Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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CASE REPORT
Year : 2016  |  Volume : 20  |  Issue : 6  |  Page : 647-650

A novel single-step surgical technique for vestibular deepening using laser in conjunction with periodontal flap surgery


Department of Periodontology, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India

Correspondence Address:
Nishat Sultan
Department of Periodontology, Faculty of Dentistry, Jamia Millia Islamia, New Delhi - 110 025
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jisp.jisp_69_15

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Moderate-to-severe chronic periodontitis results in clinical loss of attachment, reduced width of attached gingiva (AG), periodontal pockets beyond mucogingival junction (MGJ), gingival recession, loss of alveolar bone, and decreased vestibular depth (VD). The encroachment of frenal and muscle attachments on marginal gingiva increases the rate of progression of periodontal pockets, prevents healing, and causes their recurrence after therapy. Loss of VD and AG associated with continuous progression of pocket formation and bone loss requires two-stage surgical procedures. In this article, one-stage surgical procedure is being described for the first time, to treat the periodontal pockets extending beyond the MGJ by periodontal flap surgery along with vestibular deepening with diode laser to increase the AG. One-step surgical technique is illustrated whereby pocket therapy with reconstruction of lost periodontal tissues can be done along with gingival augmentation by vestibular deepening.


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