title: A Novel Esthetic Approach using Connective Tissue Graft for Soft Tissue Defect Following Surgical Excision of Gingival Fibrolipoma.
abstract: The aim of the present case report is to evaluate the adjunctive use of a connective tissue graft to overcome soft tissue defects following excision of a gingival fibrolipoma in the aesthetic region. Connective tissue graft has been well documented for treating defects of esthetic concern. However, the literature does not contain many reports on the esthetic clinical outcome following the use of connective tissue graft secondary to excision of soft tissue tumours. A 28-year-old male patient reported with a complaint of a recurrent growth in relation to his lower front tooth region. The lesion which was provisionally diagnosed as fibroma was treated with a complete surgical excision, following which a modified coronally advanced flap and connective tissue graft was adopted to overcome the soft tissue defect. The excised growth was diagnosed histologically as fibrolipoma. One year follow up showed no recurrence of the lesion and good esthetics.The adjunctive use of the connective tissue graft and modified coronally advanced flap predictably yields optimal soft tissue fill and excellent esthetics. Hence, routine use of this procedure may be recommended for surgical excision of soft tissue growths in esthetically sensitive areas.
authors.affiliation: Professor, Department of Periodontics, SRM Dental College and Hospital , Ramapuram, Chennai, India .
authors.forename: Aruna
authors.initials: A
authors.lastname: Balasundaram
authors.affiliation: Professor, Department of Periodontics, SRM Dental College and Hospital , Ramapuram, Chennai, India .
authors.forename: Harinath
authors.initials: H
authors.lastname: Parthasarathy
authors.affiliation: Post Graduate, Department of Periodontics, SRM Dental College and Hospital , Ramapuram, Chennai, India .
authors.forename: Praveenkrishna
authors.initials: P
authors.lastname: Kumar
authors.affiliation: Post Graduate, Department of Periodontics, SRM Dental College and Hospital , Ramapuram, Chennai, India .
authors.forename: Priyalochana
authors.initials: P
authors.lastname: Gajendran
authors.affiliation: Lecturer, Department of Periodontics, SRM Dental College and Hospital , Ramapuram, Chennai, India .
authors.forename: Devapriya
authors.initials: D
authors.lastname: Appukuttan
keywords: Connective tissue graft; Esthetics; Fibrolipoma; Keratinised gingiva; Modified coronally advanced flap