Journal of Multidisciplinary Dental Research
DOI: 10.38138/JMDR/v12i1.25.59
Volume: 12, Issue: 1, Pages: 28-30
Original Article
M Ashraf Ali1, K S Rajesh2, Vinita Boloor3
1Post Graduate student, Department of Periodontology, Yenepoya Dental College, Derlakatte, Mangalore, Karnataka, India
2Professor, Department of Periodontology, Yenepoya Dental College, Derlakatte, Mangalore, Karnataka, India
3Additional Professor and Head, Department of Periodontology, Yenepoya Dental college, Derlakatte, Mangalore, Karnataka, India
Received Date:12 November 2025, Accepted Date:04 January 2026, Published Date:09 July 2026
A Shallow vestibule can hinder oral hygiene maintenance and predispose to gingival recession due to muscular traction. When combined with inadequate attached gingiva, it can lead to increased food accumulation during mastication. Vestibuloplasty, a surgical procedure aimed at repositioning mucosa and muscle attachment, is employed to increase vestibular depth and facilitate better plaque control. Tongue tie, or ankyloglossia, is a congenital condition characterized by a short, thick lingual frenulum, often restricting tongue mobility and oral hygiene. Vestibuloplasty was performed by combining Godwin and Clark technique to deepen the vestibule and frenectomy was carried out to release the lingual frenulum. This combined approach improved vestibular depth, enhanced tongue mobility, and facilitated better oral hygiene practices. This case report presents the combined surgical management of shallow vestibule and tongue tie in a single patient.
Keywords: Clark, Godwin, Shallow vestibule, Tongue tie
1. Ward V. A Technique of Measurement of the Depth of the Vestibular Fornix in the Mandibular Anterior Region. Journal of Periodontology. 1976; 47 (9). Available from: https://doi.org/10.1902/jop.1976.47.9.525
2. Kotlow LA. Ankyloglossia (tongue-tie): a diagnostic and treatment quandary. Quintessence International. 1999; 30,4. 259-262. https://pubmed.ncbi.nlm.nih.gov/10635253/
3. Jamilian A, Fattahi FH, Kootanayi NG. Ankyloglossia and tongue mobility. European Archives of Paediatric Dentistry. 2014; 15 (1). Available from: https://doi.org/10.1007/s40368-013-0049-0
4. Mehanna MB. Evaluation of the fenestrated mucosal flap vestibuloplasty and a modification of the Kazanjian's vestibuloplasty technique for mandibular anterior ridge extension. Egyptian Dental Journal. 2000; 46: 19–21. https://applications.emro.who.int/imemrf/86/Egypt-Dent-J-2000-46-4-part1-1921-1928-eng.pdf
5. Kalakonda B, Farista S, Koppolu P, Baroudi K, Uppada U, Mishra A, et al. Evaluation of Patient Perceptions After Vestibuloplasty Procedure: A Comparison of Diode Laser and Scalpel Techniques. Journal of Clinical and Diagnostic Research. 2016; 10 (5). Available from: https://doi.org/10.7860/jcdr/2016/17623.7820
6. Godwin JG. Submucous Surgery for Better Denture Service. The Journal of the American Dental Association. 1947; 34 (10). Available from: https://doi.org/10.14219/jada.archive.1947.0147
7. Dare S, Shirbhate U, Bajaj P. Management of Tongue-Tie Using Diode Laser for Speech Clarity: A Case Report. Cureus. 2023; 15 (10). Available from: https://doi.org/10.7759/cureus.46667
8. Kazanjian VH. Surgery as an Aid to More Efficient Service with Prosthetic Dentures**Read before the Section on Full Denture Prosthesis at the Seventy-Sixth Annual Session of the American Dental Association, St. Paul, Minn., Aug. 7, 1934.. The Journal of the American Dental Association (1922). 1935; 22 (4). Available from: https://doi.org/10.14219/jada.archive.1935.0096
9. Benuja S, Pradhan S. Clark’s Technique of Vestibuloplasty - A Case Report. Journal of Nepalese Society of Periodontology and Oral Implantology. 2020; 4 (2). Available from: https://doi.org/10.3126/jnspoi.v4i2.34305
10. Patel M, Ahmed S, Haneef M. Comparison between two surgical techniques for vestibuloplasty – A retrospective study. Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology. 2020; 6 (4). Available from: https://doi.org/10.18231/j.jooo.2020.043
© 2026 Published by International Dental Educationists’ Association (IDEA). This is an open-access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/)
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