case_images: PMC7518494_01
case_images: Fan-shaped buccinator muscle attachment at the crest of the alveolar ridge
case_images: NJMS-11-140-g001.jpg
case_images: PMC7518494_01_NJMS-11-140-g001.jpg
case_images: F1
case_images: The vestibular depth was almost nonexistent in that area [Figure 1].
case_images: Acrylic surgical stent was prepared on the cast
case_images: NJMS-11-140-g002.jpg
case_images: PMC7518494_01_NJMS-11-140-g002.jpg
case_images: F2
case_images: Approximating the anticipated loss of tissue resulting from the surgical procedure, the patient's cast was marked and scored to ensure close contact of the acrylic surgical stent with the alveolar ridge [Figure 2].
case_images: Smoothed and highly polished acrylic surgical stent with the final adjustments
case_images: NJMS-11-140-g003.jpg
case_images: PMC7518494_01_NJMS-11-140-g003.jpg
case_images: F3
case_images: The stent was then smoothed and highly polished to minimize the accumulation of plaque [Figure 3].
case_images: Crestal incision was made slightly buccal
case_images: NJMS-11-140-g004.jpg
case_images: PMC7518494_01_NJMS-11-140-g004.jpg
case_images: F4
case_images: Local anesthetic (2% lignocaine with 1:80,000 epinephrine) was administered, and a crestal incision was made, keeping the incision slightly buccal [Figure 4].
case_images: Surgical detachment of buccinator and vestibular extension
case_images: NJMS-11-140-g005.jpg
case_images: PMC7518494_01_NJMS-11-140-g005.jpg
case_images: F5
case_images: The vestibular depth and muscle repositioning were checked by retracting the cheek [Figure 5].
case_images: Bleeding controlled and the surgical stent stabilized in the surgical area
case_images: NJMS-11-140-g006.jpg
case_images: PMC7518494_01_NJMS-11-140-g006.jpg
case_images: F6
case_images: After adequate depth was achieved, the surgical area was irrigated with normal saline, the bleeding controlled, and the surgical stent stabilized in the surgical area [Figure 6].
case_images: One week postoperative
case_images: NJMS-11-140-g007.jpg
case_images: PMC7518494_01_NJMS-11-140-g007.jpg
case_images: F7
case_images: The patient was recalled after 7 days for reevaluation [Figure 7].
case_images: Two months postoperative
case_images: NJMS-11-140-g008.jpg
case_images: PMC7518494_01_NJMS-11-140-g008.jpg
case_images: F8
case_images: Adequate vestibular depth was achieved after 2 months of healing [Figure 8], there was the significant gain in vestibular depth, and the muscle was relocated to an apical position, thus allowing the toothbrush head to be positioned properly for maintenance of proper oral hygiene.