentsia z nahody 50-richchia stomat. f-tu LNMU im. D. Halytskoho – Proceedings of the Anniversary International Scientific and Practical Conference dedicated to the 50 years of the Department of Dentistry of Danylo Halytskyi Lviv National Medical University. Lviv [in Ukrainian].

Visaytova, Z.Yu. (2009). Obyomno-konturnaya plastika litsa metodom iniektsionnogo vvedeniya autozhira [Volume-facial contouring with method of injection of fat inyection requires]. Extended abstract of Candidate’s thesis. Moscow [in Russian].

Butterwick, K.J. & Lack, E.A. (2003). Facial volume restotion with the fat autograft muscle injection technique. Dermatologic Surgery, 29, 10, 1019-1026.

Hot, I.M., Pohranychna, Kh.R., Siryi, O.M. &

Bihuniak, V.V. (2004). Zastosuvannia bioimplantatu z platsenty liudyny v shchelepno-lytsevii khirurhii: metodychni rekomendatsii [The use of biouplatte from human placenta t in oral and maxillofacial surgery: method. recommendations]. Lviv [in Ukrainian].

Kobylnyk, I.O. (2001). Zahalna kharakterystyka biomaterialiv, shcho vykorystovuiutsia u khirurhichnii stomatolohichnii praktytsi dlia zapovnennia pisliaekstraktsiinykh tkanynnykh defektiv. Ohliad mozhlyvostei perspektyvnykh biomaterialiv [General characteristics of the biomaterials used in the surgical dental practice to fill placemarking tissue defects. Overview of the opportunities of prospective biomaterials]. Acta Medica Leopoliencia, 7, 2, 67-71 [in Ukrainian].

Kutsevlyak, V.I., Kutsevlyak, V.F., Mikulinskyy, Yu.E. & Shchehelskaya, E.A. (2006). Primeneniye kostnoplasticheskogo materiala kak nositelya autogichnykh stvolovykh kletok krolika dlya zameshcheniya kostnogo defekta chelusti [The use of osteoplastic material as a carrier of autologous rabbit stem cells to replace bone defect of the jaw]. Proceedings: II Ukrainskyi mizhnarodnyi conhres «Stomatolohichna implantolohiia. Osteointehratsiia» – The Second Ukrainian International Congress «Dental impantology. Osteology». Kyiv [in Russian].

Knapp, T.R., Kaplan, E.N. & Daniels, J.R. (1997). Injectable collagen for soft tissue augmentation. Plastic and Reconstructive Surgery, 60, 398-405.

Hot, I.M., Vares, Ya.E., Uhryn, M.M., Shchtuka, O.M. & Solonko, M.Yu. (2008). Osnovy peredproteznoi khirurhichnoi pidhotovky porozhnyny rota [Basics of preprosthetic surgical preparation of the oral cavity]. Lviv: Haldent [in Ukrainian].

Bershtein, L.M. (2005). Endokrinnaya funktsiya zhyrovoy tkani, ili kak vas teper nazyvat, mister Zh? [Endocrine function of adipose tissue, or as You are now called, Mr. A?]. Priroda – Nature, 3, 9-14 [in Russian].

Lutsyk, O.D., Ivanova, A.Y., Kabak, K.S. & Chaikovskyi, Yu.B. (2003). Histolohiia liudyny [Human Histology]. Kyiv: Knyha plius [in Ukrainian].

Visscher, S.H., van Roo n, M.R., Sluiter, W.J., van Minnen, B. & Bos, R.R. (2011). Retrospective study on the treatment outcome of surgical closure of oroantral communications. Journal of Oral and Maxillofacial Surgery, 69, 12, 2956-2961.

Zhang, H.M., Yan, Y.P., Qi, K.M., Wang, J.Q. & Liu, Z.F. (2002). Anatomical structure of the buccal fat pad and its clinical adaptations. Plastic and Reconstructive Surgery, 109, 7, 2509-2518.

Egyedi, P. (1977). Utilization of the buccal fat pad for closure of oro-antral and/or oro-nasal communications. Journal of Maxillofacial Surgery, 5, 241-244.

Neder, A. (1983). Use of buccal fat pad for grafts. Oral Surgery. Oral Medicine. Oral Pathology, 55, 349-350.

Tideman, H., Bosanquet, A. & Scott, J. (1986). Use of the buccal fat pad as a pedicled graft. Journal of Oral and Maxillofacial Surgery, 44, 435-440.

Landes, C.A., Seitz, O., Ballon, A., Stübinger, S., Robert, S., & Kovács, A.F. (2009). Six years clinical experience with the dorsally pedicled buccal musculomucosal flap. Annals of Plastic Surgery, 62, 6, 645-652.

Toshihiro, Y., Nariai, Y., Takamura, Y., Yoshimura, H., Tobita, T. & Tyoshino, O. (2013). Applicability of buccal fat pad grafting for oral reconstruction. International Journal of Oral and Maxillofacial Surgery, 42, 5, 604-610.

Rapidis, A.D., Alexandridis, C.A., Eleftheriadis, E. & Angelopoulos, P. (2000). The use of the buccal fat pad for reconstruction of oral defects: review of the literature and report of 15 cases. Journal of Oral and Maxillofacial Surery, 58, 2, 158-163.

Liversedge, R.L. & Wong, K. (2002). Use of the buccal fat pad in maxillary and sinus grafting of the severely atrophic maxilla preparatory to implant reconstruction of the partially or completely edentulous patient. The International Journal of Oral & Maxillofacial Implants, 17, 3, 424-428.

Kablan, F. (2015). The use of buccal fat pad free graft in regenerative treatment of peri-implantitis: A new and predictable technique. Annals of Maxillofacial Surgery, 5, 2, 179-184.

Agarwal, C., Gayathri, G.V., & Mehta, D.S. (2014). An innovative technique for root coverage using pedicled buccal fat pad. Contemporary Clinical Dentistry, 5, 3, 386-388.

Deliberador, T.M., Mendes, R.T., Storrer, C.L., Giovanini, A.F., Zielak, J.C., & Lopes, T.R. (2012). Autogenous bone graft combined with buccal fat pad as barrier in treatment of Class II furcation defect: a case report. The Bulletin of Tokyo Dental College, 53, 3, 127-132.

Alonso-González, R., Peñarrocha-Diago, M., Peñarrocha-Oltra, D., Aloy-Prósper, A., Camacho-Alonso, F. & Peñarrocha-Diago, M. (2015). Closure of oroantral communications with Bichat`s buccal fat pad. Level of patient satisfaction. Journal of Clinical and Experimental Dentistry, 7, 1, 28-33.

Dean, A., Alamillos, F., García-López, A., Sánchez, J. & Peñalba, M. (2001). The buccal fat pad flap in oral reconstruction. Head & Neck, 23, 5, 383-388.

Malakhovskaya, V.I. (2013). Opyt transplantatsii zhyrovoy tkani, oboyashchennoy stromalno-vaskulyarnoy kletochnoy fraktsiyey dlya korrektsii defektov chelustno-litsevoy oblasti [The experience of transplantation of adipose tissue enriched with stromal vascular cellular fraction for the correction of defects of the maxillofacial area]. Vestnik esteticheskoy meditsiny – Bulletin of Aesthetic Medicine, 1, 14-19 [in Russian].

Raji, J.M., Garba, S.H., Numan, A.I., Waziri, M.A. & Maina, M.B. (2010). Morphological evaluation of head and face shapes in a north-eastern Nigerian population. Australian Journal of Basic and Applied Sciences, 4, 8, 3338-3341.

Spelber, G.H. (2001). Craniofacial development and growth (Craniofacial development). London: BC Decker Inc.

How to Cite
Ruzhytska, O. (2018). Prospects of the use of buccal fat pad for closing defects of the alveolar processes of the jaws. Clinical Dentistry, (3), 75-81.
Surgical stomatology