IADR Abstract Archives
Surgical and Laser-assisted Treatments of Gingival overgrowth and Inadequate Vestibular Depth
Objectives: We present the surgical and laser-assisted periodontal therapy of a case who has generalized chronic inflammatory gingival overgrowth and consequently needs orthodontic treatment.
Methods: A 12-year-old female patient presented to our clinic with gingival overgrowth. She has esthetic and functional problems and is complaining spontaneous bleeding during function. In the intraoral examination, generalized gingival overgrowth was detected in four quadrants. In addition, inadequate vestibular depth in the lower jaw was also determined.After initial periodontal treatment, gingivectomy was performed in two appointments for the lower and upper jaw. Vestibuloplasty was performed for lower jaw from right first premolar to left first premolar using diode laser (wavelength: 940 nm; 400μmfiber tip, power: 5.0 W; pulse length:0.05 ms; pulse interval:0.20 ms). Clinical records for periodontal parameters and photographs were taken at baseline, after first and three months.
Results: Wound healing of the cases was uneventful. Physiological gingivalcontour and gingival health was provided after surgeries. Ideal vestibular sulcus depth was obtained. After 1 month, orthodontic treatment was started. Patient maintained her oral health during orthodontic treatment. Follow-up periods were programmed every 1 month until to 6 months after surgery and then every 3 months.
Conclusions: Oral and periodontal health of patient was provided with surgical and laser-assisted periodontal therapy. Continuous motivation of the patient for oral care plays a critical role for maintaining results. Periodontist and orthodontist collaboration is also very important in the success of the treatments.
Methods: A 12-year-old female patient presented to our clinic with gingival overgrowth. She has esthetic and functional problems and is complaining spontaneous bleeding during function. In the intraoral examination, generalized gingival overgrowth was detected in four quadrants. In addition, inadequate vestibular depth in the lower jaw was also determined.After initial periodontal treatment, gingivectomy was performed in two appointments for the lower and upper jaw. Vestibuloplasty was performed for lower jaw from right first premolar to left first premolar using diode laser (wavelength: 940 nm; 400μmfiber tip, power: 5.0 W; pulse length:0.05 ms; pulse interval:0.20 ms). Clinical records for periodontal parameters and photographs were taken at baseline, after first and three months.
Results: Wound healing of the cases was uneventful. Physiological gingivalcontour and gingival health was provided after surgeries. Ideal vestibular sulcus depth was obtained. After 1 month, orthodontic treatment was started. Patient maintained her oral health during orthodontic treatment. Follow-up periods were programmed every 1 month until to 6 months after surgery and then every 3 months.
Conclusions: Oral and periodontal health of patient was provided with surgical and laser-assisted periodontal therapy. Continuous motivation of the patient for oral care plays a critical role for maintaining results. Periodontist and orthodontist collaboration is also very important in the success of the treatments.