ABSTRACT
Gummy smile has been an esthetic concern for many patients. This clinical report describes a successful surgical coverage obtained by modified lip repositioning, thus surgically treating the gummy smile. The technique was performed to limit the retraction of elevator muscles (e.g., zygomaticus minor, orbicularis oris, leviator anguli oris and levator labi oris.) The technique is fulfilled by removing two strips of mucosa from maxillary buccal vestibule on both the sides leaving the frenum untouched and creating a partial thickness flap between mucogingival junction and upper lip musculature, and suturing the lip mucosa with mucogingival junction, resulting in a narrow vestibule and restricted muscle pull, thereby reducing gingival display. This technique is different from the conventional surgical lip repositioning as labial frenum is left untouched over here as it helps in maintain Litton the midline for lip repositioning and reduces the morbidity associated with it.
ABSTRACT
UNLABELLED: The present clinical study was attempted to evaluate biometrically the predictability of free rotated papilla autograft for multiple shallow gingival recessions. MATERIALS AND METHODS: Fifteen systemically healthy patients with multiple gingival recessions underwent the procedure the probing depth, percentage of root coverage width of keratinized gingiva, width of attached gingiva were recorded at baseline 3 and 12 months. RESULTS: All parameters significantly improved from baseline to 12 months. The mean probing depth 1 mm ± 0 mm at baseline which was increased to 1.175 ± 0.245 mm at the end of 3 months and remained same at 12 months. The mean gingival recession was 2.35 ± 0.516 mm at baseline which was improved to 0.425 ± 0.245 mm at the end of 3 months and remained same at 12 months. The mean width of keratinized gingiva was 1.157 ± 0.245 mm at baseline which was improved to 3.15 ± 0.489 mm at the end of 3 months and remained same at 12 months. The mean width of attached gingiva 0.175 ± 0.245 mm at baseline which was improved to 1.975 ± 0.415 mm at the end of 3 months and remained same at 12 months. CONCLUSION: The mucogingival surgery resulted in achieving high degree of success and predictability as well as an excellent esthetic outcome. CLINICAL SIGNIFICANCE: Free rotated papilla autograft is a predictable treatment modality for multiple shallow gingival recessions.
Subject(s)
Free Tissue Flaps , Gingiva/transplantation , Gingival Recession/surgery , Gingivoplasty/methods , Adult , Biometry , Humans , Middle Aged , Mouth Mucosa/surgery , Wound Healing , Young AdultABSTRACT
UNLABELLED: The present clinical study was undertaken to determine the effects of splinting overunsplinted mobile teeth following periodontal surgery and compared the efficacy of two splinting materials, i.e. Ribbond ribbon + Composite with Stainless steel wire + Composite. MATERIALS AND METHODS: Total of 30 patients (20 experimental and 10 control) formed the study group. Entire study was extended over a period of 12 weeks for each patient and treatment plan was divided into 8 phases. Healing response was monitored and application, durability, biocompatibility of splint material was assessed. RESULTS: Splint had a promising and beneficial effects on anterior teeth exhibiting Grade I to Grade II degrees of mobility. Experimental group showed a greater reduction in tooth mobility compared to control group. There was no significant difference in plaque index and Ribbond Ribbon reinforced with composite resin was an excellent material for application, patient comfort, resistance to fracture, biocompatable and esthetic acceptability. CLINICAL SIGNIFICANCE: Splinting is recommended as an adjunct to periodontal surgery in the treatment of hypermobile teeth, especially in cases where patient discomfort is a prominent factor.
