scholarly journals Self-Inflicted Gingival Injury Due to Habitual Fingernail Scratching: A Case Report with a 1-Year Follow Up

2009 ◽  
Vol 03 (02) ◽  
pp. 150-154 ◽  
Author(s):  
Alparslan Dilsiz ◽  
Tugba Aydin
Keyword(s):  
Case Report ◽  
Soft Tissues ◽  
Psychological Support ◽  
Physical Injury ◽  
Root Coverage ◽  
Periodontal Health ◽  
Gingival Bleeding ◽  
Traumatic Lesions ◽  
Oral Hygiene Instruction

ABSTRACTInjuries to oral soft-tissues can occur due to accidental, iatrogenic, and factitious traumas. Traumatic lesions, whether chemical, physical, or thermal in nature, are among the most common in the mouth. A type of physical injury to the gingival tissues is self-inflicted. Sometimes the lesions are termed gingivitis artefacta. Self-inflicted gingival injuries in children and adolescents can occur as a result of accidental trauma, premeditated infliction, or chronic habits such as fingernail biting, digit sucking, or sucking on objects such as pens, pencils or pacifiers. The purpose of this case report was to illustrate the destructive nature of the habit and to describe the successful treatment of this case. A 14-year-old girl with moderate pain, gingival bleeding and recession in the anterior mandibulary region was admitted to periodontology clinic. Upon questioning, the patient readily admitted traumatizing her gingiva with her fingernail. Treatment consisted of oral hygiene instruction, mechanical debridement, psychological support and surgical periodontal treatment. Postoperatively, complete root coverage, gains in clinical attachment levels, and highly significant increases in the width of keratinized gingiva were observed. This case report shows that it is possible to treat gingival injury and maintain the periodontal health of a patient with destructive habit. Patient compliance, regular dental follow-ups, and psychological support may be useful in stabilizing the periodontal condition of these patients. Dentists must be aware that self-inflicted gingival injury, although thought to be uncommon, is quite widespread. (Eur J Dent 2009;3:150-155)

scholarly journals Management of Multiple Recession simultaneously with Modified Coronally Advanced Flap

2017 ◽  
Vol 1 (2) ◽  
pp. 81-83
Author(s):  
Harish Kumar Shah ◽  
Shashi Kant Chaudhary ◽  
Khushboo Goel ◽  
Sajeev Shrestha
Keyword(s):  
Prognostic Factors ◽  
Gingival Recession ◽  
Class I ◽  
Root Coverage ◽  
Periodontal Health ◽  
Aesthetic Result ◽  
Coronally Advanced Flap ◽  
Flap Procedure ◽  
The Aesthetic

Gingival recession is one of the aesthetic concern for a beautiful smile. In an aesthetically driven era, root coverage requires consideration of all prognostic factors for successful results. This paper reports a case of treatment of Miller’s Class I gingival recession involving multiple teeth. A modified coronally advanced flap procedure was performed. At the postoperative follow-up visits, healing was uneventful. After 9 months, excellent aesthetic result was achieved with complete root coverage. Periodontal health was normal and the patient was satisfied with the result.

scholarly journals Treatment of gingival recession with coronally advanced Flap - A case report

2012 ◽  
Vol 1 (1) ◽  
pp. 29-32
Author(s):  
R Singh
Keyword(s):  
Gingival Recession ◽  
Gingival Tissue ◽  
Root Caries ◽  
Root Coverage ◽  
Periodontal Health ◽  
Medical College ◽  
Coronally Advanced Flap ◽  
Normal Colour ◽  
Clinical Conditions

Extensive gingival recession associated with cervical abrasions is common. Several different surgical and/or restorative therapies have been proposed to correct these lesions. This paper reports the treatment of multiple gingival recessions associated with shallow root caries. The procedure involved utilization of coronally advanced flap. At the postoperative follow-up visits, the success of the surgical approach was confirmed by the absence of tooth sensitivity and presence of gingival tissue with normal colour, texture and contour. After 12 months of follow-up, the clinical conditions were stable with satisfactory root coverage and periodontal health. An excellent aesthetical outcome was achieved and the patient was satisfied with the outcome. DOI: http://dx.doi.org/10.3126/jkmc.v1i1.7253 Journal of Kathmandu Medical College, Vol. 1, No. 1, Issue 1, Jul.-Sep., 2012 pp.29-32

scholarly journals Combining Techniques to Treat Isolated Deep Recession-Type Defects: A Case Report with Long-Term Stability

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
João Carnio ◽  
Anna Tereza Carnio
Keyword(s):  
Case Report ◽  
Root Coverage ◽  
Case Presentation ◽  
Term Stability ◽  
Long Term Stability ◽  
Dental Procedures ◽  
Donor Area ◽  
Deep Recession

Introduction. The purpose of this case report was to show the clinical long-term stability of a successful two-step root coverage procedure. A combination of two single techniques was used to treat an isolated deep-wide defect. Case Presentation. A 28-year-old female patient was referred in order to treat a single recession defect at #22. Due to her fear of dental procedures and a poor economic situation, the team developed an alternative solution. They used a modified apically repositioned flap (MARF) to increase the donor area and then a laterally positioned flap (LPF) to treat the root defect. Clinical evaluation at the three-year follow-up revealed complete resolution of the defect, a gain in clinical attachment, excellent esthetic results, and minor morbidity to the patient. Conclusion. The combination of the MARF and the LPF procedures was able to successfully treat a single deep recession defect with some advantages over traditional techniques such as simplicity, ideal color match of tissues, and the absence of palatal donor tissue.

scholarly journals Root coverage with buccal fat pad placed on restored cervical abrasion: Case report with three-year follow-up

2018 ◽  
Vol 22 (2) ◽  
pp. 182
Author(s):  
Sagrika Shukla ◽  
HarpreetSingh Grover ◽  
Ashi Chug ◽  
Kuldeep Singh
Keyword(s):  
Case Report ◽  
Root Coverage ◽  
Fat Pad ◽  
Buccal Fat Pad

scholarly journals Root coverage stability with acellular dermal matrix in multiple gingival recessions in esthetic zone: A clinical case report with 12-year follow-up

2019 ◽  
Vol 23 (6) ◽  
pp. 584
Author(s):  
ÍsisDe Fátima Balderrama ◽  
Rafael Ferreira ◽  
DanielRomeu Benchimol Rezende ◽  
AnaLúcia Raphaelli Nahás Nogueira ◽  
SebastiãoLuiz Aguiar Greghi ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Acellular Dermal Matrix ◽  
Root Coverage ◽  
Dermal Matrix ◽  
Acellular Dermal

scholarly journals A Modified Bilaminar Technique with the Use of a Fibrin-Fibronectin System for a Single Gingival Recession: A Case Report with a Follow-Up of 3 Years

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Michele Perelli ◽  
Paolo Giacomo Arduino ◽  
Mario Semenza ◽  
Roberto Abundo ◽  
Hector Sarmiento
Keyword(s):  
Case Report ◽  
Gingival Recession ◽  
Root Coverage ◽  
Canine Tooth ◽  
Maxillary Canine ◽  
Aesthetic Result ◽  
Keratinized Tissue ◽  
Reduced Dimension ◽  
Maximum Root

This case report described a modified bilaminar technique for treating a single gingival recession. Patient presented a gingival recession in a maxillary canine. Tooth was in a buccally prominent position and soft keratinized tissue apical to the recession was reduced but still present. A split-full-split thickness trapezoidal flap was designed. Root’s surface was prepared with curettes. Epithelial-connective tissue graft was harvested from the palate with reduced dimension. After deepithelialization, the graft was placed with a fibrin-fibronectin system at the maximum root coverage level, and the flap coronally advanced and sutured. At 3-year follow-up control, the free gingival margin was still stable at the postsurgery position, with a thicker biotype corresponding to the grafted area, with no probing and a suitable aesthetic result.

scholarly journals Painless Legs and Moving Toes Presenting as a Tardive Phenomenon: Case Report and Review of the Literature

2020 ◽  
Vol 11 (02) ◽  
pp. 341-342
Author(s):  
Elanagan Nagarajan ◽  
Lakshmi P Digala ◽  
Pradeep C Bollu
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Peripheral Neuropathy ◽  
Soft Tissues ◽  
Spinal Cord Trauma ◽  
Lumbar Radiculopathy ◽  
Review Of The Literature ◽  
Neuroleptic Treatment ◽  
Traumatic Lesions ◽  
Chronic Neuroleptic

AbstractPainless legs and moving toes syndrome is a rare movement disorder. Various conditions like spinal cord trauma, lumbar radiculopathy, peripheral neuropathy, neuroleptic treatment, or traumatic lesions of the soft tissues of the foot can present with this disorder. In our case report, we aim to report a case of a young woman who developed painless legs and moving toes in the setting of chronic neuroleptic usage, which improved after the discontinuation of antipsychotics and treatment with clonazepam. We describe in detail her presentation and clinical examination, along with the review of the literature.

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