Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X
Issue: 2015, vol. 21, issue 3
Subject Area: Dental Medicine
Published online: 30 July 2015
J of IMAB 2015 Jul-Sep;21(3):823-825
ALTERNATIVE APPROACH IN THE TREATMENT OF A GINGIVAL CLEFT ASSOCIATED WITH LABIAL FRENULUM. A 3-YEAR FOLLOW-UP. (Case Report).
Kamen Kotsilkov1, Teodora Nedialkova2.
1) Department of Periodontology, Faculty of Dental Medicine, Medical University, Sofia.
2) Post graduate student -Faculty of Dental Medicine, Medical University, Sofia, Bulgaria.
INTRODUCTION: The term Gingival cleft refers to a fissure in the gingival tissues and is usually caused by traumatic oral hygiene, abnormal frenula, trauma from occlusion, orthodontic, or pierce related trauma. Gingival clefts are classified depending on the extent of the inclusion of the gingival thickness into red and white.
The recommended treatment approach for the incomplete white clefts is the gingivectomy of the affected keratinized tissue followed by a coronally advanced flap for the root coveradge, while the complete white clefts are treated with a laterally moved, coronally advanced flap, or a free gingival graft procedure.
OBJECTIVE: This report presents a case with a spontaneous healing of an incomplete gingival cleft associated with a maxillary labial frenulum after an alternative frenuloectomy approach.
METHODS: M.G. (45) with a localized chronic periodontitis, an abnormal papillary maxillary frenulum and an incomplete white cleft on the marginal gingiva of the left central incisor. An alternative frenuloectomy approach combined with a free gingival graft was selected for the correction of the abnormal frenulum.
RESULTS:On the sixth month after the surgical procedure an almost complete recovery of the gingival margin was observed.The result at the third year demonstrates a stable gingival margin with a complete tissue recovery.
CONCLUSION: The applied combined surgical approach led to a complete gingival recovery of the incomplete white gingival cleft without the commonly used gingivectomy and CAF. Further research is recommended to clarify the adjunctive benefits of the FGG in patients with gingival clefts associated with abnormal frenula.
Key words: labial frenulum, gingival cleft, gingival recovery,
- Download FULL TEXT /PDF 800 KB/
Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Kotsilkov K, Nedialkova T. ALTERNATIVE APPROACH IN THE TREATMENT OF A GINGIVAL CLEFT ASSOCIATED WITH LABIAL FRENULUM. A 3-YEAR FOLLOW-UP. (Case Report). J of IMAB. 2015 Jul-Sep;21(3):823-825. doi: http://dx.doi.org/10.5272/jimab.2015213.823
Correspondence to: Kamen Kotsilkov, Department of Periodontology, Faculty of Dental Medicine; 1, Georgi Sofiiski str., Sofia, Bulgaria; E-mail: firstname.lastname@example.org
1. Greggianin BF, Oliveira SC, Haas AN, Oppermann RV. The incidence of gingival fissures associated with toothbrushing: crossover 28-day randomized trial. J Clin Periodontol. 2013 Apr;40(4):319-326. [CrossRef]
2. Rosema NAM, Adam R, Grender JM, Van der Sluijs E, Supranoto SC, Van der Weijden GA. Gingival abrasion and recession in manual and oscillating-rotating power brushusers. Int J Dent Hygiene. 2014 Nov;12(4):257-266. [PubMed] [CrossRef]
3. Priyanka M, Sruthi R, Ramakrishnan T, Emmadi P, Ambalavanan N. An overview of frenal attachments. J Ind Soc Periodontol. 2013 Jan;17(1):12-15. [PubMed] [CrossRef]
4. Krishna Prasad D, Sridhar Shetty N, Solomon EGR. The Influence of Occlusal Trauma on Gingival Recession and Gingival Cleft. J Ind Prosth Soc. 2013 Mar;13(1):7-12. [PubMed] [CrossRef]
5. Dersot JM. Récession gingivale et orthodontie de l’adulte. Propositions thérapeutiques fondées sur les preuves cliniques. Int Orthodont. 2012 Mar;10(1):29-42. [CrossRef]
6. Hennequin-Hoenderdos N, Slot D, Van der Weijden, G. (2011), Complications of oral and peri-oral piercings: a summary of case reports. Int J Dent Hygiene. 2011 May;9(2):101–109. [CrossRef]
7. Zucchelli G. Mucogingival Esthetic Surgery, 1st ed. Rho (Italy): Quintessenza Edizioni S.r.l.;2013. Chapter 15, Treating gingival clefts; p 157-80.
8. Pilloni A, Dominici F, Rossi R Laterally moved, coronally advanced flap for the treatment of a single Stillman's cleft. A 5-year follow-up. Eur J Esthet Dent. 2013 Autumn;8(3):390-396. [PubMed].
Received: 17 May 2015
Published online: 30 July 2015
back to Online Journal