Enhancing Gingival Phenotype With Vestibuloplasty and Free Gingival Graft: Improving Maintenance of Regular Oral Hygiene

Abstract

This case report describes Clark’s technique of vestibuloplasty to treat shallow vestibule and, in addition, the use of free gingival autograft to augment attached gingiva to treat Miller’s recession. Vestibuloplasty is performed to deepen a shallow vestibule. Different vestibuloplasty techniques are used to deepen the shallow vestibule by modifying the soft tissue attachment. A 29-year-old male presented to the Department of Periodontics and Oral Implantology, Regional Dental College, Guwahati, India with the chief complaint of bleeding from the lower anterior along with the gingival recession. Maintenance of regular oral hygiene was an added hindrance. The combined technique of vestibuloplasty and use of free gingival graft was performed to achieve dual benefits of increasing the vestibular depth and attainment of a thick gingival phenotype.

A Review of Gingival Recession and the Surgical Managements According to Their Classification and Etiologic Backgrounds: A Clinical Case Study

“…The muscular traction provided by the vestibule may enhance GR. The presence of a high labial frenal attachment can be an additional factor in the progression of GR [ 12 ]. The aim of this complementary case presentation was to describe four different GR cases with different etiologic backgrounds that were associated with other dental and mucogingival deformities and to designate the surgical procedures for gingival augmentation over the recessed roots and the gingival tissues around the recession to prevent further future recession, through increasing the width and thickness of the gingiva, increasing the vestibular depth and elimination of muscle/frenal tissues to enhance oral hygiene methods performed at the area of the recession [ 5 , 10 , 13 ].…”

Periodontal Surgery with Advanced Platelet-Rich Fibrin – a seven years follow-up case report

“…To perform the procedure, preparation of the recipient and donor site is necessary, which is associated with increased discomfort for the patient since the FGG is obtained from the palatal area, which in a clinical situation with large defects requires significant graft length. Alternative to the FGG is xenograft materials such as Mucoderm, Aloderm, etc., the application of which does not require the formation of a donor site [6][7][8][9].…”