ABSTRACT
Localised gingival enlargements are commonly seen in the oral cavity. Most of these lesions are reactive and non-neoplastic in nature. Clinically it is always not possible to differentiate one specific gingival enlargement from other. Confirmatory diagnosis is made by histologic analysis. Peripheral ossifying fibroma(POF) is one such entity the confirmatory diagnosis of which is made by histopathological features. It is a reactive beningn lesion. The present case report describes a 20- year- old male, who visited the Department of Periodontology with the chief compliant of swelling of gums in the upper front teeth region since 3 months. His past dental history reveals that he had similar type of overgrowth 1year back and had undergone surgical excision 6months back. Intraoral examination revealed a solitary, pedunculated mass involving interdental papilla in relation to 11,21. His intraoral radiograph showed boneloss in relation to 11,21. Surgical excision of the lesion was done by scalpel method followed by histopathologic examination for confirmatory diagnosis. As the overgrowth was re-occurred in this patient the present case report mainly emphasis about the surgical procedure to be done and the close post operative follow up required.
ABSTRACT
AIM: This case report presents one such case which has been successfully treated using inversely placed periosteal pedicle graft. BACKGROUND: Various periodontal surgical procedures have evolved over time for obtaining complete root coverage of isolated single tooth miller’s class I and class II gingival recession defects. CASE DESCRIPTION: inversely placed Periosteal pedicle graft is a latest innovation in root coverage procedures where periosteum is used for recession coverage. This pedicled graft utilises the osteogenic potential of the periosteum which is due to its highly vascular nature, presence of fibroblasts, osteoblasts and stem cells. In this case single isolated Millers Class II recession defects was treated in a single surgery using this latest technique. CONCLUSION: The results obtained 1 year post operatively there was significant reduction in height and width of recession (Root coverage Achieved was 100%), increase in width of attached gingiva, Clinical Attachment Level' were quite encouraging to use it on a regular basis for root coverage. CLINICAL SIGNIFICANCE: A newer less invasive modality to treat both sensitivity and unesthetic appearance due to gingival recession. obtaining predictable and esthetic root coverage has become an important part of periodontal therapy. Several techniques have been developed to obtain these results with variable outcomes.