Managing recurrent traumatic gingival ulceration secondary to aberrant frenal attachment with modified kazanjian vestibuloplasty: a case report
The current study described tooth 45 buccal high frenum attachment of a 56-year-old male patient associated with shallow vestibule adjacent to the edentulous ridge of missing tooth 46 management. The patient reported recurring traumatic ulcers on teeth 44 and 45 buccal gingiva due to frequent toot...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
University of Malaya
2024
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/114656/7/114656_Managing%20recurrent%20traumatic%20gingival%20ulceration.pdf http://irep.iium.edu.my/114656/ https://sare.um.edu.my/index.php/adum/article/view/49149/17418 https://doi.org/10.22452/adum.vol31.5 |
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| Institution: | Universiti Islam Antarabangsa Malaysia |
| Language: | English |
| Summary: | The current study described tooth 45 buccal high frenum attachment of a 56-year-old male patient associated
with shallow vestibule adjacent to the edentulous ridge of missing tooth 46 management. The patient reported
recurring traumatic ulcers on teeth 44 and 45 buccal gingiva due to frequent toothbrush slippage. The patient
also requested an implant for missing tooth 46. A modified Kazanjian vestibuloplasty was performed before
replacing the missing tooth. Subsequently, the patient was reviewed at one and two weeks, one month, and
monthly for up to six months. The patient did not report traumatic ulcer development within the surgery site
and improved plaque control. Consequently, performing mucogingival surgery in cases of inadequate
keratinised tissue width, decreased vestibular depth, and high muscle pull is recommended. The procedure
facilitates plaque control, reduces or halts gingival recession, and enhances comfort during tooth brushing |
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