Volume : 7, Issue : 6, June - 2018

Surgical Exposure Of An Impacted Maxillary Central Incisor And Reconstruction Of A Band Of Keratinized Gingiva -A Case Report.

Dr. Goutam Chakroborty, Dr. Shyamal Bar, Dr. Manas Banerjee, Dr. Subhasish Burman

Abstract :

<p>&nbsp;Delayed and ectopic eruption of a permanent tooth is a signi􀃶cant concern and needs an interdisciplinary</p> <div>management. Ectopic eruption of permanent teeth restricts or eliminates the keratinized tissue between the</div> <div>erupting cusp and the deciduous tooth and as a result, labially or buccally erupting teeth show reduced dimensions of the keratinized</div> <div>gingiva. Lack of attached gingiva imposes potential risk for gingival recession in labially or buccally erupted teeth due to the possibility of</div> <div>accumulation of plaque and/or traumatic tooth-ushing during subsequent orthodontic treatment. A good interdisciplinary team-work is</div> <div>needed between the orthodontist and periodontist for guiding the ectopic tooth into its proper position within the dental arch with an</div> <div>adequate band of keratinized gingiva surrounding the tooth. This paper discusses the validity of utilizing pedicle split-thickness 􀃸ap surgery</div> <div>to increase a band of keratinized tissue in a case of an impacted maxillary central incisor erupting from the alveolar mucosa.</div>