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KMID : 0362720210590010020
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Journal of the Korean Dental Association
2021 Volume.59 No. 1 p.20 ~ p.27
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Vestibuloplasty around teeth and dental implants using simplified periosteal fenestration (sPF): Case Reports
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Park Do-Young
Lee Won-Pyo
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Abstract
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A narrow band of attached gingiva or mucosa and shallow buccal vestibule interfere with proper tooth brushing leading to plaque accumulation and consequently marginal gingival inflammation and gingival recession. The aim of this paper was to evaluate the effect of simplified periosteal fenestration (sPF) on a patient with minimal amount of attached tissue and shallow vestibule around natural teeth or dental implants. The sPF technique was performed by upgrading the modified periosteal fenestration (mPF) technique which we first suggested. Initially, the partial-thickness apically positioned flap was elevated. After horizontal periosteal fenestration incision was done, a full-thickness flap in the apical direction was elevated to create an osseous exposure. And then, periosteal suture was performed using simple interrupted suture method. Finally, a linear island of denuded bone was automatically produced. In all three cases, a sufficient band of attached tissue and deepened buccal vestibule were gained and maintained during the follow-up period ranging from 12 to 16 months. Thus, the sPF technique might be a promising treatment option for vestibuloplasty around natural teeth or dental implants, such as the mPF technique
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KEYWORD
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Apically positioned flap, Free gingival graft, Periosteal fenestration, Vestibuloplasty
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