Abstract
Another choice for solving mucogingival problems 15 the use of a modified combination of three known techniques: the split thickness flap (apically replaced), vestibular extension and intemal linear periosteal fenestration. This is a report on a patient who was treated by the modified approach . We evaluated the depth of the vestibule, gingival width, frenal and muscle attachment before and at 3 weeks, 8 weeks, 3 months, and 1 year after the operation . The advantages of this modified technique can be stated as follows : (1) Healing was apparently faster. (2) Postoperative pain was minimal. (3) Depth of vestibular fornix was increased markedly. (4) Frenum and muscle attachment pull almost completely relieved. (5) There was less possibility of exposing a dehiscence or creating bone 1055 on adjacent teeth. (6) A function - ally adequate zone of attached gingiva was numerically increased .
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