Natarajan Shanmuganathan, Banu Fathima, Kumar Madhan, Lavu Vamsi
Prosthodontics, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, IND.
Periodontics, Faculty of Dental Sciences, Sri Ramachandra University, Chennai, IND.
Cureus. 2019 Jun 23;11(6):e4975. doi: 10.7759/cureus.4975.
Shallow vestibule has long been considered a deterring factor in the use of removable dental prosthetics. The need for management in fixed prosthetic replacement is not widely discussed. Adequate attached gingiva is essential for continued proper oral hygiene. Muscular and fibrous traction leads to gingival recession, which can cause marginal leakage in a fixed prosthetic restoration. In the long-term, this causes the suprastructure to fail and, ultimately, the restoration also fails. Therefore, shallow vestibule with reduced attached gingiva should be identified in the diagnostic stage and should be effectively managed prior to restoration of lost tooth structure. This case report discusses the management of a shallow vestibule in a LeFort I fracture with emphasis on a fixed prosthetic replacement.
浅前庭长期以来一直被认为是使用可摘义齿的一个阻碍因素。固定义齿修复中管理需求的讨论并不广泛。足够的附着龈对于持续保持良好的口腔卫生至关重要。肌肉和纤维的牵拉会导致牙龈退缩，这可能在固定义齿修复中引起边缘渗漏。从长期来看，这会导致上部结构失败，最终修复体也会失败。因此，在诊断阶段就应识别出伴有附着龈减少的浅前庭，并在修复缺失牙体结构之前进行有效管理。本病例报告讨论了LeFort I型骨折中浅前庭的管理，重点是固定义齿修复。
