Abstract
ABSTRACTThis paper reports case of pediatric localized gingival recession (LGR) in mandibular anterior region which was treated by using new innovative surgical approach, i.e. combination of frenectomy and vestibular extension. These interceptive surgeries not only gained sufficient width of attached gingival but also lower the attachment of labial frenum.How to cite this article: Jingarwar M, Pathak A, Bajwa NK, Kalaskar R. Vestibular Extension along with Frenectomy in Management of Localized Gingival Recession in Pediatric Patient: A New Innovative Surgical Approach. Int J Clin Pediatr Dent 2015;8(3):224-226.
Highlights
Localized gingival recession (LGR) is defined as an abnormal apical lowering of free gingival margins exposing more than the usual amount of tooth crown and root
As there was no change in level of recession and sulcus depth after thorough scaling and root planning, new innovative interceptive surgeries, such as frenectomy and vestibular extension procedure were planned
As seen in the case reported here, the use of this new innovative combination surgical approach offers an alternative to conventional treatment for the management of LGR in pediatric patients
Summary
Localized gingival recession (LGR) is defined as an abnormal apical lowering (about 2 to 5 mm) of free gingival margins exposing more than the usual amount of tooth crown and root. After 3 months, no mobility was observed with 41 and 31; but the patient was unhappy due to gingival recession and insufficient sulcus depth. To overcome these problems, interceptive surgeries, such as vestibular extension and frenectomy procedures were planned under antibiotic coverage. A follow-up after 1 year showed sufficient sulcus depth and esthetically pleasant appearance (Fig. 3B)
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