Predisposing factors to gingival recession include frenal
pull, underlying bone dehiscence, subgingival restorations, tooth malposition, orthodontic appliances, and thin gingival biotype.
Haemostasis was secured with 4/0 plain catgut, applying 4 in 1 frenal
stitch for frenular vessels and three more stitches one on each side and one on the dorsum.
The most significant factors causing gingival recession are considered to be periodontal disease, improper oral hygiene measures, repeated minor trauma (faulty tooth brushing) and iatrogenic dentistry, along with some predisposing factors such as thin gingiva, a prominent root surface, bony dehiscence, abnormal tooth position, frenal
pull, , and some orthodontic movement of teeth.
Inside the mouth, fracture can happen for various reasons like improper occlusion, placement of artificial teeth in the buccal slope of the ridge or against the palate, pressure from opposing natural teeth, poor retention and stability, prolonged use causing wear of artificial teeth and re-sorption of residual ridge, presence of high frenal
attachments, prominent mid palatine suture, palatal or lingual torus, hard or soft tissue undercut, etc.
Fore wing hyaline Fore wing slightly infuscate at the base of submarginal vein and base of frenal
fold Marginal vein with 7 setae Marginal vein with 6 setae along anterior margin and along anterior margin and with 4 basal group setae with 5-6 basal group setae Midtibial spur about 0.
4); espina frenal
, 2,2X mas larga que ancha y separadas entre si por 0,7X su largo (Fig.
There is every possibility that the implant will get buried within the mucosal tissues, if a frenectomy and the complete relieving of the frenal
muscle attachment, prior to implant insertion is not accomplished.