Gingival mask for conservative management of gingival recession: A case report

Sachin Chaudhary ,Hemal Agrawal ,Roshan Dhakal ,Ajit Kumar Yadav

doi:10.3126/jnprossoc.v4i1.42318

Sachin Chaudhary , Hemal Agrawal + Show 2 more

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https://doi.org/10.3126/jnprossoc.v4i1.42318

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Abstract

Smile is the jewel of the face, which not only enhances the beauty of the person but also influences self-confidence. Dental esthetic is composed of white and pink component. The long-term periodontal disease results in the destruction of the pink component leading to gingival recession in some cases, which results in elongated tooth with black triangle and unesthetic smile. When severe destruction is present in the maxillary anterior region surgical reconstruction is unpredictable. This destruction can be masked with a prosthesis like gingival mask after the control of periodontal disease. This case report describes the use of the gingival mask as a conservative treatment modality for recession, achieving optimum esthetics and patient satisfaction.

Highlights

Gingival recession can be a manifestation of long-standing periodontal disease and can lead to an unesthetic smile with exposed open interdental spaces, elongated clinical crowns and black triangles.[1]
Gingival recession causes an imbalance between pink and white tissue that may result in aesthetic concern and hypersensitivity.[2]
The gingival mask is contraindicated in patients with poor plaque control, unstable periodontal health, high caries activity, smoking, and known allergy to acrylic or silicone.[10]

Summary

Introduction

Gingival recession can be a manifestation of long-standing periodontal disease and can lead to an unesthetic smile with exposed open interdental spaces, elongated clinical crowns and black triangles.[1]. Gingival mask is known as flange prosthesis, gingival veneer, gingival veneer prosthesis, gingival replacement unit, artificial gingiva, gingival slip, and party gums.[3]. This case report describes the conservative technique to mask the gingival recession in a patient with chronic periodontitis, which is noninvasive, stable, economical and esthetically acceptable. The treatment plan was to restore periodontal health, followed by permanent splinting in the lower anterior, and gingival prosthesis for upper anterior. After 1-week Ribbond fibre was used for periodontal splinting for lower anterior teeth from 33-43 to stabilize the anterior (Figure 3). The patient is under maintenance phase, satisfied with the outcome and feels more confident during smiling (Figure 8)

Discussion

Conclusion