Reconstruction of A Deformed, Partially Edentulous Ridge with A Free Gingival Onlay Graft- A Case Report

Abstract

Soft tissue augmentation with autogenous grafts is widely used in various disciplines I. Case ReportA 26 year male patient was referred to the clinic for pre prosthetic surgery. On examination, teeth 21-23 [FDI notation] were missing. A swelling of size 3 X 2 cm approximately was seen obliterating the vestibule in the same region [Fig-1].[ Fig-1]: Pre-operative viewThe lesion was mildly tender and firm on palpation. Patient had a history of trauma 6 months ago, during which he lost his upper anterior teeth and had a laceration on the lip. Improper suturing technique by the primary health aid provider resulted in the diminished depth of the vestibule. The patient also noticed a mass developing gradually in the same region. Aspiration biopsy was performed to rule out to rule out any vascular pathology. Radiographic examination showed normal bone morphology. A pre-prosthetic surgery involving the excision of the lesion followed by ridge reconstruction was planned. Treatment plan was elaborated to the patient, and a written informed consent was acquired.The surgical procedure is as follows: local anesthesia was administered, a horizontal vestibular incision was given below the lesion and the whole lesion was excised .

Ridge Augmentation Is a Prerequisite for Successful Implant Placement: A Literature Review

“…A case report by Desai et al has analyzed a defective maxillary anterior ridge that was treated using a free gingival autograft, which showed good improvement in aesthetics postoperatively [ 49 ]. Another study was conducted on five patients with defective ridges wherein CTG, keratinized gingival graft, and pediculated CTG were used and follow-up was done for 5-30 years.…”