Frenectomy with semilunar flap: a simple solution for complex issues.
Journal name: Journal of Indian Society of Periodontology
Original article title: Frenectomy with semilunar coronally repositioned flap: A single stage approach - simple solution for complex problem
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Jeevanand Deshmukh, Richa Khatri, Bennete Fernandes, Vinaya Kumar Kulkarni, Shubhra Singh
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Frenectomy with semilunar coronally repositioned flap: A single stage approach - simple solution for complex problem
Year: 2015 | Doi: 10.4103/0972-124X.154172
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Gingival recession, characterized by the displacement of the gingival margin apical to the cementoenamel junction, poses not only esthetic concerns but also risks such as root hypersensitivity and increased susceptibility to root caries. Aberrant frenum attachment can contribute to the progression of gingival recession by exerting tension on the marginal tissues. Traditional treatment protocols typically involve a two-stage procedure, where a frenectomy is followed by a root coverage procedure. Recent advancements in surgical techniques aim to enhance predictability, reduce patient discomfort, and fulfill patients' aesthetic expectations.
The Semilunar Coronally Repositioned Flap Technique
One of the innovative approaches detailed in this case report is the use of a semilunar coronally repositioned flap technique combined with a frenectomy. This method offers several clinical advantages over the conventional two-stage procedures. By coronally repositioning the gingival tissue while simultaneously removing the aberrant frenum, the need for an additional surgical site is eliminated, and the depth of the vestibule is maintained or even increased. This technique is particularly beneficial as it minimizes trauma and allows for improved vascular supply to the grafted tissue, thereby enhancing healing outcomes. The study demonstrated successful root coverage and satisfactory esthetic results in a patient with maxillary central incisors affected by gingival recession and an aberrant frenum.
Conclusion
In conclusion, the semilunar coronally repositioned flap technique, when combined with a frenectomy, provides an effective solution for managing gingival recession due to aberrant frenal attachments. This single-stage procedure not only simplifies the surgical process but also addresses aesthetic concerns effectively. By eliminating the need for additional surgical phases and increasing the predictability of outcomes, this technique represents a promising advancement in periodontal plastic surgery, allowing clinicians to deliver efficient and satisfactory treatments for patients experiencing these conditions.
FAQ section (important questions/answers):
What is gingival recession and its causes?
Gingival recession is the displacement of the gingival margin below the cementoenamel junction, often caused by factors like plaque accumulation, aberrant frenum attachments, and improper oral hygiene practices.
What is the purpose of a frenectomy?
A frenectomy involves the complete removal of the frenum to prevent tension on marginal tissues and reduce the risk of gingival recession, ultimately promoting better oral hygiene and esthetics.
What technique was used for the case report treatment?
The case report utilized a semilunar coronally repositioned flap technique combined with frenectomy to achieve root coverage and eliminate muscle pull from the frenum simultaneously, enhancing clinical outcomes.
What postoperative care is recommended after the procedure?
Postoperative care includes avoiding brushing the surgical area for two weeks, using chlorhexidine mouthwash for plaque control, and adhering to prescribed medications to manage discomfort and promote healing.
What are the advantages of the combined surgical technique?
This combined approach avoids additional surgical phases, reduces recovery time, eliminates donor sites, and helps maintain esthetic outcomes by addressing both gingival recession and frenum issues simultaneously.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Frenectomy with semilunar flap: a simple solution for complex issues.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Incision:
The term 'incision' refers to the surgical cut made into tissue. In the context of the provided text, it is pivotal for executing the semilunar coronally positioned flap technique, a critical step that ensures proper access for repositioning gum tissue, facilitating effective treatment for gingival recession and achieving desired aesthetic outcomes.
2) Table:
In medical literature, 'table' often refers to a structured presentation of data or information, facilitating better understanding and comparison of clinical outcomes or procedural details. In the context of the provided text, it could refer to organizing data on patient outcomes or procedural steps, enhancing clarity in methodologies and results.
3) Blood:
Blood is essential for delivering oxygen and nutrients to tissues, as well as for healing processes. In the discussed surgical technique, blood supply is critical for the viability of the repositioned gingival tissue. Adequate blood flow can improve healing and enhance the success of periodontal interventions, impacting overall patient recovery.
4) Hygiene (Hygienic):
Hygiene refers to practices that maintain health and prevent disease. Good oral hygiene is emphasized post-surgery to avoid complications like infection or post-operative recession. The narrative underscores the importance of hygiene during the healing phase for optimal recovery and long-term health outcomes, hence enhancing the effectiveness of the surgical procedure.
5) Surface:
In the medical context, 'surface' often refers to the external layer of tissues. The condition of the gingival surface is crucial in periodontal procedures. The text discusses how addressing the exposed root surface and gingival remnants can mitigate sensitivity and aesthetic concerns, highlighting its relevance in restorative dental practices.
6) Patil:
Patil is referenced as a contributing author or researcher in the field of dentistry. This citation may denote a study or technique that builds upon the existing literature. It symbolizes the advancement of clinical practices in periodontal surgery, particularly methods to enhance aesthetic outcomes while ensuring adequate phenotypic healing.
7) Line:
In a clinical context, 'line' can pertain to anatomical structures or the demarcation in surgical procedures. In the provided text, a 'smile line' is mentioned, which is relevant to aesthetic considerations in periodontal rehabilitation. Understanding this concept aids dental professionals in achieving outcomes that align with patient expectations and satisfaction.
8) Accumulation (Accumulating, Accumulate):
The term 'accumulation' typically relates to the buildup of substances, such as plaque on teeth, which can lead to periodontal disease. In the surgical context, controlling this accumulation is vital for preventing gingival recession and maintaining health post-operatively. Effective management and education surrounding plaque accumulation are crucial for successful long-term outcomes.
9) Discussion:
Discussion in academic writing provides a platform for interpreters to analyze findings, compare against existing literature, and explore implications. Its relevance in the provided text highlights a critical evaluation of the surgical technique's outcomes and effectiveness, contributing to the body of knowledge in periodontal therapies and patient care methodologies.
10) Antibiotic (Antibacterial):
Antibiotics are pivotal in managing or preventing post-surgical infections. Their use in the text signifies a proactive approach to mitigating complications following periodontal procedures. Administering antibiotics can significantly enhance healing and patient safety, making them an essential component of post-surgical care in dentistry.
11) Dressing:
Dressing in surgical terms refers to materials applied to protect a wound or surgical site. In this case, periodontal dressing is used post-surgery to stabilize the repositioned flap, promote healing, and prevent infection. Its application reflects standard care practices following gingival surgeries, ensuring optimal recovery conditions for the patient.
12) Disease:
Disease refers to pathological conditions that adversely affect health. In periodontal health, understanding the implications of gingival diseases is critical for devising effective treatment plans. The text emphasizes the interrelation of gingival recession and potential disease progression, illustrating the dentist's role in preventative and corrective interventions.
13) Science (Scientific):
Science encompasses a systematic study of structure and behavior in the physical and natural world. In the context of dental procedures, the application of scientific principles aids in understanding periodontal anatomy, the healing process, and the effectiveness of various surgical techniques, thereby contributing to improved patient outcomes and innovative treatment strategies.
14) India:
India is referenced as the geographical context for the clinical case presented in the text. Highlighting the practice of dentistry within India contributes to a better understanding of regional health practices, cultural influences on dental treatment, and the development of innovative techniques adapted to local patient needs and anatomical considerations.
15) Food:
Food, as referenced in the context of patient sensitivity to cold foods, underscores the importance of dietary considerations post-periodontal surgery. Awareness of nutritional impacts on healing and patient comfort is essential. Dentists may provide dietary recommendations to alleviate sensitivity and ensure a conducive healing environment following surgical intervention.
16) Male:
The term 'male' identifies the gender of the patient in the case report. In a clinical context, recognizing gender can contribute to the understanding of specific anatomical or physiological variations in dental and periodontal health, which may influence treatment strategies and tailored approaches for surgical interventions.
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘Frenectomy with semilunar flap: a simple solution for complex issues.’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
Gingival Recession, Periodontal plastic surgery, Root coverage, Thick gingival biotype, Healing phase.