PLASTIC PERIODONTAL SURGERY (THIRD CASE)

Within the definition of plastic periodontal surgery we can include several surgical procedures aimed at the correction of anatomical, developmental, or traumatic deformities that affect the gingiva or the alveolar mucosa.

Some of these surgical procedures find an indication in both the periodontal and the implant fields of dentistry, when it is desirable to correct defects of morphology, position, and/or amount of gingiva.

Surgeries performed with the goal of increasing the amount of keratinized gingival tissue are done during the uncovering of dental implants, on natural teeth where a prosthetic margin will be placed in the gingival sulcus, or in some pre-orthodontic patients. Either pedunculated periodontal flaps or free gingival grafts can, depending on the case, be utilized for the reconstruction of attached keratinized gingiva. The surgical correction of areas of recession could be considered for esthetical reasons, in situations in which a proper daily oral hygiene is impaired by the gingival defect, or if the patient complains of dentinal hypersensitivity. These sorts of problems could be solved by the use pedunculated flaps, gingival grafts, connective tissue grafts, or combined approaches. Periodontal plastic procedures deal also with the elimination of aberrant frenums, and are employed in the volumetric reconstruction of edentulous ridges to optimize the final esthetic results of fixed prosthodontics.

 

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