Gingival Prosthesis Research Articles

Cosmetic Makeover of Periodontally Compromised Patients using Flexible Gingival Mask and Porcelain Laminate Veneers: Report of Two Cases

Chronic periodontal disease can lead to advanced gingival tissue loss that can result in problems with esthetics, phonetics, food impaction and tooth sensitivity. One of the most difficult problem encountered in the management of periodontal disease is loss of interdental papillae which leaves unsightly “black triangles” between the teeth. The first step in the management of these problems is surgical correction of the defect. In cases where mucogingival surgery is unpredictable due to generalized recession and loss of large volume of gingival tissue, removable gingival prosthesis is an excellent alternative to correct the deformities remaining after the control of destructive periodontal disease specially in the maxillary anterior region. Gingival prostheses may be fixed or removable. It can be made from a range of materials like acrylic, silicones, porcelain- based materials and flexible resin denture material. This report describes two clinical situations in which combined periodontal/prosthodontic rehabilitation was done for patients with advanced periodontal disease. Accurately fitting flexible gingival prostheses and porcelain laminate veneers were fabricated to restore advanced gingival tissue loss in esthetic area following periodontal flap surgery. The flexible gingival masks not only help to achieve excellent cosmetic results but also reinstate the functional and psychological wellbeing of the patient.

PROSTHETIC MANAGEMENT OF GINGIVAL AESTHETICS - A CASE REPORT

Gingival replacement prostheses have been used to replace lost tissue when other methods like surgery or regenerative procedures were considered unpredictable or unfeasible. With this method, large tissue volumes are easily substituted. Gingival prostheses take several forms. This article presents a case of gingival recession successfully managed by acrylic gingival veneer.

Knowledge, Awareness, and Practice of Gingival Veneer Prosthesis Among Dental Students, Interns, and Practitioners in the Riyadh Region: A Cross-Sectional Questionnaire-Based Survey

Background:The treatment modality of using gingival veneer prosthesis for anterior gingival recession is not widely known even in the dental fraternity. This survey has been conducted considering its essential nature and absence of data on its awareness in the Riyadh region.Aims:The aim of the study was to assess the knowledge, awareness, and practice of gingival veneer prosthesis among dental students, interns, and practitioners in the Riyadh region.Materials and Methods:A descriptive cross-sectional electronic survey was conducted on dental students, interns, and practitioners of both genders in Saudi Arabia, using a convenient sampling method. The final questionnaire consisted of 12 questions. The percentage of various responses, with reference to the demographics, and statistical significance, were tested by independent sample t-test and p-value <0.05. The responses/data of 446 participants were tabulated and processed in SPSS (version 21.0).Results:The preferred treatment option for an anterior gingival recession proposed by prosthodontists was prosthetic correction (p<0.05), and for other groups, it was periodontal surgery (p<0.05). 66% of general practitioners’ group and 56% of dental students and interns’ group, respectively, were not sure about the ideal treatment option for Miller’s class III & IV gingival defects, while 70% of general practitioners’ group and 65% of the students and interns’ group, respectively, were not sure about the ideal treatment option for the management of gingival tissue loss between implants,.Conclusion:There is a significant lack of knowledge on using gingival veneer prosthesis as a treatment option for anterior gingival defects among general dental practitioners, interns, and dental students (p˂0.05).

Gingival Prostheses: An Esthetic Soloution to Periodontally Compromised Patients- A Case Report

Gingival recession often compromises the esthetics of the patient especially when it occurs in the anterior region . Often the patient exhibits open embrasures, increased crown height, and black triangles. The reduced bone height often compromises the possibility for a predictable outcome after various root coverage procedures. Hence these procedures may not give a satisfactory esthetic results . In addition to that surgical root covege might cause discomfort to the patient and requires considerable healing time. Gingival veneer masks are simple alternative approach in these patients with unsightly gums associated with severe gingival recession especially when they are well motivated for good oral hygiene measures. This article aims to describe a clinical case of a young patient with advanced gingival recession. The gingival prostheses is a boon to patients who are esthetically compromised due to severe gingival recession

Gingival Veneers

This paper aims to present information about the provision of gingival prostheses or gingival veneers. These appliances are most commonly provided for patients with gingival recession and attachment loss. The paper will highlight the indications and advantages for providing prostheses, and inform the reader of the risks or complications that may arise. The clinical and laboratory stages will be explained and advice provided on maintenance. A case series will demonstrate some of the patient-related benefits and difficulties that can be encountered. A final aspect to the paper will present the results of a survey undertaken in the north-east of England, exploring the provision of these appliances in primary care. CPD/Clinical Relevance: Good aesthetics relating to the gingival margin can be difficult to achieve and the use of gingival veneers may provide a solution.

An innovative restorative method for management of complex esthetic problems in partially edentulous mouth using the concept of Cu-sil denture

Management of a hard and soft tissue defect with an acrylic prosthesis has been proved to be very successful in the esthetic zone. The gingival prosthesis is provided when surgical management is either difficult or failed. In the present case report is an innovative method of management of Kennedy's Class I maxillary arch with gingival recession in the anterior teeth with a combined prosthesis.

Periodontal Supportive Care: Aesthetic and Functional Restoration with Acrylic Gingival Veneer

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.

Small tissue, big issue

One of the most important parts of an ideal smile is the presence of healthy gingiva. Gingival replacement is often a component of comprehensive prosthodontics. Gingival replacement prostheses have historically been used to replace lost tissue when other methods (e.g., surgery or regenerative procedures) were considered unpredictable or impossible. With this method, large tissue volumes are easily replaced. Gingival prostheses take several forms, and various authors have described their uses and methods of construction. Tissue replacement prostheses may be used to replace tissue lost through surgical gingival procedures, trauma, ridge resorption, or traumatic tooth extraction. From a prosthodontic point of view, restoration of these areas can be accomplished with either fixed or removable prostheses. Gingival prostheses may be made from acrylics, composite resins, silicones, or porcelain-based materials. Undercuts or dental attachments are used to secure removable prostheses, which are esthetically pleasing and easy to maintain. Healthy gingival tissues affect the esthetics, probably much more than teeth, a factor which is most often neglected in esthetic treatment planning. Periodontal flap surgeries often leave open embrasure spaces which are a huge esthetic deficit for the patient. This case report describes the use of a gingival prosthesis fabricated by valplast - a flexible nylon-based material to recreate the lost soft tissue esthetics.

Acrylic gingival veneer prosthesis: A case report

Periodontal disease may lead to gingival recession causing elongated clinical crown height and formation of black triangle in the interproximal area. Acrylic gingival prosthesis is a noninvasive, economical restorative procedure to artificially replace the lost gingival tissue. This artificial prosthesis overcomes the pitfall of extensive surgical corrective procedure. This article aims to describe a clinical case with advanced gingival recession with diastema between the upper anterior teeth, which was esthetically rehabilitated with acrylic gingival veneer prosthesis.

A technique for transferring a patient's smile line to a cone beam computed tomography (CBCT) image

Fixed implant-supported prosthodontic treatment for patients requiring a gingival prosthesis often demands that bone and implant levels be apical to the patient's maximum smile line. This is to avoid the display of the prosthesis-tissue junction (the junction between the gingival prosthesis and natural soft tissues) and prevent esthetic failures. Recording a patient's lip position during maximum smile is invaluable for the treatment planning process. This article presents a simple technique for clinically recording and transferring the patient's maximum smile line to cone beam computed tomography (CBCT) images for analysis. The technique can help clinicians accurately determine the need for and amount of bone reduction required with respect to the maximum smile line and place implants in optimal positions.

Gingival mask: A case report on enhancing smiles

Periodontal attachment loss in the maxillary anterior region can often lead to esthetic and functional clinical problems including disproportional and elongated clinical crowns and visible interdental embrasures. Gingival replacement prosthesis has historically been used to replace lost tissue. A gingival mask is an easily constructed and practical device to optimize the esthetic and functional outcome in these special situations while permitting cleansibility of the prosthesis and supporting tissues. This is a case report of a young female patient treated using silicon gingival veneer with a 2-year follow-up. The silicon gingival mask has enabled the patient to regain her lost smile and face people with newly found confidence also enhancing the esthetic appearance. Virtually, no problem was encountered during the 2 years of usage of the veneer and the patient continues to use it comfortably.

Esthetic management of a periodontally compromised case: A perio-prostho approach

Esthetics plays a prime role when it comes to management of anterior region. In most of the advanced peridontitis cases, periodontal management alone cannot restore the esthetics of the patient. Hence a multi-disciplinary approach is needed and is of prime importance if the patient has a high smile line. Gingival replacement is a part of comprehensive prosthetic care. Various materials like composite, acrylic, silicones and porcelain can be used to replace the lost gingival tissue. Retention can be achieved by using the undercuts or with the use of attachments. The present case report deals with the management of unesthetic smile due to loss of gingival tissue by using a removable acrylic gingival prosthesis.

The Flexible Party Gums: An Esthetic Alternative for Lost Gingiva

ABSTRACT One of the most important parts of an ideal smile is the presence of healthy gingiva. Healthy gingival tissues affect the esthetics, probably much more than teeth, a factor which is most often neglected in esthetic treatment planning. Periodontal flap surgeries often leave open embrasure spaces which are a huge esthetic deficit for the patient. Replacing the missing gingival tissue with composite, ceramic, acrylic or silicone has been reported in the literature. This case report describes the use of a gingival prosthesis fabricated by valplast-a flexible nylon- based material to recreate the lost soft tissue esthetics. How to cite this article Agrawal TR, Dange S, Khalikar S. The Flexible Party Gums: An Esthetic Alternative for Lost Gingiva. Int J Prosthodont Restor Dent 2014;4(1):20-22.

Gingival prosthesis: A treatment modality for recession

Gingival recession caused due to periodontal disease disturbs patients because of sensitivity and esthetics. Gingival prosthesis may be fixed or removable and can be made from silicones, acrylics, composite resins or ceramics according to what is best suited for the case. The gingival veneer is esthetically appealing and easy to maintain. This case report describes the use of gingival veneer as a treatment modality for recession.

Association of fixed partial denture and gingival prosthesis as alternative approach to recover esthetics and function in anterior maxillary region

Tooth replacement in the maxillary anterior region is especially difficult when the loss includes significant amounts of the residual ridge and the soft tissue. Several techniques are available, such as dental implants or fixed partial denture, and bone and gingival grafts or gingival prostheses, respectively. This article showed a clinical case of an elderly who was treated with a collarless metal–ceramic fixed partial denture and acrylic removable gingival prosthesis to recover the esthetics in the maxillary anterior region. The association of a metal–ceramic fixed denture and gingival prosthesis was an excellent alternative in cases when surgical procedures are contraindicated.

Diverse modalities of gingival replacement: A report of three cases

Gingival replacement is often a component of comprehensive prosthodontics. Gingival prostheses may be fixed or removable. It can be made from acrylics, composite resins, silicones or porcelain-based materials.This paper describes different clinical situations in which three types of gingival prostheses, removable acrylic veneer with melanin pigmentation, fixed ceramic veneer and flexible nylon based veneer, were used effectively.

Tissue Replacement Gingival Prosthesis in the Treatment of Esthetic and Functional Deficit: An Atypical Case Report

ABSTRACT Tissue replacement gingival prosthesis is a simple, noninvasive procedure employed to replace large volumes of lost soft tissue architecture while overcoming the pitfalls of surgical treatment modalities. A removable gingival prosthesis has a definite set of superior advantages compared to the extensive surgical treatment options or the employment of a fixed prosthesis. The removable gingival prosthesis helps to render an esthetically pleasing and functional restoration which is economical and less time-consuming for patients who report with large areas of esthetic and functional deficits. This case report highlights the fabrication of a light-weight design of removable gingival veneer to effectively mask the large area of tissue distortion whilst achieving superior esthetics.

Gingival Prosthesis; An Alternative to Surgery in Multiple Site Gingival Recession

Y is a 26 year old male; Nigerian medical student who presented with a case IV localized gingival recession of the right mandibular central and lateral incisors. Miller's class II gingival recession on the lower left central and Miller's class III gingival recession on the lower left lateral incisor. The Miller's class IV localized gingival recession of the right mandibular central and lateral incisors was associated with a long-standing history of self-induced gingival traumatism. This he did by picking and cutting off tiny bits. Frenal pull was also an aetiological factor. Routine prophylaxis and root planning produced a resolution of the itchy gingivae which patient claimed was responsible for his traumatizing his gingivae using his finger. Frenectomy was later carried out, which healed with minimal scarring. Further progression of recession was halted and a simple gingival prosthesis made from a mixture of pink and clear acrylic in a 30:70 ratio. Keywords: Gingival prosthesis, Gingival recession, Periodontal surgery NQJHM Vol. 15 (4) 2005: pp. 184-185

The use of porcelain laminate veneers and a removable gingival prosthesis for a periodontally compromised patient: A clinical report

Periodontal disease may lead to tooth and tissue loss that can result in esthetic problems. Combined periodontal/prosthodontic treatment for patients with advanced periodontal disease is well documented. This clinical report illustrates a method of treatment for advanced tissue loss in an esthetic area using porcelain laminate veneers and a removable gingival prosthesis.

Streptococcal Gingivitis: A Report of Case with a Description of a Unique Gingival Prothesis

Acute streptococcal gingivitis is an acute inflammation of the oral mucosa. Specific bacterial infections of the gingiva may be due to neisseria gonorrhea, treponema pallidum, streptococci, and other organisms. Streptococcal infections are seen rarely. This case report describes a patient who presented with severe gingival inflammation and pain that was diagnosed as an acute streptococcal infection. Bacterial cultures were obtained from the lesion, and biopsies were obtained from the gingiva of lower incisors for histopathologic evaluation. The patient was successfully treated using conventional periodontal therapy (scaling, root planning, curettage) and antibacterial agents. The reconstructive phase for this patient consisted of the fabrication of a heat-cured acrylic gingival facade to mask the gingival recession. The treatment of acute gingivostomatitis is of importance because of the possibility of systemic secondary infections. When esthetics is important, a gingival prostheses can be considered. The differential diagnosis, etiology, and treatment of acute streptococcal gingivitis are discussed and the literature is reviewed in this report.