It compromises the denture retention and stability, predisposes the gingiva to recession which compromises the esthetics and often leads to dentinal hypersensitivity and root caries on exposed root surface.Vestibuloplasty is a mucogingival procedure that aims at the surgical modification of the gingiva-mucous membrane relationships including deepening of the vestibular trough, altering the position of the frenulum or muscle attachments, and widening of the zone of attached gingiva.
It is indicated to halt the progression of gingival recession, to regain the width of attached gingiva, for effective plaque control procedures, better esthetics, to improve denture retention and stability, and to prevent inflammatory alterations and tissue recession around implants.
It is contraindicated in areas showing bone loss due to chronic periodontitis or traumatic extraction and in cases with ridge resorption around implants.Treatment Modalities- A variety of vestibuloplasty techniques have been advocated in literature such as Clark’s vestibuloplasty, Edlanplasty, Kazanjian vestibuloplasty, etc.
Major drawbacks of these conventional vestibuloplasty procedures were the severe pain and discomfort and the delayed healing with the high chances of relapse making them less acceptable.Laser vestibuloplasty with the Diode laser represents a contemporary non-invasive alternative to conventional scalpel method.
PIOON Laser offers different wavelengths like 450nm, 810nm/980nm which can either be used in contact or non-contact manner to perform this procedure.
In this case wavelength of 450nm was selected and 400 micron initiated tip was used in non-contact/slightly contact mode, starting at the mucogingival junction with a horizontal stoke directing the laser parallel to the bone slowly relieving the muscle fibers till the desired depth.
