Management of Shallow Vestibule with Reduced Attached Gingiva in Fixed Prosthetic Intervention

Natarajan, Shanmuganathan; Banu, Fathima; Kumar, Madhan; Lavu, Vamsi

doi:10.7759/cureus.4975

Cited by 5 publications

(7 citation statements)

References 3 publications

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“…The main reason for having a shallow vestibule is ridge resorption following the extraction of tooth. Other factors relating to shallow vestibule can be firm muscle pull/insertion by positive frenal attachment [ 6 ]. This case presents as a gingival recession, which is because of the frenal pull in the lower anterior.…”

Section: Discussionmentioning

confidence: 99%

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

Gogoi¹

2022

Cureus

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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.

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Section: Discussionmentioning

confidence: 99%

“…Also, the patient had a thin gingival phenotype and a shallow vestibule. Both can lead to the accumulation of plaque in the lower anterior and the possibility of having further recession in the lower anterior also increases [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

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

Gogoi¹

2022

Cureus

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“…[11] Progressive bone loss in the edentulous maxilla or mandible creates issues with denture stability and placement. [12] Gingival margin binds better around teeth and implants with attached gingiva, which reduces inflammation around restored teeth [13]. A vestibular depth reduction may be caused by a long-term edentulous crest, an alveolar traumatism, or severe periodontitis.…”

Section: Introductionmentioning

confidence: 99%

Vestibular deepening to improve periodontal pre-prosthetic: A case report

Elvandari¹,

Sakinah²,

Santoso³

et al. 2022

World J. Adv. Res. Rev.

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Objective: The treatment of partial or complete denture installation can be challenged by a shallow vestibule. As a preventive, the vestibule must be deepened. The purpose of deepening the vestibule is to improve the esthetics and retention of the denture by increasing the width of the attached gingiva. Methods: The patient visited the Department of Periodontics, Dental and Oral Hospital Universitas Airlangga to eliminate tartar. The patient says that his maxillary front tooth had fallen out the day before and that he wished it replaced. A previous history of hypertension and takes amlodipine 10 mg daily regularly. Because the patient's vestibule is shallow, vestibuloplasty is required to deepen it. Conventional surgical procedures were used to perform vestibuloplasty. Results: One week post-surgical, there was minimal inflammation surrounding the stitches, periodontal pack falls out on the fifth day, and thread suture remains. On the 14th day, there was no inflammation and the clinical results were as expected. Conclusion: Vestibular deepening is effective in increasing the depth of the vestibule and the width of keratinized gingiva.

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“…It has been shown that gingival recession and inadequate width of keratinized gingiva are commonly associated with shallow vestibular depth and high attached muscle bers (23,24). Shallow vestibular depth prevents the insertion of removable prosthesis as well as compromises oral health control procedures (25). It also compromises the apical stability of graft tissue due to the greater effects of muscle attachment, and eventually causes graft shrinkage in the vertical dimension within one year after surgery.…”

Section: Introductionmentioning

confidence: 99%

Is there a correlation between vestibular depth and shrinkage of free gingival graft: A descriptive-correlational study

Jalali

Saeedi

Mohammadi

et al. 2020

Preprint

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Background: The purpose of the present study was to evaluate the correlation of vestibular depth (VD) with Free Gingival Graft (FGG) dimensional shrinkage.Methods: This study was a descriptive-correlational study which was performed on twenty patients with insufficient attached gingiva width (AGW). Under local anesthesia, a partial thickness bed with sub-marginal incision was created. An FGG was prepared from the palate and sutured to the prepared bed. Clinical parameters including VD, probing depth (PD), keratinized gingiva width (KGW), AGW, vertical graft dimension (VGD), horizontal graft dimension (HGD) and graft area (GA) were evaluated preoperatively and after one, three, and six months postoperatively. The distribution of data was normal. Repeated measures ANOVA, Repeated measures with covariance, Pearson correlation coefficient and linear regression were performed to analyze the data.Results: One patient was excluded from the study, therefore, the obtained data of 19 remaining patients were analyzed. Six months after FGG surgery, AGW and KGW raised to 6.15±1.01 mm and 7.55±1.1 mm, which were statistically significant (p <0.001). The shrinkage rate of HGD, VGD, and GA were 13%, 34%, 42% respectively after 6 months. The VD was increased 2.05 mm compared to baseline which was statistically significant (p<0.01). Pearson correlation coefficient showed that there was a statistically significant correlation between VGD shrinkage (r=-0.614, p=0.005) and GA shrinkage (r=-0.476, p=0.039) with VD. The correlation of Horizontal shrinkage with VD was not statistically significant (r=0.065, p=0.792).Conclusions: It was concluded that the shrinkage of FGG was influenced by VD and a negative moderate correlation was existed between VD and shrinkage of VGD and GA. Trial registration: This study was retrospectively registered by Iranian Registry of Clinical Trials (IRCT) with the number: IRCT20101204005305N18. Registered 22 September 2019. https://irct.ir/trial/41736

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Management of Shallow Vestibule with Reduced Attached Gingiva in Fixed Prosthetic Intervention

Cited by 5 publications

References 3 publications

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

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

Vestibular deepening to improve periodontal pre-prosthetic: A case report

Is there a correlation between vestibular depth and shrinkage of free gingival graft: A descriptive-correlational study

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