The mucogingival lesions in children may be
due disruption of the balance between bacterial
challenge and host response. This disruption may be
associated or not to some mucogingival deformities.
What characterize the periodontium of children is the
immaturity, the lack of attached gingiva which increase
by time and its susceptibility to resorption.
In this manuscript, two clinical cases will be
presented, the first case is about the excision of superior
labial frenulum that block the closure of the diastema
between 11 and 22 followed by free gingival graft: the
donor site was maxillary buccal attached gingiva
between the lateral incisor and the canine. Free gingival
graft was also performed in the second case for the
treatment of recession RT2 on the left mandibular
lateral incisor, the donor site was the palate.
Total excision of frenulum plus sufficient height of
attached gingiva in the first case, the closure of diastema
was uneventful. Important but non full coverage of
recession was obtained after surgery in the second case
with a significant increase in attached gingiva. creeping
attachment, coronal migration of the epithelium plus full
coverage was reached at 15 months post-operative.
Maintaining a good oral hygiene plus early
discovery of mucogingival deformities are the keystone
to preserve a healthy periodontium from young age.
Once the mucogingival surgery is indicated for children,
it is mandatory to put in consideration the particularity
of tissue working on and the repercussion of the
intervention on the growing periodontium.