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Mucogingival Treatment of a Gingival Invagination After Tooth Extraction: A 3-Year Follow-Up After a Perio-Ortho
Jennifer Alberichi1, Mariana Rojas2, Juan Carlos Cometti3
1Department of Comprehensive Rehabilitation of Medium and High Complexity, School of Dentistry, University of Buenos Aires, Buenos Aires, Argentina, uba.ar.
Background:
Gingival invagination is a relatively common occurrence following orthodontic closure of extraction sites. The present paper reports a combined periodontal and orthodontic treatment in a patient after lower incisor tooth extraction, in which periodontal plastic surgery was performed prior to the orthodontic space closure.
Case Report:
A 28-year-old female patient was treated for orthodontic concerns. The comprehensive treatment plan encompassed periodontal supportive therapy, tooth extraction, and periodontal plastic surgery utilizing the "connective tissue platform technique." Postsurgery, orthodontic treatment was administered with Invisalign aligners.
Results:
Radiographs and clinical examinations conducted 3 years after treatment completion confirm the long-term stability of the outcomes, both in terms of function and esthetics.
Conclusion:
Gingival invagination after mandible incisor extraction could be successfully treated by an additional application of a periodontal plastic surgery technique, which, combined with a posterior orthodontic treatment, solved a multidisciplinary treatment challenge.
