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Soft Tissue Reconstruction with Free Gingival Graft Technique following Excision of a Fibroma.

Tezci N, Meseli SE, Karaduman B, Dogan S, Meric SH - Case Rep Dent (2015)

Bottom Line: Gingival healing was uneventful and without any recurrence during the 12-month follow-up.Conclusions.In order to achieve optimal functional and aesthetical outcomes, free gingival graft can be used for the reconstruction of the wound site after the excision of the fibroma.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, Faculty of Dentistry, Istanbul Aydin University, 34295 Istanbul, Turkey.

ABSTRACT
Background. Oral fibromas are benign, asymptomatic, smooth surfaced, firm structured tumoral lesions that originate from gingival connective tissue or periodontal ligament. Histologically, they are nodular masses characterized by a dense connective tissue, surrounded by stratified squamous epithelium. Case Report. This case report includes the clinical, radiographical, and histological findings and periodontal treatment of a 38-year-old female patient having painless swelling on the gingiva. Intraoral examination revealed a fibrotic, sessile, smooth surfaced gingival overgrowth interdentally between the teeth #13 and #14. Radiographical findings were normal. Initial periodontal treatment (IPT) was applied including oral hygiene instructions, scaling, and root planing. Following IPT, the lesion (0.7 × 0.6 × 0.4 cm) was excised and examined histopathologically. Subsequently, flap operation was performed to have an access to alveolar bone. Surgical site was reconstructed with free gingival graft obtained from hard palate. Hematoxylin-eosin stained sections revealed a nodular mass composed by dense collagen fibers in lamina propria covered by a stratified squamous epithelium, which were consistent with fibroma. Gingival healing was uneventful and without any recurrence during the 12-month follow-up. Conclusions. In order to achieve optimal functional and aesthetical outcomes, free gingival graft can be used for the reconstruction of the wound site after the excision of the fibroma.

No MeSH data available.


Related in: MedlinePlus

Excision of the lesion and flap operation of the site.
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fig3: Excision of the lesion and flap operation of the site.

Mentions: Following IPT, the lesion (0.7 × 0.6 × 0.4 cm) was excised and examined histopathologically. Subsequently, flap operation was performed to gain access to alveolar bone (Figure 3). Sulcular incisions were made buccally and palatally without any vertical incision. Buccal and palatal mucoperiostal flaps were reflected and all granulation tissues were removed. Resective bone surgery was performed in order to eliminate the lesion without leaving any mineralized material which may cause recurrence. Surgical site was reconstructed with free gingival graft obtained from hard palate to ensure primary closure of the flaps and prevention of gingival recession (Figure 4).


Soft Tissue Reconstruction with Free Gingival Graft Technique following Excision of a Fibroma.

Tezci N, Meseli SE, Karaduman B, Dogan S, Meric SH - Case Rep Dent (2015)

Excision of the lesion and flap operation of the site.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555448&req=5

fig3: Excision of the lesion and flap operation of the site.
Mentions: Following IPT, the lesion (0.7 × 0.6 × 0.4 cm) was excised and examined histopathologically. Subsequently, flap operation was performed to gain access to alveolar bone (Figure 3). Sulcular incisions were made buccally and palatally without any vertical incision. Buccal and palatal mucoperiostal flaps were reflected and all granulation tissues were removed. Resective bone surgery was performed in order to eliminate the lesion without leaving any mineralized material which may cause recurrence. Surgical site was reconstructed with free gingival graft obtained from hard palate to ensure primary closure of the flaps and prevention of gingival recession (Figure 4).

Bottom Line: Gingival healing was uneventful and without any recurrence during the 12-month follow-up.Conclusions.In order to achieve optimal functional and aesthetical outcomes, free gingival graft can be used for the reconstruction of the wound site after the excision of the fibroma.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, Faculty of Dentistry, Istanbul Aydin University, 34295 Istanbul, Turkey.

ABSTRACT
Background. Oral fibromas are benign, asymptomatic, smooth surfaced, firm structured tumoral lesions that originate from gingival connective tissue or periodontal ligament. Histologically, they are nodular masses characterized by a dense connective tissue, surrounded by stratified squamous epithelium. Case Report. This case report includes the clinical, radiographical, and histological findings and periodontal treatment of a 38-year-old female patient having painless swelling on the gingiva. Intraoral examination revealed a fibrotic, sessile, smooth surfaced gingival overgrowth interdentally between the teeth #13 and #14. Radiographical findings were normal. Initial periodontal treatment (IPT) was applied including oral hygiene instructions, scaling, and root planing. Following IPT, the lesion (0.7 × 0.6 × 0.4 cm) was excised and examined histopathologically. Subsequently, flap operation was performed to have an access to alveolar bone. Surgical site was reconstructed with free gingival graft obtained from hard palate. Hematoxylin-eosin stained sections revealed a nodular mass composed by dense collagen fibers in lamina propria covered by a stratified squamous epithelium, which were consistent with fibroma. Gingival healing was uneventful and without any recurrence during the 12-month follow-up. Conclusions. In order to achieve optimal functional and aesthetical outcomes, free gingival graft can be used for the reconstruction of the wound site after the excision of the fibroma.

No MeSH data available.


Related in: MedlinePlus