Modified Palatal Roll Flap: A Novel Technique for Horizontal Ridge Augmentation.

The Abrams' palatal roll technique has undergone significant changes over time and is routinely utilized to widen peri-implant soft tissues in the maxillary aesthetic zone. The described technique involves the use of a de-epithelized pedicled connective tissue flap from the palate and rolling it under the labial oral mucosa to increase the soft tissue bulk. It is an easy and efficient technique that improves gingival thickness and contour in the aesthetic region and is a great substitute for areas lacking gingival soft tissue. Furthermore, this technique eliminates the need for a second surgical site to harvest the connective tissue graft for soft tissue augmentation. This study reports a clinical case where the modified roll technique was used for horizontal ridge augmentation.

Laser excision of peripheral ossifying fibroma: Report of two cases.

Peripheral ossifying fibroma (POF) is a non-neoplastic enlargement seen more often in females, in the interdental papilla and the anterior part of the maxilla, accounts for about 9% of all gingival growths. Of unknown etiology, unpredictable clinical course and pronicity for recurrence, POF is a clinician's cause for concern. Surgical excision is the treatment of choice, but with a reported recurrence rate of 7-45%, the management is often frustrating. With increasing acceptance of lasers in the repertoire of clinician's armory, laser excision of such lesions has become a possible, feasible, and patient-preferred approach. The purpose of this article is to report successful management and 1 year follow-up of two cases of POF using neodymium-doped yttrium aluminum garnet (Nd: YAG) laser. The absence of operative bleeding, relative ease of the procedure and patient acceptance lends the laser excision as an alternate therapeutic modality for excision of gingival enlargements of suspicious and vexatious nature.