Abstract
This case involved periodontal supportive care after non-surgical management of localized, severe chronic periodontitis (possibly with a history of aggressive periodontitis) and periodontal abscess. This included maintaining the current periodontal health, and rehabilitation of patient’s oral function and aesthetic concern using simple, economical and reversible direct restorations without further damaging the patient’s dentition for example composite resin as splint. Besides that, to address the patient’s complaint of unsightly gaps in between the teeth, an acrylic gingival prosthesis with denture tooth incorporated was constructed.
Highlights
This case involved periodontal supportive care after non-surgical management of localized, severe chronic periodontitis and periodontal abscess
Gingival Prostheses Overview Gingival recession is a common oral manifestation due to the progression of periodontal disease, periodontal pocket elimination procedures, resective osseous surgeries and it can present as one of the healing signs after successful non-surgical management of periodontal disease (1).Loss of interdental papilla is due to the bone loss caused by periodontal disease, leading to wide open and unsightly embrasures between the teeth which would appear in the form of black triangles (1), the term ‘black triangle syndrome’.(6) It has a relatively high occurrence rate (1, 2) and it is a matter of great concern for patients who are self-conscious about esthetics
In severe gingival recession where the tissue loss is greater, postsurgical esthetic outcome may be less predictable (1, 2, 4, 6). Such severe gingival recession can be rectified with a simpler option, which involves replacing the loss of gingival tissue with a prostheses known as a gingival veneer
Summary
This case involved periodontal supportive care after non-surgical management of localized, severe chronic periodontitis (possibly with a history of aggressive periodontitis) and periodontal abscess. Gingival Prostheses Overview Gingival recession is a common oral manifestation due to the progression of periodontal disease, periodontal pocket elimination procedures, resective osseous surgeries and it can present as one of the healing signs after successful non-surgical management of periodontal disease (1).Loss of interdental papilla is due to the bone loss caused by periodontal disease, leading to wide open and unsightly embrasures between the teeth which would appear in the form of black triangles (1), the term ‘black triangle syndrome’.(6) It has a relatively high occurrence rate (1, 2) and it is a matter of great concern for patients who are self-conscious about esthetics Some of these patients present with high smile lines, elongated crowns due to root exposure and uneven gingival margins (3). The gingival veneer has several indications or uses as follows: To mask exposed crown margins, root surfaces, implant components, unaesthetic inter-dental dark spaces (1, 5, 8, 9)
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