Open-Flap Debridement Followed By Vestibuloplasty In A Patient With Periodontal Disease

Naomi M.C. Sianipar, Stephanie Dwiyanti, Robert Lessang, Yulianti Kemal

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Attached gingiva is required to maintain periodontal health. The inadequate width of the attached gingiva and vestibular depth compromises adequate plaque control and can cause pathologic conditions, such as gingival inflammation and pocket formation. Vestibuloplasty is a mucogingival procedure for vestibular deepening and increasing the width of attached gingiva. The case aimed to evaluate the width of the attached gingiva and healing outcomes after open-flap debridement followed by vestibuloplasty. Openflap debridement was performed to reduce the pocket depth in two patients with pockets > 5 mm. After the flap elevation, the width of the attached gingiva is < 1 mm. Vestibuloplasty is performed in both cases to increase the width of the attached gingival during the same visit. A vestibuloplasty was performed in the first case with an incision on the mucogingival junction. Then, the flap was sutured to the base of the vestibulum with an interrupted suture and covered with a periodontal pack. In the second case, the surgery site was covered with the periodontal pack without suturing the flap to the base of vestibulum after the incision on the mucogingival junction. Increasing the width of the attached gingiva and vestibular depth can be achieved using the vestibuloplasty technique and suturing the flap based on the vestibulum.

Original languageEnglish
Title of host publicationCase Reports in Dentistry
PublisherNova Science Publishers, Inc.
Pages141-152
Number of pages12
ISBN (Electronic)9781536140439
Publication statusPublished - 18 Jul 2018

Keywords

  • Vestibuloplasty
  • Width of attached gingiva

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    Sianipar, N. M. C., Dwiyanti, S., Lessang, R., & Kemal, Y. (2018). Open-Flap Debridement Followed By Vestibuloplasty In A Patient With Periodontal Disease. In Case Reports in Dentistry (pp. 141-152). Nova Science Publishers, Inc..