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Frenectomy with semilunar coronally repositioned flap: A single stage approach - simple solution for complex problem.

Deshmukh J, Khatri R, Fernandes B, Kulkarni VK, Singh S - J Indian Soc Periodontol (2015 Jul-Aug)

Bottom Line: New techniques are developed to increase the predictability, reduce patient discomfort and number of surgical sites.Also, these techniques try to satisfy patients esthetic demands, which include the final colour and tissue blend of the covered area.In this case report, we present a method for coronally repositioning gingiva for root coverage over the maxillary central incisors while simultaneously performing a frenectomy, thus being clinically advantageous compared to two-stage technique.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, Rishiraj College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.

ABSTRACT
Gingival recession is defined as the displacement of gingival margin apical to cementoenamel junction. Aberrant frenum attachment can contribute to the progression of recession by generating tension on the marginal tissues. Treating such defects is a two stage procedure-frenectomy and recession coverage procedure. New techniques are developed to increase the predictability, reduce patient discomfort and number of surgical sites. Also, these techniques try to satisfy patients esthetic demands, which include the final colour and tissue blend of the covered area. In this case report, we present a method for coronally repositioning gingiva for root coverage over the maxillary central incisors while simultaneously performing a frenectomy, thus being clinically advantageous compared to two-stage technique.

No MeSH data available.


Related in: MedlinePlus

Preoperative intraoral view
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Figure 1: Preoperative intraoral view

Mentions: A 46-year-old male patient reported to the Department of Periodontology, Rishiraj College of Dental Sciences and Research Centre, Bhopal, with the chief complaint of sensitivity to cold food in upper front region of jaw. The patient was in good health with noncontributory medical history and had a fair oral hygiene. On clinical examination, there was gingival recession involving both maxillary central incisors with Miller's Class I mucogingival defect. Gingival biotype was thick with adequate width of keratinized gingiva. Depth of maxillary labial vestibule was adequate. However, a broad frenum was seen extending beyond the mucogingival junction into the esthetic zone, terminating on patient's midline [Figure 1].


Frenectomy with semilunar coronally repositioned flap: A single stage approach - simple solution for complex problem.

Deshmukh J, Khatri R, Fernandes B, Kulkarni VK, Singh S - J Indian Soc Periodontol (2015 Jul-Aug)

Preoperative intraoral view
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555807&req=5

Figure 1: Preoperative intraoral view
Mentions: A 46-year-old male patient reported to the Department of Periodontology, Rishiraj College of Dental Sciences and Research Centre, Bhopal, with the chief complaint of sensitivity to cold food in upper front region of jaw. The patient was in good health with noncontributory medical history and had a fair oral hygiene. On clinical examination, there was gingival recession involving both maxillary central incisors with Miller's Class I mucogingival defect. Gingival biotype was thick with adequate width of keratinized gingiva. Depth of maxillary labial vestibule was adequate. However, a broad frenum was seen extending beyond the mucogingival junction into the esthetic zone, terminating on patient's midline [Figure 1].

Bottom Line: New techniques are developed to increase the predictability, reduce patient discomfort and number of surgical sites.Also, these techniques try to satisfy patients esthetic demands, which include the final colour and tissue blend of the covered area.In this case report, we present a method for coronally repositioning gingiva for root coverage over the maxillary central incisors while simultaneously performing a frenectomy, thus being clinically advantageous compared to two-stage technique.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, Rishiraj College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.

ABSTRACT
Gingival recession is defined as the displacement of gingival margin apical to cementoenamel junction. Aberrant frenum attachment can contribute to the progression of recession by generating tension on the marginal tissues. Treating such defects is a two stage procedure-frenectomy and recession coverage procedure. New techniques are developed to increase the predictability, reduce patient discomfort and number of surgical sites. Also, these techniques try to satisfy patients esthetic demands, which include the final colour and tissue blend of the covered area. In this case report, we present a method for coronally repositioning gingiva for root coverage over the maxillary central incisors while simultaneously performing a frenectomy, thus being clinically advantageous compared to two-stage technique.

No MeSH data available.


Related in: MedlinePlus