scholarly journals Postoperative complications following free gingival graft: a case report

2021 ◽  
Vol 23 (2) ◽  
pp. 110-112
Author(s):  
Valma Da Costa Vieira Schrederhof ◽  
Alcione de Fátima Zanatta Filther ◽  
Ana Paula Tulio Manfron ◽  
Gabriela Fracasso Moraes ◽  
Humberto Osvaldo Schwartz Filho
Keyword(s):  
Case Report ◽  
Postoperative Complications ◽  
Donor Site ◽  
Gingival Recession ◽  
Hot Water ◽  
Recipient Site ◽  
Free Gingival Graft ◽  
Keratinized Tissue ◽  
Patient Reported ◽  
Gingival Graft

AbstractAmong the available techniques for gingival recession treatment, the main surgical technique for gain of keratinized tissue is the free gingival graft. This procedure is also indicated for vestibule extension and frenulum removal. The technique consists of the epithelial and connective tissues removal from a donor site and its repositioning on to a recipient site, being an effective primary stability mandatory for the healing process. The aim of this study was to describe a case report of a 35-year-old male, who reported a postoperative complication in donor area, after a free gingival graft which occurred 07 days later. This situation occurred after patient reported having rinsed his mouth with hot water during shower. Due to that, a 1mm thick acetate tray was readymade for the donor site comfort and protection. Among the demands presented in this case, free gingival graft was the primary surgical choice to increase keratinized tissue. Despite the patient’s morbidity, due to the two surgical sites, the use of the acetate tray showed great reduction in patient’s discomfort and trauma. This approach proved to be successful since the patient described increase in self-esteem and oral hygiene facilitation which in combination contributed to satisfactory final results. Keywords: Periodontics. Gingival Recession. Postoperative Complications. ResumoEntre as técnicas disponíveis para o tratamento da recessão gengival, a principal técnica cirúrgica para ganho de tecido queratinizado é o enxerto gengival livre. Este procedimento também é indicado para extensão do vestíbulo e remoção do frênulo. A técnica consiste na remoção de tecidos epiteliais e conectivos de um local doador e seu reposicionamento no local receptor, sendo necessária uma estabilidade primária eficaz para o processo de cicatrização. O objetivo deste estudo foi descrever um relato de caso de um homem de 35 anos, que relatou uma complicação pós-operatória na área doadora, 07 dias após a realização de um enxerto gengival livre. Essa situação ocorreu depois que o paciente relatou ter enxaguado a boca com água quente durante o banho. Devido a isso, uma placa de acetato de 1 mm de espessura foi preparada para conforto e proteção do local doador. Entre as demandas apresentadas neste caso, o enxerto gengival livre foi a principal opção cirúrgica para aumentar o tecido queratinizado. Apesar da morbidade do paciente, devido aos dois locais cirúrgicos, o uso da placa de acetato demonstrou grande redução no desconforto e trauma do paciente. Essa abordagem mostrou-se bem-sucedida, uma vez que o paciente descreveu aumento da autoestima e facilitação da higiene bucal, o que em conjunto contribuiu para resultados finais satisfatórios. Palavras-chave: Periodontia. Recessão Gengival. Complicações Pós-Operatórias

scholarly journals Platelet Rich Fibrin as Wound Coverage of Donor Site in Free Gingival Graft

2018 ◽  
Vol 2 (1) ◽  
pp. 26-29
Author(s):  
Shweta Agrawal ◽  
Pramod Kumar Koirala ◽  
Shalini Pradhan ◽  
Ranjita Shrestha Gorkhali
Keyword(s):  
Wound Healing ◽  
Pain Perception ◽  
Donor Site ◽  
Gingival Recession ◽  
Root Coverage ◽  
Wound Coverage ◽  
Platelet Rich Fibrin ◽  
Free Gingival Graft ◽  
Keratinized Tissue ◽  
Gingival Graft

Free gingival graft is one of the technique used for root coverage so as to increase the inadequate keratinized tissue. The donor tissue is most frequently taken from the palate and generally the donor site is not covered or protected. Platelet rich fibrin is one of the good option for the wound coverage of donor site after free gingival graft so as to reduce the pain perception to patient and faster wound healing. The case report includes two cases with gingival recession, treated on the same day with free gingival graft with the use of platelet rich fibrin in the donor site in case 1 and without platelet rich fibrin in case 2 respectively which were compared for pain perception and wound healing postoperatively at 24 hours, 3 days, 5 days, 7 days and 14 days. There was less pain perception and discomfort in the donor site with the use of platelet rich fibrin and enhanced healing compared to donor site without platelet rich fibrin.

Free gingival graft to increase gingival dimensions in Down syndrome patients: clinical case report

RSBO ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 103
Author(s):  
Maria Estela Plens ◽  
Carla Hariene Montanha ◽  
Henrique Scheffer Ferreira ◽  
Andréa Paula Fregoneze ◽  
Vinicius Augusto Tramontina ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Case Report ◽  
Clinical Case ◽  
Periodontal Diseases ◽  
Gingival Recession ◽  
Dental Morphology ◽  
Free Gingival Graft ◽  
Keratinized Tissue ◽  
Gingival Dimensions ◽  
Gingival Graft

Introduction: Down Syndrome (DS) patients have increased susceptibility to the development of periodontal diseases by the occurrence of several factors, such as inadequate hygiene, mouth breathing, dental morphology, leukocyte reduction and increased inflammatory mediators. Objective: This study aimed to review the literature on the main aspects of DS and present a clinical case of a DS patient treated with basic periodontal therapy and free gingival graft surgery. Case report: DS patient, leucoderma, aged 26 years showed gingival recession and little amount of keratinized tissue in the area of teeth #31 and #41. After surgery, there was an increase in the keratinized tissue band. Conclusion: The free gingival graft surgery performed in DS patients was effective, as the increase of keratinized tissue band occurred.

Free Gingival Graft: A Surgical Boon for Receding Gums

2014 ◽  
Vol 5 (2) ◽  
pp. 25-28
Author(s):  
R Vinaya Kumar ◽  
Shriparna Biswas ◽  
Sruthi K Nair ◽  
Madhuri Kotha ◽  
BM Shivaprasad
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Gingival Recession ◽  
Root Caries ◽  
Class Iii ◽  
Root Coverage ◽  
Postoperative Results ◽  
Free Gingival Graft ◽  
Reliable Procedure ◽  
Gingival Graft

ABSTRACT Gingival recession is defined as displacement of the soft tissue margin apical to the cementoenamel junction. The esthetic demand together with reduction of root sensitivity and management of root caries or cervical abrasion are the main indications for root coverage. Available literature indicates that free gingival graft (FGG) is a reliable procedure for root coverage with a success rate ranging from 76 to 95.5%. In this case report, a 32-year-old female patient having Miller's Class III gingival recession in relation to 31 was treated using free gingival graft with satisfactory postoperative results. How to cite this article Biswas S, Nair SK, Kotha M, Kumar RV, Shivaprasad BM. Free Gingival Graft: A Surgical Boon for Receding Gums. J Health Sci Res 2014;5(2):25-28.

scholarly journals An innovative technique to treat epulis fissuratum: A case report

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110631
Author(s):  
Chaima Khalifa ◽  
Adel Bouguezzi ◽  
Sameh Sioud ◽  
Hajer Hentati ◽  
Jamil Selmi
Keyword(s):  
Case Report ◽  
Surgical Procedure ◽  
Alveolar Ridge ◽  
Free Gingival Graft ◽  
Innovative Technique ◽  
Keratinized Tissue ◽  
Gingival Graft

The purpose of this article is to present a case demonstrating the treatment of epulis fissuratum due to a poorly adapted prosthesis using a single surgical procedure involving conventional excision and free gingival graft. We, herein, present a case involving a 58-year-old patient with epulis fissuratum. Treatment of this case was essential due to the masticatory problems. This technique can be effective to deepen the height of the residual alveolar ridge and to increase the amount of keratinized tissue.

Operculum from Erupting Third Molar: An Alternative Donor Site for an Epithelialised-Free Soft-Tissue Autograft

2019 ◽  
Vol 3 (2) ◽  
pp. 75-77
Author(s):  
Harish Kumar Shah ◽  
Sanjeev Shrestha ◽  
Shivalal Sharma ◽  
Pujan Acharya
Keyword(s):  
Case Report ◽  
Donor Site ◽  
Third Molar ◽  
Tissue Loss ◽  
Root Coverage ◽  
Hard Tissue ◽  
Free Gingival Graft ◽  
Attached Gingiva ◽  
Alternative Donor ◽  
Gingival Graft

Gingival augmentation technique is used to increase the thickness of attached gingiva and arresting the progress of recession. Autogenous epithelialised free gingival graft obtained from palate is a well-established periodontal plastic procedure for root coverage and increasing the width of attached gingiva. This case report shows augmentation of attached gingiva from operculum of erupting third molar as an alternative donor site in marginal tissue recession not extending beyond the mucogingival junction with soft and hard tissue loss interdentally of 31 and 41 in a 20-year-old female.

scholarly journals Lateral Pedicle Graft Procedure for the Treatment of Isolated Tooth Recession- A Case Report

2021 ◽  
Vol 6 (2) ◽  
pp. 9-13
Author(s):  
Neelam Rana ◽  
Sachit Anand Arora ◽  
Rupali Kalsi
Keyword(s):  
Case Report ◽  
Gingival Recession ◽  
Root Coverage ◽  
Esthetic Surgery ◽  
Pedicle Flap ◽  
Recipient Site ◽  
Keratinized Tissue ◽  
Single Tooth ◽  
Tissue Grafts ◽  
Root Surfaces

Gingival recession is defined as the apical migration of the gingival margin from its physiologic level which further causes pathologic exposure of root surfaces. Mucogingival esthetic surgery includes the treatment of mucogingival esthetic alterations. The Mucogingival problems may be caused by gingival recession which is often associated with non-carious cervical lesion or by root caries or by altered passive eruption. Root coverage is achieved by many procedures like free gingival autografts, pedicle graft and connective tissue grafts. Recession can be treated by surgical or non-surgical means. surgical procedure includes various methods of increasing the width of keratinized tissue such as frenectomy in case of high frenal attachment & root coverage procedures and nonsurgical approach include-restorations, crowns, veneers and gingival masks. Lateral displaced pedicle flap was first described by Grupe and Warren in 1956 which was indicated in area to cover isolated apical migration of gingiva, & denuded root surfaces that have adequate amount of donor tissue adjacent to the recipient site. In few clinical studies it is seen that the success rate with Lateral pedicle graft is 70%, it is preferred over free gingival autografts in narrow and shallow gingival defects. This case report present the predictability of root coverage by using Lateral pedicle grafts in single tooth narrow and shallow gingival recession. Keywords: Lateral pedicle graft, Gingival recession, Attachment loss, Graft.

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