The goal of mucogingival surgery or periodontal plastic surgery is to preserve gingiva, remove aberrant frenum or muscle attachments, increase vestibular depth, and correct the denuded root surface. Recession coverage is indeed a challenging technique, whereas covering the exposed roots is not only important for aesthetic reasons but also for preventing further issues such as tooth sensitivity, root decay, and loss of supporting bone. A coronally advanced flap (CAF) is one of the most common procedures done for recession coverage because of the concept that the coronal advancement of a flap without tension to cover the exposed root surface or CAF with autogenous grafts results in bulk and improves the thickness of the gingival tissue, increasing the stability and aesthetics of the result.
View Article and Find Full Text PDFIn the oral cavity, the frenum is an anatomical structure composed of mucosal folds that connect the lip and cheek to the alveolar mucosa, gingiva, and underlying periosteum. An abnormally positioned maxillary labial frenum can contribute to the formation of a diastema and gingival recession. Various techniques have been proposed for the correction of aberrant frenal attachments, including frenectomy and frenal repositioning procedures.
View Article and Find Full Text PDFJ Oral Biol Craniofac Res
October 2024
Background: Aberrant frenum attachments often lead to mucogingival deformities, culminating in both functional impairments and aesthetic concerns. Traditional frenectomy procedures are associated with extensive incisions and resultant wound defects. To address these challenges, a novel T-shaped incision technique has been developed.
View Article and Find Full Text PDFPeriodontally accelerated osteogenic orthodontics (PAOO) is a periodontal-orthodontic interrelationship procedure that helps in accelerating orthodontic treatment by periodontal procedure reinforcement. This depends on the principle of the regional acceleratory phenomenon which involves inducing changes in the biology of periodontal tissues to fasten the orthodontic tooth movement by creating a surge in the osteopenic environment for tooth movement followed by bone deposition and mineralisation to stabilise the tooth in newly moved position. This PAOO involves the intentional creation of surgical corticotomy cuts followed by a grafting procedure to maintain bone resorption and thickness.
View Article and Find Full Text PDFMaintenance of biological width serves as a primary factor in periodontal-restorative relationships. Crown lengthening (CL) is a technique to prevent violation of biological width, with the laser method offering the advantage of surgical and patient-related outcomes. Laser CL with retraction helps with the excision of tissues, increasing the CL, maintaining the gingival contour with adequate exposure to the finish line to record the tooth preparation features.
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