Flexible Gingival Veneer: A Quick Cosmetic Solution to Root
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Gingival recession is an unaesthetic result of periodontal disease. The surgical treatment for root coverage is costly, requires a long healing time with unpredictable results at times. The gingival veneer is a useful cosmetic treatment option after the periodontal disease is under control.

A 38 year old male, reported to the Department of Periodontics, HKES’s SN Institute of Dental Sciences and Research, Gulbarga, Karnataka, India with a complaint of compromised aesthetics because of the gingival recession. He also had complaints of sensitivity of teeth and food lodgement in the maxillary anterior region. On examination, generalized Miller’s Class II recession was seen with generalized pocket formation.

The periodontal therapy included scaling, root planing and full mouth periodontal flap surgery. After 3 months of regular follow up, examination revealed that the gingiva was well maintained and the periodontal disease progression was under control (Figure 1). As the surgical procedure for root coverage was unpredictable and required a long healing time, hence it was decided to fabricate a removable gingival veneer for root coverage.

After examining the case, a flexible gingival prosthesis was planned for the patient. A special tray was fabricated for taking the impression of the labial surfaces of the maxillary dentition and the labial vestibule as well. The palatal open embrasures were blocked out with modeling wax (Modelling Wax No 2, Hindustan Dental Products, India) so that the impression can be retrieved easily. Then the impression was made using a special tray with polyether regular body (Impregum, 3M ESPE) which captured the interproximal details accurately and the impression could be easily retrieved because of palatal block out (Figure 2). A cast was made using dental stone Type III . Then the wax up was done for the gingival veneer with modeling wax (Figure 3). Flasking (Figure 4) and dewaxing was done followed by packing done with Silicone based soft permanent liner. The prosthesis after retrieving was carefully cut with scissors and excess material was removed (Figure 6).

On insertion, the gingival veneer could be easily placed as it was easily retained in the embrasures because of its flexibility (Figure 7). The follow up was done after a week and patient reported that the prosthesis was comfortable, easy to use and retentive

Conclusively, removable gingival prosthesis is a good treatment option in advanced tissue loss, achieving aesthetic results and patient satisfaction. It is a quick and economical alternative solution for root coverage as compared to surgical methods which might be unpredictable and take a long time for completion of treatment.

Source: http://ispub.com/IJDS/13/1/14763
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