Bilateral myomucosal lateral tongue flaps, based on lingual arteries, were raised from the posterior one third of the tongue and sutured in the buccal mucosa's raw area left after fibrotomy
It effectively covers both posterior and anterior defect of fibrotomy
in cases of OSMF.
Several techniques have been proposed for clinical crown lengthening such as gingivectomy, apically-positioned flap with or without resective osseous surgery and orthodontic forced eruption with or without fibrotomy.
Orthodontic forced eruption with or without repeated fibrotomy overcomes these disadvantages.
7] Advanced OSMF with mouth opening less than 25 cm are ideally candidates for surgical correction namely fibrotomy and reconstruction of the defect.
It effectively covers both posterior and anterior defect of fibrotomy in cases of OSMF and due to its mucosalization it rarely caused post operative contracture and refibrosis.
Various literature have supported buccal fat pad as a reconstructive option for post fibrotomy reconstruction due to its easy harvesting nature and esthetic purpose.
The inferiorly based melolabial flap is a good alternative option for reconstruction of OSMF fibrotomy defects.
During this period, a supracrestal fibrotomy is performed weekly in an effort to prevent the tissue and bone from following the tooth.
If fibrotomy is performed during the forced tooth eruption procedure the crestal bone and the gingival margin are retained at their pretreatment location and the tooth-gingiva interface at adjacent teeth is unaltered.
Contraindication: Fibrotomy should not be used at teeth associated with angular bone defects, ectopically erupting tooth.