Abstract

Objective
To assess the spectrum and frequency of local risk factors for periodontal disease in patients with anatomical and functional disorders of the soft tissues of the oral vestibule
Materials and Methods
The study included 68 patients aged 18 to 50 years with anatomical and functional disorders of the mucogingival complex in the anterior region. In addition to standard periodontal assessments (PMA, Grin- Vermillion, and CPITN indices), a range of local conditions were evaluated to obtain more detailed data. These included the morphology and function of the soft tissues of the oral vestibule, the presence of traumatic occlusal contacts, the degree of incisal and occlusal enamel wear, and the associated presence of single or multiple supracontacts.
Results
At least four local pathogenic factors capable of inducing periodontal damage were identified and substantiated: 1) anatomical abnormalities of the oral vestibule soft tissues; 2) microbial biofilm accumulation; 3) traumatic occlusal contacts; and 4) supracontacts in the absence of physiological enamel wear. Consequently, corrective treatment strategies were individualized and included one or a combination of the following: surgical correction of the vestibular soft tissues, professional oral hygiene, orthodontic or prosthetic intervention, and selective occlusal adjustment.
Conclusion
The results demonstrated that controlled oral hygiene combined with professional treatment was highly effective, allowing for the complete resolution of early-stage, localized periodontal inflammation in the majority of cases.

Keywords

oral vestibule oral hygiene soft tissue surgical correction selective grinding

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