Increase of Width of Attached Gingiva and Root Coverage Using Single Incision Technique

One of the main purposes of mucogingival therapy is to obtain full root coverage. Several treatment modalities have been developed, but few techniques can provide complete root coverage in a class III Miller recession. Thus, the aim of this case report is to present a successful clinical case of a Miller class III gingival recession in which complete root coverage was obtained by means of a multidisciplinary approach. A 17-year-old Caucasian female was referred for treatment of a gingival recession on the mandibular left central incisor. The following procedures were planned for root coverage in this case: free gingival graft, orthodontic movement by means of alignment and leveling and coronally advanced flap (CAF). The case has been followed up for 12 years and the patient presents no recession, no abnormal probing depth and no bleeding on probing, with a wide attached gingiva band. A compromised tooth with poor prognosis, which would be indicated for extraction, can be treated by orthodontic movement and periodontal therapy, with possibility of 100% root coverage in some class III recessions.

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Platelet-rich fibrin-a cost-effective, donor less and indigenous therapy for obtaining root coverage-a case report

International Journal of Dental Research ◽

10.14419/ijdr.v5i1.7487 ◽

2017 ◽

Vol 5 (1) ◽

pp. 46

Author(s):

Bharat Joshi

Keyword(s):

Cost Effective ◽

Gingival Recession ◽

Class Iii ◽

Root Coverage ◽

Platelet Rich Fibrin ◽

Free Gingival Graft ◽

Coronally Advanced Flap ◽

Attached Gingiva ◽

Separate Clinical Entity ◽

Rapid Healing

Among the periodontal infections, gingival recession is a separate clinical entity which demands a permanent solution plan. Treatment therapies are based on either elimination (as in case of Miller’s class I/II recession) or increasing the width of keratinized gingiva for prevention of further progression (as in case of Miller’s class III/IV recession). From the centuries, graft surgeries like free gingival graft, lateral pedicle and Coronally advanced flaps have been successful in the treatment of gingival recession. As every technique has its own merits and demerits, clinicians have tried to stress upon addition of certain adjuncts or biomaterials to ensure rapid healing and less post-operative discomfort. Platelet concentrates are an excellent biomaterials for increasing width of attached gingiva and enhancing wound healing. They are cost effective, do not require donor tissue for harvesting and contain variety of growth factors for initiating regeneration. In this paper, Platelet-rich fibrin a 2nd generation concentrates has been used as an adjunct to Coronally advanced flap with a purpose of increasing width of keratinized gingiva, obtaining complete root coverage and achieving gingival harmony.

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REINSERTION OF THE DISTAL TENDON OF A BICEPS USING ENDOBUTTON FROM A SINGLE INCISION TECHNIQUE

The problems of traumatology and osteosynthesis ◽

10.51309/2411-6858-2020-19-1-75-86 ◽

2020 ◽

pp. 75-86

Author(s):

V.G. Lutsyshyn ◽

V.M. Maiko ◽

O.V. Maiko ◽

M.O. Romanov

Keyword(s):

Single Incision ◽

Biceps Tendon ◽

Functional Results ◽

Distal Biceps Tendon ◽

Distal Biceps ◽

Correct Sequence ◽

Incision Technique ◽

The One ◽

Radial Tuberosity ◽

Distal Tendon

Summary. Surgical treatment of biceps distal tendon ruptures shows better functional results, compared to a conservative treatment. Recently, the one-incision surgical technique is becoming more and more popular. Task of the study: representation of a technique to recover a distal biceps tendon with a single incision and fixation with an Endobutton. Materials and methods: the single-incision technique for a distal biceps tendon recovery comprises of several steps: an incision place and layer-wise access, preparation of the distal biceps tendon, preparation of the radial tuberosity, fixation of the tendon. Results. The knowledge of anatomy and the correct sequence of steps in the single-incision technique with the fixation of a tendon with Endobutton (by ChM) makes the recovery of distal biceps tendon efficient, reliable, and, what is more important, safe.

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