ISSN : 0376-4672
A narrow band of attached gingiva or mucosa and shallow buccal vestibule interfere with proper tooth brushing leading to plaque accumulation and consequently marginal gingival inflammation and gingival recession. The aim of this paper was to evaluate the effect of simplified periosteal fenestration (sPF) on a patient with minimal amount of attached tissue and shallow vestibule around natural teeth or dental implants. The sPF technique was performed by upgrading the modified periosteal fenestration (mPF) technique which we first suggested. Initially, the partial-thickness apically positioned flap was elevated. After horizontal periosteal fenestration incision was done, a full-thickness flap in the apical direction was elevated to create an osseous exposure. And then, periosteal suture was performed using simple interrupted suture method. Finally, a linear island of denuded bone was automatically produced. In all three cases, a sufficient band of attached tissue and deepened buccal vestibule were gained and maintained during the follow-up period ranging from 12 to 16 months. Thus, the sPF technique might be a promising treatment option for vestibuloplasty around natural teeth or dental implants, such as the mPF technique
1. Carranza FA, Jr., Carraro JJ. Mucogingival techniques in periodontal surgery. J Periodontol 1970;41:294-299.
2. Ericsson I, Lindhe J. Recession in sites with inadequate width of the keratinized gingiva. An experimental study in the dog. J Clin Periodontol 1984;11:95-103.
3. Stetler KJ, Bissada NF. Significance of the width of keratinized gingiva on the periodontal status of teeth with submarginal restorations. J Periodontol 1987;58:696-700.
4. Artzi Z, Tal H, Moses O, et al. Mucosal considerations for osseointegrated implants. J Prosthet Dent. 1993;70:427-432.
5. Kim DM, Neiva R. Periodontal soft tissue non-root coverage procedures: A systematic review from the AAP regeneration workshop. J Periodontol 2015;86:S56-S72.
6. Bjorn H. Free transplantation of gingiva propria. Swedish Dent J. 1963;22:684-689.
7. Heberer S, Nelson K. Clinical evaluation of a modified method of vestibuloplasty using an implant-retained splint. J Oral Maxillofac Surg. 2009;67:624–629.
8. Lee WP, Kwon YS. Vestibuloplasty around dental implants using modified periosteal fenestration (mPF): case series. Implantology. 2020;24:22-30.
9. Lee WP. “Modified periosteal fenestration (mPF) for vestibuloplasty around molar implants [video file]”. April 2019. https://www.youtube.com/watch?v=4imlmPrXW_g.
10. Lee WP. "Simplified periosteal fenestration (sPF) for vestibuloplasty around molar implants [video file]”. June 2020. https://www.youtube.com/watch?v=zPSPqX7girA.
11. Halperin-Sternfeld M, Zigdon-Giladi H, Machtei EE. The association between shallow vestibular depth and peri-implant parameters: a retrospective 6 years longitudinal study. J Clin Periodontol. 2016;43:305-310.
12. Devishree, Gujjari SK, Shubhashini PV. Frenectomy: a review with the reports of surgical techniques. J Clin Diagn Res. 2012;6:1587-1592.
13. Hillerup S. Healing reactions of relapse in secondary epithelization vestibuloplasty on dog mandibles. Int J Oral Surg. 1980;9:116–127.
14. Lim HC, An SC, Lee DW. A retrospective comparison of three modalities for vestibuloplasty in the posterior mandible: apically positioned flap only vs. free gingival graft vs. collagen matrix. Clin Oral Investig 2018;22:2121-2128.
15. Kon S, Pustiglioni FE, Novaes AB, Ruben MP, de Araujo NS. Split thickness flap, apically replaced, with protected linear periosteal fenestration: a clinical and histological study in dogs. J Periodontol 1978;49:174-180.
