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E B Fowler

Publications and source records attributed to E B Fowler.

22 records · Page 2Linked to original sources

Early creeping attachment after frenectomy: a case report.

An abnormal labial frenutomy is capable of causing retraction of gingival margins, formation of diastema and inhibition of lip and tongue movements. When aberrant frenula are present traditional frenectomy procedures are very successful. Often mucogingival procedures are needed to correct the defects that result from harmful frenum pulls. In this case presentation, an aberrant frenum was diagnosed to be associated with an area of recession on a mandibular left central incisor. Surgery was planned as a staged approach. The first phase of care was a simple frenectomy. A follow-on procedure consisting of a connective tissue graft for root coverage was planned. After only four weeks of healing from the frenectomy, creeping attachment of 1.0 mm was appreciated and the patient was able to avoid the secondary corrective surgery.

Adult↗

Peripheral giant cell granuloma: a case report.

The peripheral giant cell granuloma is a reactive lesion of the soft tissue of the oral cavity. Clinical appearance ranges from normal tissue coloration to dark red or purplish. These are elevated lesions generally 5-15 mm in diameter. Etiology is considered to be chronic irritation. To decrease the risk of clinical recurrence, treatment is complete excision to include the underlying periosteum. Histologic features of the peripheral giant cell granuloma include multinucleated giant cells with a stroma that may contain osteoblasts, myofibroblasts, macrophages, and Langerhans cells. A case report is presented.

Adult↗

Site-specific chlorhexidine: a periodontal alternative.

Three case reports demonstrate the clinical use of an adjunctive chlorhexidine chip capable of sustaining local antimicrobial activity for 7-10 days. The chip is easy to place, requires no additional chair time for removal, is self-adherent, and can be provided to periodontal maintenance patients on a recurring basis. This is another adjunct that can be part of the clinician's armamentarium when presented with a clinically challenging localized periodontal defect.

Adult↗

Periodontal plastic surgical technique for gingival fenestration closure.

Gingival fenestration is an opening through oral keratinized tissue, usually unattached, that is observed in thin gingiva with usually thick subgingival calculus deposits. This lesion is seen infrequently but may be more common than has been reported; lack of symptoms may inhibit patient awareness. Because surgical correction usually is not required, there are very few reports in the literature concerning this lesion. The following report describes a case of gingival fenestration and surgical treatment with a connective tissue/periosteal graft.

Adult↗