Title: Increase of Width of Attached Gingiva and Root Coverage Using Single Incision Technique
Authors: Dr Aastha Harnal, Dr Viniti Goel, Dr Gurpreet Kaur, Dr Sumit Kaushal
DOI: http://dx.doi.org/10.18535/jmscr/v4i8.66
Introduction A mucogingival deformity refers to a significant departure from the normal shape of gingiva, alveolar mucosa and the underlying alveolar bone Mucogingival deformities can be classified as congenital, developmental, or acquired defects. These may arise around natural teeth, implants and edentulous ridges.1,2 It includes various conditions such as gingival recession, lack of keratinized gingiva, decreased vestibular depth or shallow vestibule or inadequate vestibule depth, aberrant frenum or muscle position and gingival excess. Among these deformities, shallow vestibule is the most frequently encountered abnormality and is often associated with plaque accumulation consequently leading to marginal gingival inflammation. This condition is particularly seen on the labial aspect in the mandibular anterior region and it creates problem not only periodontally but also prosthetically.9,10 Treatment of shallow vestibule includes vestibuloplasty which is a surgical modification of the gingival mucous membrane relationships including deepening of the vestibular trough, altering the position of the frenulum or muscle attachments and widening of the zone of attached gingiva. 1. Akkaya M, Boke . Shallow localized gingival recession defects treated with modified coronally repositioned flap technique: A case series. Eur J Dent 2013;7:368-372. 2. Alghamdi H, Babay N, Sukumaran A. Surgical management of gingival recession: A clinical update.The Saudi Dental Journal 2009 ;21, 83–94. 3. Allen E.P. Pedicle flaps, gingival grafts, and connective tissue grafts in aesthetic treatment of gingival recession. Pract. Periodont. Aesthet. Dent.1993; 5 (5),:29-38. 4. Bowers G. A study of the width of attached gingiva. J Periodontol. 1963;34:201–9. 5. Chatterjee A, Sharma E, Gundanavar G, Subbaiah S K. J Indian Soc Periodontol. 2015 Mar-Apr; 19(2): 232–235. 6. Coleton SH. Mucogingival surgical procedures employed in reestablishing the integrity of the gingival unit. The frenectomy and the free mucosal graft. Quintessance Int 1977; 8: 53-61. 7. Haghighat. Modified semilunar coronally advanced flap. J. Periodontol 2006; 77 (7):1274–1279. 8. Hungund S, Dodani K, Kambalyal P1 Kambalyal P.Comparative Results of Frenectomy by Three Surgical Techniques-Conventional, Unilateral Displaced Pedicle Flap and Bilateral Displaced Pedicle Flap. Dentistry 2013; 4:1-6. 9. Mahajan A, Bansal A. Edlan Mejchar An Underestimated Tool For Vestibuloplasty - A Case Report.Indian J Dent 2015;7:55-57. 10. Miller PD. Reconstructive periodontal plastic surgery (mucogingival surgery). J Tenn Dent Assoc 1991; 71: 14-18.Abstract
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