Katariya Anukrati, Kukreja Bhavna J
Department of Periodontology, Teerthanker Mahaveer Dental College and Research Centre, Moradabad, Uttar Pradesh, India.
Department of Preventive Dental Sciences, College of Dentistry, Gulf Medical College University, Ajman, UAE.
Indian J Dent Res. 2024 Oct 7. doi: 10.4103/ijdr.ijdr_721_23.
The most prevalent mucogingival issues include insufficient gingival width, decreased vestibular depth, abnormal frenal attachment, gingival recession, pockets that reach the mucogingival junction, excess gingival, inconsistent gingival margin, excessive gingival display and abnormal gingival colour. Numerous periodontal plastic operations have been used to treat these issues. However, each approach has its own drawbacks and is technique-dependent. Adequate depth of vestibule is necessary to maintain good oral health as shallow vestibule leads to accumulation of food and thus impedes oral hygiene maintenance. This case series describes a vestibular deepening procedure performed using modification of periosteal fenestration technique. This technique includes a series of eight cases of shallow vestibule where vestibular deepening was conducted by giving a full-thickness incision to expose the periosteum and create a window of fenestration followed by suturing the labial mucosa to the periosteum at the apical level. The results reported an excellent post-operative outcome showing increased depth of the vestibule.
最常见的膜龈问题包括牙龈宽度不足、前庭深度减小、系带附着异常、牙龈退缩、达膜龈联合处的牙周袋、牙龈过多、牙龈边缘不一致、牙龈过度外露及牙龈颜色异常。已采用多种牙周整形手术来治疗这些问题。然而，每种方法都有其自身的缺点且依赖技术。前庭有足够深度对于维持良好的口腔健康很有必要，因为前庭浅会导致食物积聚，从而妨碍口腔卫生维护。本病例系列描述了一种使用改良骨膜开窗技术进行的前庭加深手术。该技术包括一系列8例前庭浅的病例，通过全层切口暴露骨膜并创建开窗窗口，然后将唇黏膜在根尖水平缝合至骨膜来进行前庭加深。报告的结果显示术后效果极佳，前庭深度增加。
