scholarly journals Clark’s Technique of Vestibuloplasty - A Case Report

2020 ◽  
Vol 4 (2) ◽  
pp. 93-95
Author(s):  
Benju Shrestha ◽  
Krishna Prasad Lamichhane ◽  
Shaili Pradhan ◽  
Ranjita Shrestha Gorkhali ◽  
Pramod Kumar Koirala
Keyword(s):  
Case Report ◽  
Oral Hygiene ◽  
Surgical Procedure ◽  
Gingival Recession ◽  
Muscle Attachment ◽  
Attached Gingiva

Shallow vestibule can create a barrier in oral hygiene maintenance and can cause gingival recession due to the muscular traction. Inadequate vestibular depth in combination with inadequate attached gingiva is said to cause more food accumulation during mastication. Hence, shallow vestibule impeding with oral hygiene maintenance requires correction. Vestibuloplasty involves surgical procedure for repositioning of mucosa and muscle attachment thereby increasing the vestibular depth. There are various techniques of vestibuloplasty. This case report highlights upon the Clark’s technique of vestibuloplasty for correction of shallow vestibule.

Treatment of Exposed Bone With Acellular Dermal Matrix in a Smoker Patient After Dental Implant Surgery: A Case Report

2019 ◽  
Vol 46 (3) ◽  
pp. 245-249
Author(s):  
Levent Cigerim
Keyword(s):  
Case Report ◽  
Dental Implant ◽  
Acellular Dermal Matrix ◽  
Gingival Recession ◽  
Dermal Matrix ◽  
Attached Gingiva ◽  
Exposed Bone ◽  
Dermal Cells ◽  
Dental Implant Surgery ◽  
Acellular Dermal

Acellular dermal matrix is a biocompatible material derived from human and animal connective tissue. This material is created by a chemical process in which all epidermal and dermal cells are removed but the bioactive dermal matrix is left intact. The bioactive dermal matrix has the capability to promote natural revascularization and cell repopulation and to undergo tissue remodeling as it contains elastin, collagen, bioactive proteins, and blood vessel channels. Recently, ADM materials have successfully been used as grafts in numerous surgical procedures to increase the size of the attached gingiva surrounding the teeth and implants, to fill in gingival recession defects to enhance root coverage, to manage soft-tissue ridge deformities, and to repair oronasal fistulae. The aim of this case report is to evaluate the use of the acellular dermal matrix in a 45-year-old patient with an area of exposed bone after the placement of a dental implant.

scholarly journals Combination of orthodontic movement and periodontal therapy for full root coverage in a miller class iii recession: a case report with 12 years of follow-up

2012 ◽  
Vol 23 (6) ◽  
pp. 758-763 ◽  
Author(s):  
Rafael Scaf de Molon ◽  
Érica Dorigatti de Avila ◽  
João Antonio Chaves de Souza ◽  
Andressa Vilas Boas Nogueira ◽  
Carolina Chan Cirelli ◽  
...  
Keyword(s):  
Case Report ◽  
Gingival Recession ◽  
Periodontal Therapy ◽  
Treatment Modalities ◽  
Class Iii ◽  
Root Coverage ◽  
Free Gingival Graft ◽  
Coronally Advanced Flap ◽  
Orthodontic Movement ◽  
Attached Gingiva

One of the main purposes of mucogingival therapy is to obtain full root coverage. Several treatment modalities have been developed, but few techniques can provide complete root coverage in a class III Miller recession. Thus, the aim of this case report is to present a successful clinical case of a Miller class III gingival recession in which complete root coverage was obtained by means of a multidisciplinary approach. A 17-year-old Caucasian female was referred for treatment of a gingival recession on the mandibular left central incisor. The following procedures were planned for root coverage in this case: free gingival graft, orthodontic movement by means of alignment and leveling and coronally advanced flap (CAF). The case has been followed up for 12 years and the patient presents no recession, no abnormal probing depth and no bleeding on probing, with a wide attached gingiva band. A compromised tooth with poor prognosis, which would be indicated for extraction, can be treated by orthodontic movement and periodontal therapy, with possibility of 100% root coverage in some class III recessions.

scholarly journals Management of maxillary labial frenum with comparison of conventional and incision below the clamp techniques: a case report

2018 ◽  
Vol 3 (1) ◽  
pp. 61
Author(s):  
Hasanuddin Thahir ◽  
Arni I. Djais ◽  
Shek Wendy ◽  
Muhammad H. Achmad ◽  
Fuad H. Akbar
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Alternative Treatment ◽  
Gingival Recession ◽  
Conventional Technique ◽  
Clamp Technique ◽  
Attached Gingiva ◽  
Dental Hospital

Objective: Describes and compare the procedure of superior labial frenum frenectomies with conventional technique and incision below the clamp technique.Methods: Two female patient came to Departement of periodonsia, Unhas Dental Hospital to have frenectomies. The first patient was 28 year old with labialis superior frenulum reached attached gingiva, gingival recession 1-2 mm with calculus deposits, and referred to do frenectomy with Incision below the Clamp. While the second patient was 15 year old with labialis superior frenulum extend up to palatine papilla, central diastema and referred to do frenectomy with conventional technique.Results: The conventional techniques is done by engaged the frenum by a haemostat that inserted into the depth of the vestibule, and incision were placed on the upper and the under surface of haemostat, then followed by suturing the wound and periodontal pack. Insision below the clamp technique is done by placing a hemostat in position adjacent and parallel to the lip mucosa, and incision carried out below the clamp, then followed by suturing at the mucolabial fold and periodontal pack.Conclusions: Patients were very satisfied with the results that achieved. Technique Incision below the Clamp is an alternative treatment with good aesthetic and less bleeding during frenectomies by using a scalpel.

scholarly journals Periodontal phenotype modification therapy in a patient undergoing orthodontic treatment: a case report

2021 ◽  
Vol 10 (4) ◽  
pp. 667-673
Author(s):  
Isabelle Silvério Tenório ◽  
Maria Vitória Calado Ramalho dos Santos ◽  
Ítalo de Macedo Bernardino ◽  
Jamesson de Macedo Andrade ◽  
Luana Samara Balduino de Sena ◽  
...  
Keyword(s):  
Case Report ◽  
Tooth Movement ◽  
Multidisciplinary Treatment ◽  
Gingival Recession ◽  
Risk Area ◽  
Post Surgery ◽  
Attached Gingiva ◽  
One Year ◽  
And Function ◽  
Periodontal Phenotype

Introduction: Gingival recessions are mucogingival defects of multifactorial etiology that interfere with aesthetics and function; in many cases these defects require multidisciplinary treatment. Objective: To report a clinical case of gingival recession treatment using a periodontal and orthodontic approach. Case report: Patient a 20-year-old woman, sought the Extension Project of Clinical and Surgical Periodontics (PROEPECC/UFCG) complaining of developing gingival recession in tooth 31, which was poorly positioned in the arch after orthodontic movement. Periodontal examination revealed type 1 gingival recession associated with a prominent labial frenulum, with a gingival height of 3 mm, width of 2 mm, probing depth of 1 mm, and absence of attached gingiva. The root was covered using a subepithelial connective tissue graft removed from the palatal mucosa and coronally positioned flap; in addition, inferior labial frenectomy was performed. After 1 year and 6 months, tooth 31 was again moved to reposition it in the arch. One year and 10 months post-surgery, new periodontal examination was performed to evaluate the mucogingival characteristics of the treated area. The recession was completely covered and there was a 4-mm increase in the attached gingiva. Conclusion: Orthodontics may positively or negatively influence periodontal structures and periodontics may favor the prognosis of tooth movement in a risk area by modifying the periodontal phenotype, increasing its resistance to gingival recession.

scholarly journals SPLITTING FOR SURVIVAL – A CASE REPORT

2020 ◽  
pp. 1-3
Author(s):  
Rahul Ravi ◽  
Rubina Tabassum ◽  
Gaurang Mistry ◽  
Omkar Shetty ◽  
Adnan Kheyroolla
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Oral Hygiene ◽  
Surgical Procedure ◽  
Treatment Procedure ◽  
Endodontically Treated Teeth ◽  
Mandibular Molars ◽  
Mandibular Molar ◽  
Root Fractures ◽  
Interdental Brush

Vertical root fractures of endodontically treated teeth are an exasperating complication that often leads to extraction of the tooth. Early detection and management of vertical root fractures, remain a vexing issue that has caused endless anguish for both the patient as well as the dental practitioner. Bicuspidization is a surgical procedure wherein the mesial and distal roots of primarily the mandibular molars are separated with their respective crown segments. This in turn helps the patient maintain effective oral hygiene by using an interdental brush, as it eliminates the presence of a furcation. This article elucidates the treatment procedure of a mandibular molar by biscuspidization.

scholarly journals Association of subepithelial connective tissue graft and plasma rich-fibrin for treatment of gingival recession – clinical case report with 12 months post-surgical follow-up

RSBO ◽  
2020 ◽  
Vol 17 (1) ◽  
pp. 63-08
Author(s):  
Felipe Rychuv Santos ◽  
Vinícius Zanin Damas ◽  
Thais Nandara Machado ◽  
Thais Oliveira ◽  
Julia Feltrin ◽  
...  
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Surgical Procedure ◽  
Gingival Recession ◽  
Periodontal Tissue ◽  
Dental Clinic ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
Upper Molar

Gum is a portion of periodontal tissue that plays an important role in protecting the surface of the teeth. Its migration beyond the boundaries of the cementum enamel junction, exposing the root of the tooth, is called Gingival Recession (GR) which increases susceptibility to root caries, dentin sensitivity, and aesthetic discomfort. Objective: The main goal of this case report is to describe a surgical procedure that combined the technique of subepithelial connective tissue graft and Plasma-rich fibrin for treatment of gingival recession. Case report: A man, 45 years old, leucoderma, attended the Positive University dental clinic complaining that ‘his gum was rising, and his teeth were sensitive’. Clinical buccal examination was performed according to international guidelines for periodontal data collection and was the man was diagnosed with GR in the region comprising the buccal faces of the first right upper molar to the first right premolar. Before surgical procedure, 60 ml of blood Gum is a portion of periodontal tissue that plays an important role in protecting the surface of the teeth. Its migration beyond the boundaries of the cementum enamel junction, exposing the root of the tooth, is called Gingival Recession (GR) which increases susceptibility to root caries, dentin sensitivity, and aesthetic discomfort. Objective: The main goal of this case report is to describe a surgical procedure that combined the technique of subepithelial connective tissue graft and Plasma-rich fibrin for treatment of gingival recession. Case report: A man, 45 years old, leucoderma, attended the Positive University dental clinic complaining that ‘his gum was rising, and his teeth were sensitive’. Clinical buccal examination was performed according to international guidelines for periodontal data collection and was the man was diagnosed with GR in the region comprising the buccal faces of the first right upper molar to the first right premolar. Before surgical procedure, 60 ml of blood

scholarly journals LASER VESTIBULOPLASTY WITH PERIOSTEUM FENESTRARTION –A CASE REPORT.

2020 ◽  
pp. 22-23
Author(s):  
Shahnaaz Sultana ◽  
Shrikar Desai ◽  
Veena Patil ◽  
Priyanka Agarwal ◽  
Sobia T. Ansari
Keyword(s):  
Case Report ◽  
Diode Laser ◽  
Gingival Recession ◽  
Complete Healing ◽  
Gingival Margin ◽  
Innovative Technique ◽  
Post Operative Pain ◽  
Attached Gingiva

The most common mucoginigival problems includes inadequate width of attached gingiva, abnormal frenal attachment, gingival recession, and decreased vestibular depth, pockets extending upto mucogingival junction, gingival excess , inconsistent gingival margin, excessive gingival display and abnormal colour of gingival. Many periodontal plastic surgeries has been employed in the treatment of these problems. But all the procedures are technique sensitive and comes with their own disadvantage. Hence, the case report represents an innovative technique of using 980 nm diode laser instead of convention scalpel to increase the width of attached gingiva and deepening of shallow vestibule with periosteum fenestration. Post operative pain and discomfort was minimal and complete healing of tissues at the end of 3 weeks was reported.

scholarly journals Root Coverage with an Acellular Dermal Allograft: A Three-Month Case Report

1999 ◽  
Vol 1 (3) ◽  
pp. 9-16 ◽  
Author(s):  
Edward B. Fowler ◽  
Lawrence G. Breault
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Surgical Procedure ◽  
Acellular Dermal Matrix ◽  
Gingival Recession ◽  
Root Coverage ◽  
Dermal Matrix ◽  
Case Presentation ◽  
Adequate Quantity ◽  
Acellular Dermal

Abstract Treatment of gingival recession has been a common practice in periodontics for years. As esthetic demands of periodontal patientsincrease, more root coverage procedures will be performed to satisfy esthetic demands. Often patients present with multiple areas requiring treatment. Palatal anatomy may limit the amount of autogenous tissue that can be harvested, limiting the number of procedures that can be performed. A patient may not desire to have additional tissue transplanted from the palate, due to increased pain and morbidity associated with multiple transplant procedures. The following is a case presentation of multiple adjacent recession defects. The patient presented with a shallow palate from which one side would not yield an adequate quantity of connective tissue. Furthermore, the patient declined to have both sides of his palate harvested simultaneously. As an alternative, an acellular dermal matrix allograft was utilized to correct these gingival defects negating the requirement for a second palatal surgical procedure.

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