Subject(s)
Esthetics, Dental , Periodontal Diseases/surgery , Adult , Female , Gingiva/transplantation , Humans , Middle Aged , Surgical FlapsABSTRACT
The lingual bar of a mandibular removable partial denture, especially a free-end saddle type, may exert a great deal of pressure on the underlying periodontal tissues. It is best that the lingual bar be placed as far away from the marginal tissues as possible but still on dense, collagenous attached gingiva. If an inadequate amount of attached gingiva is present on the lingual surfaces of the mandibular anterior teeth, this tissue may be augmented by a free, palatal gingival autograft. The patient with a partial denture must be constantly monitored to determine whether any changes have occurred in the edentulous saddle areas. Resorption of these ridges may allow the partial denture to settle, thereby compromising the periodontal health of the supporting teeth.
Subject(s)
Denture, Partial, Removable/adverse effects , Gingiva/transplantation , Adult , Denture Design , Female , Gingival Diseases/etiology , Humans , Male , Middle AgedABSTRACT
THE MAXILLARY anterior region presents a difficult and unique therapeutic challenge to both the periodontist and restorative dentist. Although access for surgical and prosthetic procedures is certainly easiest in this part of the mouth, the problem of esthetics, in terms of increased tooth length and loss of interdental papillae, creates an environment in which the clinician's therapeutic choices may either be severely limited or the result compromised. The two cases presented show how this area can be successfully treated using fiber retention procedures to eliminate pathologic periodontal pockets effectively while minimizing root exposure, loss of interdental papillae and root sensitivity. This type of procedure enables the clinician to provide the patient with an acceptable biologic, functional and esthetic result.
Subject(s)
Periodontitis/surgery , Periodontium/surgery , Adult , Female , Gingivectomy/methods , Humans , Incisor , Male , Maxilla , Methods , Middle Aged , Surgical FlapsABSTRACT
Amalgam tattooing of the labial gingiva in the maxillary anterior region can be extremely disfiguring to a patient with a high lip line. A case is described in which a palatal gingival autograft was performed.
