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Vestibular deepening by periosteal fenestration and its use as a periosteal pedicle flap for root coverage.

Rajpal J, Gupta KK, Srivastava R, Arora A - J Indian Soc Periodontol (2013)

Bottom Line: Multiple techniques have been developed to obtain predictable root coverage and to increase the width of attached gingiva.The newer methods of root coverage are needed, not only to reconstruct the lost periodontal tissues but also to increase predictability, reduce the number of surgical sites, reduce the number of surgeries and improve patient comfort.Hence, this paper describes a single stage technique for increasing the width of attached gingiva and root coverage by using the periosteal pedicle flap.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, Subharti Dental College, Meerut, India.

ABSTRACT
Gingival recession along with reduced width of attached gingiva and inadequate vestibular depth is a very common finding. Multiple techniques have been developed to obtain predictable root coverage and to increase the width of attached gingiva. Usually, the width of gingiva is first increased and then the second surgery is caried out for root coverage. The newer methods of root coverage are needed, not only to reconstruct the lost periodontal tissues but also to increase predictability, reduce the number of surgical sites, reduce the number of surgeries and improve patient comfort. Hence, this paper describes a single stage technique for increasing the width of attached gingiva and root coverage by using the periosteal pedicle flap.

No MeSH data available.


Related in: MedlinePlus

Post-operative view after 10 days
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Figure 18: Post-operative view after 10 days

Mentions: Periodontal dressing (Coe-Pak; GC America Inc.) was applied over the operated area covering the exposed bone [Figure 17]. Antibiotic therapy (amoxicillin 500 mg, Thrice daily and analgesic (ibuprofen 400 mg twice daily) was prescribed for 5 days. Tooth-brushing was discontinued for the first 2 weeks at the surgical site and 0.2% chlorhexidine mouth rinse was instructed till 4 weeks after surgery. Coepak was removed 10 days after the surgical procedure and the patient was asked to maintain meticulous oral hygiene. Healing had proceeded uneventfully, with secondary wound closure [Figure 18]. In 3 weeks, healing was nearly complete, with minimal post-operative discomfort to the patient [Figure 19]. At 6 months post-operative, root coverage was nearly 100% of the recipient site, with minimal probing depths, no inflammation, and a favorable esthetic result [Figure 20].


Vestibular deepening by periosteal fenestration and its use as a periosteal pedicle flap for root coverage.

Rajpal J, Gupta KK, Srivastava R, Arora A - J Indian Soc Periodontol (2013)

Post-operative view after 10 days
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3713765&req=5

Figure 18: Post-operative view after 10 days
Mentions: Periodontal dressing (Coe-Pak; GC America Inc.) was applied over the operated area covering the exposed bone [Figure 17]. Antibiotic therapy (amoxicillin 500 mg, Thrice daily and analgesic (ibuprofen 400 mg twice daily) was prescribed for 5 days. Tooth-brushing was discontinued for the first 2 weeks at the surgical site and 0.2% chlorhexidine mouth rinse was instructed till 4 weeks after surgery. Coepak was removed 10 days after the surgical procedure and the patient was asked to maintain meticulous oral hygiene. Healing had proceeded uneventfully, with secondary wound closure [Figure 18]. In 3 weeks, healing was nearly complete, with minimal post-operative discomfort to the patient [Figure 19]. At 6 months post-operative, root coverage was nearly 100% of the recipient site, with minimal probing depths, no inflammation, and a favorable esthetic result [Figure 20].

Bottom Line: Multiple techniques have been developed to obtain predictable root coverage and to increase the width of attached gingiva.The newer methods of root coverage are needed, not only to reconstruct the lost periodontal tissues but also to increase predictability, reduce the number of surgical sites, reduce the number of surgeries and improve patient comfort.Hence, this paper describes a single stage technique for increasing the width of attached gingiva and root coverage by using the periosteal pedicle flap.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, Subharti Dental College, Meerut, India.

ABSTRACT
Gingival recession along with reduced width of attached gingiva and inadequate vestibular depth is a very common finding. Multiple techniques have been developed to obtain predictable root coverage and to increase the width of attached gingiva. Usually, the width of gingiva is first increased and then the second surgery is caried out for root coverage. The newer methods of root coverage are needed, not only to reconstruct the lost periodontal tissues but also to increase predictability, reduce the number of surgical sites, reduce the number of surgeries and improve patient comfort. Hence, this paper describes a single stage technique for increasing the width of attached gingiva and root coverage by using the periosteal pedicle flap.

No MeSH data available.


Related in: MedlinePlus