Periodontal condition of mandibular incisors treated with modified Kazanjian vestibuloplasty compared to untreated sites: A prospective study

Background A shallow vestibule, insufficient keratinized tissue width and pulling of marginal gingiva may be associated with gingival recession, plaque accumulation gingivitis. Conventional techniques for treatment recession use autogenous or allogenic grafts. However, these methods result in soreness at the donor site pose an economic burden, which cause patients to withdraw from treatment. Alternative therapy is currently not available treat such patients. Objectives The aim this study was evaluate changes periodontal mandibular incisors after vestibuloplasty, focusing on functional improvement existing soft no grafting. Material Thirty a minimal (KTW; ≤1 mm), (REC) underwent modified Kazanjian vestibuloplasty were included into test group, whereas 27 did undergo any surgery (control group). probing pocket depth (PPD), clinical attachment level (CAL), (GRD), KTW assessed baseline 12 months post-surgery. Results mean KTW, GRD CAL values improved group. significant increase value (1.17 ±1.22 mm, p = 0.0406) detected while control group showed further reduction (0.13 ±0.45 mm). decreased 2.09 ±1.78 mm 1.22 ±1.46 (p 0.0087) controls increased 1.95 ±1.29 2.34 ±1.44 0.0164). 3, 6 compared exhibited potential improve. Conclusions Sites treated margin gain, untreated sites continuous deterioration evaluated parameters. Vestibuloplasty recommended avoiding major alone would provide sufficient therapeutic outcome.