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Periodontal plastic surgery for cases with fixed "hygienic" lingual retainer: Case study
Sérgio Kahn1, Mayra Seixas1, Marcella B Kahn1
1Private Practice, Rio de Janeiro, Brazil.
Clinical Advances in Periodontics
|February 19, 2026
Summary
Fixed lingual retainers can cause gingival recession. A combined approach of retainer replacement, periodontal therapy, and plastic surgery successfully treated recession, improving gum thickness and root coverage in patients.
Area of Science:
- Periodontology
- Orthodontics
- Periodontal Plastic Surgery
Background:
- Fixed lingual retainers (FHLiR) are associated with plaque accumulation, minor tooth movement, and gingival recession (GR).
- Localized GR (RT1/RT2) in mandibular incisors can be linked to FHLiR design and hygiene challenges.

