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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

Postoperative view after 10 days
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Figure 6: Postoperative view after 10 days

Mentions: After 10 days of healing, the flap appeared to be stable and erythematous [Figure 6]. The frenectomy site was determined to be healing within normal limits. Patient evaluation after 1, 3 and 6 months revealed adequate root coverage on both central incisors [Figure 7]. Mucogingival margins above both incisors showed small white scars which were well concealed under patient's smile line. The width of the residual frenum was reduced, and it was now attached to the alveolar mucosa, thus posing no esthetic concern. The patient was happy with the reduced sensitivity and the postoperative esthetics.


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)

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

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

Figure 6: Postoperative view after 10 days
Mentions: After 10 days of healing, the flap appeared to be stable and erythematous [Figure 6]. The frenectomy site was determined to be healing within normal limits. Patient evaluation after 1, 3 and 6 months revealed adequate root coverage on both central incisors [Figure 7]. Mucogingival margins above both incisors showed small white scars which were well concealed under patient's smile line. The width of the residual frenum was reduced, and it was now attached to the alveolar mucosa, thus posing no esthetic concern. The patient was happy with the reduced sensitivity and the postoperative esthetics.

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