GINGIVAL PLASTIC SURGERY
(2 PEDICLE FLAPS & FRENECTOMY)
|
| |
|
|
| Before: |
 |
X-ray picture of lower
front teeth shows nothing abnormal, but photo reveals prominent
labial frenum (bottom arrow) pulling on gum (gingiva) between
central incisors (top arrow), and perhaps contributing to the
receding gums (right arrow) exposing roots (left arrow). |
Before |
After: 11 months
after surgery |
| |
 |
 |
| |
|
Roots are covered
by gingiva.
Frenum is gone.
|
Note: An alternative surgical
procedure (free gingival graft) using gingiva from the palate,
could have been done to achieve a similar result, instead
of the 2 pedicle grafts.
Dr. Perlmutter’s surgical
procedure is shown below
DO NOT SCROLL BELOW
IF SEEING BLOOD DISTURBS YOU
|
Surgical
Procedure |
Midline soft
tissue, including frenum, is cut away.
Split thickness flap, containing labial aspect of 2 papillae
has been repositioned closer to the midline. |
|
|
Surgery is completed.
2 similar flaps have been made and repositioned to the midline.
Green sutures are visible. Periosteum covers the bone at the
right and left donor sites. |
(No photo was made of the dressing that was
placed over this surgical site this day.) |
|
Six days later,
dressing and sutures were removed. Site is healing well. |
|
|
Eleven Months
Later |
|
| |
Treatment
by Dr. Mel Perlmutter, April 10, 2003, with final photo March
25, 2004. |
