Aesthetic Approach For Vestibular Deepening
Description
A shallow labial vestibule hampers maintenance of good oral hygiene. In the present case report, a 18 year old female presented with the complaint of slight lower loose front teeth with downward movement of gums. An extremely shallow vestibule was observed with marginal gingival recession with respect to mandibular central incisors and pronounced midline diastema. The initial therapy included education, motivation, oral hygiene instructions and scaling and root planing. The deepening of mandibular labial vestibule was done by combination of denudation technique and split flap procedure with slight modification. Incisal grinding of mandibular central incisors was done to relieve trauma from occlusion. The surgical procedure resulted into a considerable gain in the width of attached gingiva which was maintained itself even six months after the surgical procedure. Complete resolution of mobility was seen leading to improved function of the mandibular anterior teeth. The above surgical procedure leads to a consistence and predictable increase in the width of attached gingiva and may be successfully used in the treatment of a shallow vestibule.
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References
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