A Management of Lip Adhesion with Vestibuloplasty: Case Report

Lip and cheek adhesion due to trauma, burns or tumors causes inadequate vestibular depth. Shallow vestibule appears clinically as mucogingival stress that may be a reason of esthetic and functional problems, such as recession. In this case, 70 years old female patient represent with complaint of restricted upper lip movement. Clinic examination and patient history revealed that, patient has scar tissue through the mucogingival line due to chemical burn. There was no keratinized tissue and 4mm recession around left canine teeth in the maxilla. Treatment plan was increasing keratinized tissue and eliminating lip adhesion. Although, vestibuloplasty plus free gingival graft was chosen to correct soft tissue defect, patient refused to have any donor area on her palate. Only vestibuloplasty was performed. After 4 weeks healing, mucogingival stress eliminated and 6mm keratinized tissue was seen on the area. 2 months follow-up showed 2 mm relapse on mucogingival line. But, patient satisfied with result.