scholarly journals Treatment of Miller Class I Gingival Recession with Using Nonpedicle Adipose Tissue after Bichectomy Surgical Technique: A Case Report

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Carmen Lucia Mueller Storrer ◽  
Leonardo Luiz Muller ◽  
Janes Francio Pissaia ◽  
Carla Frehner Andrade ◽  
Claudia Roberta Tenório Trevisani ◽  
...  

Gingival recession is an oral health problem that affects a large part of the population. Several treatments are suggested in the current literature; among them is the use of buccal fat pad grafting. The objective of this case report is to describe the treatment of a Miller Class I gingival recession using a nonpedicled buccal fat pad graft immediately after performing the surgery for buccal fat pad removal (bichectomy technique). First, bilateral surgical removal of the buccal fat pad was performed with the main objective of eliminating oral mucosa biting. The recipient site was prepared to receive a portion of the fat pad that was cut and macerated in a size that was sufficient to cover the recession. The patient was followed up at 15, 30, 60, and 365 days postsurgery, and the results showed an elimination of the oral mucosa biting and complete coverage of the gingival recession. It was concluded that the nonpedicled buccal fat pad graft is another option for the treatment of Miller Class I recessions.

2015 ◽  
Vol 03 (03) ◽  
pp. 179-184
Author(s):  
Yash Dev ◽  
Nitin Khuller ◽  
Preetinder Singh ◽  
Prabhjot Kaur ◽  
Yashbir Raghav ◽  
...  

AbstractThe aim of this clinical trial was to evaluate the clinical effectiveness of a collagen barrier along with an alloplastic bone graft in the treatment of gingival recession defects. Two patients having Miller’s Class I or Class II recession defects participated in the study. One was treated with a collagen membrane covered by a coronally positioned flap. Second patient also had bone graft placed beneath the membrane. Clinical parameters were recorded. Patients were followed postoperatively and healing was evaluated at 1, 3 and 6 months, with recession depth as the primary criteria for assessment. This case report revealed a favorable tissue response to bone graft and collagen membrane from both clinical and esthetic point of view in the treatment of gingival recession. Root coverage tended to be better with the addition of bone graft.


2008 ◽  
Vol 34 (6) ◽  
pp. 330-333 ◽  
Author(s):  
Ali Hassani ◽  
Arash Khojasteh ◽  
Marzieh Alikhasi

Abstract Several reports demonstrate successful use of the buccal fat pad (BFP) as pedicled graft in reconstructing small to medium sized maxillary defects. BFP harvesting has so far been shown to be an easy, well-tolerated, and uncomplicated technique for oral reconstruction. This case report proposes the use of BFP for repairing of the perforated sinus membrane during sinus augmentation.


2021 ◽  
Vol 2 (7) ◽  
pp. 68-72
Author(s):  
Yuri Marcel Estevam Menezes ◽  
Allyssia Vitória Souza da Silva ◽  
Vivian Eduarda de Lemos Cordeiro ◽  
Ana Karina Fonseca de Carvalho Calderan Correa

The surgical removal of the buccal fat pad or Bichectomy is an aesthetic-functional procedure with aesthetic attributions associated with the face contour, smoothness and symmetry of facial lines, in addition to its therapeutic performance linked to the reduction of intraoral lesions caused by repetitive masticatory stress, as well as aid in the closure of spaces created by tumors, oral-sinus communication and others; this tissue also offers the possibility of being used as a graft for the treatment of intraoral pathologies and covering bone exposures in defective implants. The performance of this procedure is by intraoral access and its final result can be observed after approximately three months.


2020 ◽  
Vol 46 (2) ◽  
pp. 128-132
Author(s):  
Rodrigo Dias Nascimento ◽  
Tamires Stella Gonçalves ◽  
Paula Elaine Cardoso ◽  
Michelle Bianchi de Moraes ◽  
Fernando Vagner Raldi

The present study describes a clinical case in which the buccal fat pad (BFP) was used to improve the contour of the peri-implant mucosa. To our knowledge, this is the first case report of such an application in the literature. A 58-year-old woman presented with teeth #2 and #3 missing and an indication for extraction of tooth #4. After clinical examination and CBCT analysis, immediate implants were placed in the region of the extracted tooth and that of tooth #2 for prosthetic rehabilitation using a three-unit fixed partial denture. There was an extensive mucosal defect in the region of tooth #3, with vertical and horizontal changes in the contour of the mucosa. As an alternative to the use of a subepithelial connective tissue graft, we opted for displacement of the BFP and its accommodation on the alveolar ridge of tooth #3 to improve the buccal tissue contour. After 5 years of follow-up, satisfactory gain and maintenance of mucosal volume were observed in the treated area, as well as improvement of buccal tissue contour. The use of BFP seems to be a feasible alternative for filling and treating peri-implant mucosal defects.


Sign in / Sign up

Export Citation Format

Share Document