Periodontal plastic and aesthetic surgery are gaining significant momentum owing to the increasing aesthetic demands by patients. Along with the fulfilment of aesthetic needs, it is imperative that clinicians also enhance function. From these two important viewpoints, subepithelial connective tissue grafting remains an optimum treatment choice for periodontists when treating gingival recession defects accompanied by periodontal attachment apparatus breakdown. Clinical relevance: Subepithelial connective tissue grafting is a successful procedure in its dual role of gingival recession coverage and predictable periodontal regeneration.

Edentulism of a long standing nature leading to severe alveolar ridge atrophy with a resultant thin ridge often pose a great challenge to the clinicians for rendering implant supported prosthesis in that region. The ideal treatment in such a scenario will be the ridge expansion procedure for achieving an increase in the available bone volume at the implantation site. The space thus created between the bony walls renders an ideal regenerative and implant-integrating condition. The use of a piezosurgical device for performing a piezoelectric alveolar ridge expansion procedure permits a precise and tactile controlled osteotomy facilitating implant placement in anatomic situations previously impossible in a single stage surgical procedure. This case report demonstrates the ease of mandibular ridge splitting with the use of piezosurgical principle facilitating immediate implant placement in a severely resorbed thin edentulous alveolar ridge.

Tissue replacement gingival prosthesis is a simple, noninvasive procedure employed to replace large volumes of lost soft tissue architecture while overcoming the pitfalls of surgical treatment modalities. A removable gingival prosthesis has a definite set of superior advantages compared to the extensive surgical treatment options or the employment of a fixed prosthesis. The removable gingival prosthesis helps to render an esthetically pleasing and functional restoration which is economical and less time-consuming for patients who report with large areas of esthetic and functional deficits. This case report highlights the fabrication of a light-weight design of removable gingival veneer to effectively mask the large area of tissue distortion whilst achieving superior esthetics.

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