Autogenous bone graft for management of periodontal defects

The aim of this article is to present the use of autogenous bone graft for regenerative management of infrabony and furcation osseous defects. A trephine bur (Auto Chip Maker ® ) was used to obtain autograft from the anterior mandibular region. It is considered as the "gold standard" bone graft, but the difficulty in harvesting it and the increased chairside time have reduced its popularity. This report highlights the use of Auto Chip Maker ® to harvest autograft for management of periodontal osseous defects

Management of excessive gingival display: Lip repositioning technique

The lips form the frame of a smile and define the esthetic zone. Excessive gingival display during smile is often referred to as "gummy smile". A successful management of excessive gingival display with lip repositioning procedure has shown excellent results. The procedure involves removing a strip of partial thickness mucosa from maxillary vestibule, then suturing it back to the lip mucosa at the level of mucogingival junction. This technique results in restricted muscle pull and a narrow vestibule, thereby reducing the gingival display. In this case gummy smile was treated by modification of Rubinstein and Kostianovsky′s surgical lip repositioning technique which resulted in a harmonious smile