Treatment of Gingival Recession with Connective Tissue Graft: A Case Report
Treatment of Gingival Recession with Connective Tissue Graft
Keywords:
gingival recession, root coverage surgical technique, connective tissue graftAbstract
Gingival recession is an apical displacement of gingival margin from cementoenamel junction leading to an exposure of a root surface. Gingival recession results in an aesthetic problem and it may relate to tooth hypersensitivity. The subepithelial connective tissue graft is a technique to treat gingival recession and to achieve root coverage. The technique provides predictable outcome. However, the success of root coverage surgery depends on several factors. The aim of this study is to represent a case of connective tissue graft on tooth 31 which had loss of periodontal attachment. The result demonstrates partial root coverage on tooth 31. Patient had good periodontal health and satisfied with treatment outcome. Treatment plan, surgical technique selection and outcome discussion in this case provide the guideline for successful treatment
References
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11. Tavedhikul K, Kungsadalpipob K. Decision making for root coverage surgical techniques. J Dent Assoc Thai 2016;66(4):268-84.
12. Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 1985;56(12):715-20.
13. Beitlitum I, Barzilay V, Rayyan F, Sebaoun A, Sarig R. Post-orthodontic lower incisors recessions: combined periodontic and orthodontic approach. Intern J Environmental Res Public Health 2020;17(21):8060. doi:10.3390/ijerph1728060
14. Chaysri C, Kungsadalpipop K. Factors affecting the root coverage outcome. Thai J Periodontol 2007;1(1):56-67.
15. Nart J, Valles C, Mareque S, Santos A, Sanz-Moliner J, Pascual A. Subepithelial connective tissue graft in combination with a coronally advanced flap for the treatment of Miller Class II and III gingival recessions in mandibular incisors: a case series. Int J Periodontics Restorative Dent 2012;32(6):647-54.
16. Said KN, Abu Khalid AS, Farook FF. Anatomic factors influencing dimensions of soft tissue graft from the hard palate. A clinical study. Clin Exp Dent Res 2020;6(4): 462-9.
17. Tatakis DN, Chambrone L, Allen EP, Langer B, McGuire MK, Richardson CR, et al. Periodontal soft tissue root coverage procedures: a consensus report from the AAP Regeneration Workshop. J Periodontol 2015;86(2 Suppl):S52-5.
18. Butler BL. The subepithelial connective tissue graft with a vestibular releasing incision. J Periodontol 2003;74(6):893-8.
19. Urban IA, Monje A, Nevins M, Nevins ML, Lozada JL, Wang HL. Surgical management of significant maxillary anterior vertical ridge defects. Int J Periodontics Restorative Dent 2016;36(3):329-37.
2. Zucchelli G, Tavelli L, Ravida A, Stefanini M, Amo FSD, Wang HL. Influence of tooth location on coronally advanced flap procedures for root coverage. J Periodontol 2018;89(12):1428-41. doi: 10.1002/JPER.18-0201
3. Dias JJ, Panwar M, Kosala M. Management of inadequate keratinized gingiva and Miller Class III or IV gingival recession using two-stage free gingival graft procedure. J Indian Soc Periodontol 2020;24(6):554-9.
4. Stimmelmayr M, Allen EP, Gernet W, Edelhoff D, Beuer F, Schlee M, et al. Treatment of gingival recession in the anterior mandible using the tunnel technique and a combination epithelialized-subepithelial connective tissue graft-a case series. Int J Periodontics Restorative Dent 2011;31(2):165-73.
5. Dorfer CE, Staehle HJ, Wolff D. Three-year randomized study of manual and power toothbrush effects on pre-existing gingival recession. J Clin Periodontol 2016;43(6): 512-9.
6. Kalina E, Zadurska M, Gorski B. Postorthodontic lower incisor and canine inclination and labial gingival recession in adult patients. J Orofac Orthop 2021;82(4):246-56.
7. Harris RJ. A comparative study of root coverage obtained with an acellular dermal matrix versus a connective tissue graft:results of 107 recession defects in 50 consecutively treated patients. Int JPeriodontics Restorative Dent 2000;20(1):51-9.
8. Miller PD Jr. Root coverage with the free gingival graft. Factors associated with incomplete coverage. J Periodontol 1987;58(10):674-81.
9. Bouchard P, Malet J, Borghetti A. Decisionmaking in aesthetics: Root coverage revisited. Periodontol 2000. 2001;27(1):97-120.
10. Chambrone L, Ortega MAS, Sukekava F, Rotundo R, Kalemaj Z, Buti J, et al. Root coverage procedures for treating localised and multiple recession-type defects. Cochrane Database Syst Rev 2018;10(10):CD007161. doi: 10.1002/14651858.CD007161.pub3
11. Tavedhikul K, Kungsadalpipob K. Decision making for root coverage surgical techniques. J Dent Assoc Thai 2016;66(4):268-84.
12. Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 1985;56(12):715-20.
13. Beitlitum I, Barzilay V, Rayyan F, Sebaoun A, Sarig R. Post-orthodontic lower incisors recessions: combined periodontic and orthodontic approach. Intern J Environmental Res Public Health 2020;17(21):8060. doi:10.3390/ijerph1728060
14. Chaysri C, Kungsadalpipop K. Factors affecting the root coverage outcome. Thai J Periodontol 2007;1(1):56-67.
15. Nart J, Valles C, Mareque S, Santos A, Sanz-Moliner J, Pascual A. Subepithelial connective tissue graft in combination with a coronally advanced flap for the treatment of Miller Class II and III gingival recessions in mandibular incisors: a case series. Int J Periodontics Restorative Dent 2012;32(6):647-54.
16. Said KN, Abu Khalid AS, Farook FF. Anatomic factors influencing dimensions of soft tissue graft from the hard palate. A clinical study. Clin Exp Dent Res 2020;6(4): 462-9.
17. Tatakis DN, Chambrone L, Allen EP, Langer B, McGuire MK, Richardson CR, et al. Periodontal soft tissue root coverage procedures: a consensus report from the AAP Regeneration Workshop. J Periodontol 2015;86(2 Suppl):S52-5.
18. Butler BL. The subepithelial connective tissue graft with a vestibular releasing incision. J Periodontol 2003;74(6):893-8.
19. Urban IA, Monje A, Nevins M, Nevins ML, Lozada JL, Wang HL. Surgical management of significant maxillary anterior vertical ridge defects. Int J Periodontics Restorative Dent 2016;36(3):329-37.
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Published
2021-08-24
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Case Report
