Vestibuloplasty around teeth and dental implants using simplified periosteal fenestration (sPF): Case Reports

Park, Do-Young; Lee, Won-Pyo

J Korean Dent Assoc > Volume 59(1); 2021 > Article

CASE REPORT

The Journal of The Korean Dental Association 2021;59(1):20-27.
Published online December 31, 2020.

간단화된 골막천공술을 사용한 자연치와 임플란트 주위 전정성형

박도영¹

, 이원표²

^¹박치과
^²조선대학교 치과대학 치주과학교실

Vestibuloplasty around teeth and dental implants using simplified periosteal fenestration (sPF): Case Reports

Do-Young Park¹

, Won-Pyo Lee²

¹Park Dental Clinic
²Department of Periodontology, School of Dentistry, Chosun University

Correspondence: Won-Pyo Lee, Tel: +82-62-220-3854, Fax: +82-62-224-4664,
Email: wplee8@chosun.ac.kr

Received: 30 June 2020 • Revised: 16 August 2020 • Accepted: 16 September 2020

Abstract

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

Key Words: Apically positioned flap; Free gingival graft; Periosteal fenestration; Vestibuloplasty