ABSTRACT
Key Clinical Message: A successful management of a mandibular recession with creeping attachment using free gingival graft. This case highlights the "wait-and-see" approach in the treatment plan, emphasizing the root coverage. Abstract: This clinical report describes the case of a 23-year-old female patient with gingival recession of the mandibular left central incisor. The patient's symptoms included hypersensitivity and cosmetic improvements. After thorough examination, the patient was diagnosed with plaque-induced gingivitis on a reduced periodontium with acquired mucogingival deformities. Gingival recession was classified as Miller class II or Cairo Recession Type 1. The treatment plan consisted of a nonsurgical phase, followed by a surgical phase using a free gingival graft. The surgical procedure involved harvesting the graft from the palatal mucosa and placing it in the recipient site. Post-operative care and instructions were provided and a comprehensive follow-up schedule was established. At the 12-month evaluation, the patient exhibited healthy periodontal conditions with creeping attachment and complete root coverage. The success of the treatment approach demonstrates its effectiveness in addressing hypersensitivity and cosmetic concerns, while improving periodontal health. Factors influencing the achievement of creeping attachment are discussed, including recession width, graft position, bone support, tooth position, patient hygiene, graft thickness, and root surface treatment.
ABSTRACT
Introduction and importance: Peripheral ossifying fibroma is one of the commonly occurring reactive benign lesions that occurs in the gingiva, predominantly in females, especially in the anterior maxillary region of young women and in pediatric patients. It causes unsatisfactory esthetics, difficulty in maintaining good oral hygiene and difficulty in mastication.The importance of this clinical case is to emphasize the interest of early management of the residual defect after the removal of the gum growth. Case presentation: A 39-year-old female patient was referred to the clinical department of periodontology, with the chief complaint of bleeding gingiva, unsatisfactory esthetics and gum growth on the interproximal area in relation to left maxillary canine and premolar region, with the size ~2 cm×1.5 cm. Clinical discussion: This article describes an atypical case of peripheral ossifying fibroma with the clinical, histopathologic, and radiographic features in the posterior maxilla in an adult female patient. Treatment consisted of complete surgical excision, gingival curettage, and management of keratinezed gingiva by utilizing laterally displaced flap. Clinical healing was satisfactory at 2 weeks, and excellent coverage of residual mucogingival defect with no evidence of recurrence was achieved 3 weeks postoperatively. The patient was satisfied with case resolution with a follow-up of 1 year. Conclusion: Although surgical excision is the treatment of choice, sometimes it may induce residual soft tissue defect, which may further precipitate functional and esthetic discrepancies if not managed.
ABSTRACT
OBJECTIVE: Parents play an important role in improving children's oral plaque control. The aim of this study was therefore to compare the oral hygiene of children and their mothers and to study the relationship with their oral health status. MATERIALS AND METHODS: Information was collected on oral hygiene habits (brushing, frequency and duration, equipment and methodology, frequency of changing toothbrushes) and various indices (CAF, plaque, bleeding). RESULTS: The sample was composed of 200 children and 200 mothers. The results of this study showed no statistically significant difference between mothers and their children in terms of the method of brushing and the frequency of changing toothbrushes. A statistically significant difference was found between mothers and their children concerning the use and change of toothbrushes and brushing frequency. A highly significant positive correlation was observed between the plaque index of mothers and their children. CONCLUSION: Low rates of toothbrush use were observed in this population and the brushing method was very inefficient. The correlation between the plaque index of mothers and their children suggests that mother's oral hygiene behaviours influence their children's oral health.
