AN ASSORTMENT OF SOLUTIONS FOR THE DIMINISHED VESTIBULAR DEPTH: A CASE SERIES OF FIFTEEN CASES

Main Article Content

Dr.M.Shabbir Ahamed
Dr. Arunachalam Muthukumaraswamy
Dr. Akshaya Muthuswamy Narayanan
Dr.Steffy Selastin Raj
Dr.Monika Anbumani

Keywords

Abstract

        Periodontal plastic and mucogingival surgery has witnessed a stealthy yet steadfast rise in the ranks from oblivion to cognizance. Diminished vestibular depth is a sapient mucogingival deformity warranting appropriate treatment to correct the same. According to Freidman et al, insufficient vestibular depth results in a significant impediment for oral hygiene maintenance. As a corollary of this, plaque accumulation results which leads to the initiation and progression of periodontal pathology around natural teeth and intraoral prostheses encompassing dental implants. This case series aims to elucidate a diverse melange of techniques to deepen the vestibule which in turn is conducive for periodontal health.

Abstract 112 | PDF Downloads 105

References

1. Ward VJ. The depth of the vestibular fornix in the mandibular anterior region in health. J Periodontol 1976;47:651-5.
2. Swamy A, Sogi GM, Sudan J, Vedi A, Sharma H. “Assessment of oral health status among teaching and non-teaching employees of Maharishi Markandeshwar (deemed to be University) Mullana Ambala” – A cross-sectional study. J Indian Assoc Public Health Dent 2018;16:203.
3. Khan MA, Gupta S, Tripathi AK, Saimbi CS, Chandra D. Vestibular deepening procedure. Int J Health Allied Sci 2016;5:192-
4. Wennstrom J, Zucchelli G. Mucogingival therapy: Periodontal plastic surgery. In: Lang N, Lindhe J, editors. Clinical Periodontology and Implant Dentistry. 6th ed. West Sussex: John Wiley & Sons, Ltd.; 2015. p. 969‑1042.
5. Gottsegen R. Frenum position and vestibule depth in relation to gingival health. Oral Surg Oral Med Oral Pathol 1954;7:1069-78.
6. Rosenberg NM. Vestibular alterations in periodontics. J Periodontol 1960;31:231-7.
7. Corn H. Periosteal separation – Its clinical significance. J Periodontol 1962;33:140-52.
8. Carranza FA, Carraro JJ. Effect of removal of periosteum on post‐operative results of mucogingival surgery. J Periodontol 1963;34:223-6.
9. Friedman, Nathan: Mucogingival surgery. Texas D. J. 75:3 58, 1957
10. Addy M, Dummer PM, Hunter ML, Kingdon A, Shaw WC . A study of the association of fraenal attachment, lip coverage, and vestibular depth with plaque and gingivitis. J Periodontol 1987;58:752-7.
11. Ochsenbein C. Newer concept of mucogingival surgery. J Periodontol 1960;31:175-85.
12. Natarajan S, Banu F, Kumar M, Lavu V. Management of shallow vestibule with reduced attached gingiva in fixed prosthetic intervention. Cureus 2019;11:e4975
13. Prato GP, Clauser C, Cortellini P. Periodontal plastic and mucogingival surgery. Periodontol 2000. 1995 Oct;9:90-105. doi: 10.1111/j.1600-0757.1995.tb00058.x. PMID: 9567980.
14. Lang NP, Loe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol. 1972;43: 623e627.
15. Smith RG. Gingival recession: reappraisal of an enigma condition and a new index for monitoring. J Clin Periodontol.1997;24:201e205.
16. American Academy of Periodontology (AAP). Glossary of periodontal terms [internet]. 4th ed. Chicago: AAP; 2001. Available from
https://www.perio.org/sites/default/files/files/PDFs/Clinical%20Resources/GlossaryOfPeriodontalTerms2001Edition.pdf
17. Chari H, Shaik KV. Preprosthetic surgery: Review of literature. Int J Sci Study. 2016;3(4):9-16.
18. Bjorn H. Free transplantation of gingiva propria. Sven Tandlak Tidskr. 1963;22:684e689.
19. Brasher J, Rees T, Boyce W. Complication of grafts of masticatory mucosa. J Periodontol. 1975;46:133e138.
20. Zucchelli, G.; Marzadori, M.; Mounssif, I.; Mazzotti, C.; Stefanini, M. Coronally advanced flap + connective tissue graft techniques for the treatment of deep gingival recession in the lower incisors. A controlled randomized clinical trial. J. Clin. Periodontol. 2014, 41, 806–813. [Google Scholar] [CrossRef]
21.Aroca, S.; Molnár, B.; Windisch, P.; Gera, I.; Salvi, G.E.; Nikolidakis, D.; Sculean, A. Treatment of multiple adjacent Miller class I and II gingival recessions with a Modified Coronally Advanced Tunnel (MCAT) technique and a collagen matrix or palatal connective tissue graft: A randomized, controlled clinical trial. J. Clin. Periodontol. 2013, 40, 713–720. [Google Scholar] [CrossRef] [PubMed]
22. Hwang, D.; Wang, H.L. Flap thickness as a Predictor of Root Coverage: A Systematic Review. J. Periodontol. 2006, 77, 1625–1634. [Google Scholar] [CrossRef]
23. Carnio J, Miller PD Jr. Increasing the amount of attached gingiva using a modified apically repositioned flap J Periodontol. 1999;70:1110–7.
24. Swarna, Chakrapani; Govada, Surekha; Susmitha, Karyamsetti; Sowjanya, Chintapalli. Increasing the width of attached gingiva by using modified apically repositioned flap – A case series. Journal of Indian Society of Periodontology 23(2):p 172-176, Mar–Apr 2019. | DOI: 10.4103/jisp.jisp_379_18.