Management of Shallow Vestibule with Reduced Attached Gingiva in Fixed Prosthetic Intervention

Cureus. 2019 Jun 23;11(6):e4975. doi: 10.7759/cureus.4975.


Shallow vestibule has long been considered a deterring factor in the use of removable dental prosthetics. The need for management in fixed prosthetic replacement is not widely discussed. Adequate attached gingiva is essential for continued proper oral hygiene. Muscular and fibrous traction leads to gingival recession, which can cause marginal leakage in a fixed prosthetic restoration. In the long-term, this causes the suprastructure to fail and, ultimately, the restoration also fails. Therefore, shallow vestibule with reduced attached gingiva should be identified in the diagnostic stage and should be effectively managed prior to restoration of lost tooth structure. This case report discusses the management of a shallow vestibule in a LeFort I fracture with emphasis on a fixed prosthetic replacement.

Keywords: fixed prosthesis; lefort fracture; vestibuloplasty.

Publication types

  • Case Reports