scholarly journals Periodontal phenotype modification therapy in a patient undergoing orthodontic treatment: a case report

2021 ◽  
Vol 10 (4) ◽  
pp. 667-673
Author(s):  
Isabelle Silvério Tenório ◽  
Maria Vitória Calado Ramalho dos Santos ◽  
Ítalo de Macedo Bernardino ◽  
Jamesson de Macedo Andrade ◽  
Luana Samara Balduino de Sena ◽  
...  
Keyword(s):  
Case Report ◽  
Tooth Movement ◽  
Multidisciplinary Treatment ◽  
Gingival Recession ◽  
Risk Area ◽  
Post Surgery ◽  
Attached Gingiva ◽  
One Year ◽  
And Function ◽  
Periodontal Phenotype

Introduction: Gingival recessions are mucogingival defects of multifactorial etiology that interfere with aesthetics and function; in many cases these defects require multidisciplinary treatment. Objective: To report a clinical case of gingival recession treatment using a periodontal and orthodontic approach. Case report: Patient a 20-year-old woman, sought the Extension Project of Clinical and Surgical Periodontics (PROEPECC/UFCG) complaining of developing gingival recession in tooth 31, which was poorly positioned in the arch after orthodontic movement. Periodontal examination revealed type 1 gingival recession associated with a prominent labial frenulum, with a gingival height of 3 mm, width of 2 mm, probing depth of 1 mm, and absence of attached gingiva. The root was covered using a subepithelial connective tissue graft removed from the palatal mucosa and coronally positioned flap; in addition, inferior labial frenectomy was performed. After 1 year and 6 months, tooth 31 was again moved to reposition it in the arch. One year and 10 months post-surgery, new periodontal examination was performed to evaluate the mucogingival characteristics of the treated area. The recession was completely covered and there was a 4-mm increase in the attached gingiva. Conclusion: Orthodontics may positively or negatively influence periodontal structures and periodontics may favor the prognosis of tooth movement in a risk area by modifying the periodontal phenotype, increasing its resistance to gingival recession.

Treatment of Exposed Bone With Acellular Dermal Matrix in a Smoker Patient After Dental Implant Surgery: A Case Report

2019 ◽  
Vol 46 (3) ◽  
pp. 245-249
Author(s):  
Levent Cigerim
Keyword(s):  
Case Report ◽  
Dental Implant ◽  
Acellular Dermal Matrix ◽  
Gingival Recession ◽  
Dermal Matrix ◽  
Attached Gingiva ◽  
Exposed Bone ◽  
Dermal Cells ◽  
Dental Implant Surgery ◽  
Acellular Dermal

Acellular dermal matrix is a biocompatible material derived from human and animal connective tissue. This material is created by a chemical process in which all epidermal and dermal cells are removed but the bioactive dermal matrix is left intact. The bioactive dermal matrix has the capability to promote natural revascularization and cell repopulation and to undergo tissue remodeling as it contains elastin, collagen, bioactive proteins, and blood vessel channels. Recently, ADM materials have successfully been used as grafts in numerous surgical procedures to increase the size of the attached gingiva surrounding the teeth and implants, to fill in gingival recession defects to enhance root coverage, to manage soft-tissue ridge deformities, and to repair oronasal fistulae. The aim of this case report is to evaluate the use of the acellular dermal matrix in a 45-year-old patient with an area of exposed bone after the placement of a dental implant.

Comparative Clinical Evaluation of Acellular Dermal Matrix Allograft and Connective Tissue Graft for the Treatment of Gingival Recession

2006 ◽  
Vol 7 (2) ◽  
pp. 63-70 ◽  
Author(s):  
M.E. Rahmani ◽  
Mohammad A. Rigi Lades
Keyword(s):  
Connective Tissue ◽  
Clinical Evaluation ◽  
Acellular Dermal Matrix ◽  
Gingival Recession ◽  
Dermal Matrix ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Post Surgery ◽  
Attached Gingiva ◽  
Acellular Dermal

Abstract Aims “Gingival recession is a condition reported to occur due to abnormal periodontal anatomy, poor hygiene, excessive occlusal forces, toothbrush abrasion, and even iatrogenic or factitious causes. Though various surgical techniques are available to treat this problem, the most common is the palatal soft tissue autograft. Recently, an acellular dermal matrix allograft (ADMA) has been available as a substitute for the palatal tissue harvest. The aim of this study is to compare the ADMA with the conventional subepithelial connective tissue graft (SCTG) in the treatment of gingival recession.” Methods and Materials Fourteen patients with 20 gingival recessions of Miller's grade I and II were selected and randomized in two groups of control (SCTG) and test (ADMA). In each group ten recession defects were treated. The following parameters were measured at baseline and then at six months post surgery: recession height (RH), recession width (RW), probing depth (PD), attached gingiva (AG), keratinized gingiva (KG), and clinical attachment level (CAL). All parameters were analyzed using the two-sample t-test. Data analysis was performed using SPSS (version 11) software. Results The following mean changes (mm) occurred in SCTG and ADMA, respectively: 2.60±0.97 and 2.90±0.81 decrease in RH; 1.70±1.01 and 1.65±0.67 decrease in RW; 2.50±0.97 and 2.95±0.69 increase in KG; 2.25±0.92 and 2.65±0.85 increase in AG; 2.60±1.08 and 2.75±0.92 decrease in CAL; and finally 0.05±0.50 and 0.10±0.46 decrease in PD for the SCTG and ADMA groups, respectively. The percentage of root coverage for the two groups was 70.12%±22.81% and 72.08%±14.12%, respectively. The changes from baseline to the six-month visit were significant for both groups in terms of all parameters but PD. However, the differences in mean changes were not significant between the two groups in any of the parameters. Conclusion These findings imply the ADMA and SCTG techniques could produce the same results when used for the successful treatment of gingival recessions. In addition the ADMA could be used as an adequate alternative treatment modality for conventional techniques. Citation Rahmani ME, Lades MAR. Comparative Clinical Evaluation of Acellular Dermal Matrix Allograft and Connective Tissue Graft for the Treatment of Gingival Recession. J Contemp Dent Pract 2006 May;(7)2:063-070.

scholarly journals Combination of orthodontic movement and periodontal therapy for full root coverage in a miller class iii recession: a case report with 12 years of follow-up

2012 ◽  
Vol 23 (6) ◽  
pp. 758-763 ◽  
Author(s):  
Rafael Scaf de Molon ◽  
Érica Dorigatti de Avila ◽  
João Antonio Chaves de Souza ◽  
Andressa Vilas Boas Nogueira ◽  
Carolina Chan Cirelli ◽  
...  
Keyword(s):  
Case Report ◽  
Gingival Recession ◽  
Periodontal Therapy ◽  
Treatment Modalities ◽  
Class Iii ◽  
Root Coverage ◽  
Free Gingival Graft ◽  
Coronally Advanced Flap ◽  
Orthodontic Movement ◽  
Attached Gingiva

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.

scholarly journals Management of maxillary labial frenum with comparison of conventional and incision below the clamp techniques: a case report

2018 ◽  
Vol 3 (1) ◽  
pp. 61
Author(s):  
Hasanuddin Thahir ◽  
Arni I. Djais ◽  
Shek Wendy ◽  
Muhammad H. Achmad ◽  
Fuad H. Akbar
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Alternative Treatment ◽  
Gingival Recession ◽  
Conventional Technique ◽  
Clamp Technique ◽  
Attached Gingiva ◽  
Dental Hospital

Objective: Describes and compare the procedure of superior labial frenum frenectomies with conventional technique and incision below the clamp technique.Methods: Two female patient came to Departement of periodonsia, Unhas Dental Hospital to have frenectomies. The first patient was 28 year old with labialis superior frenulum reached attached gingiva, gingival recession 1-2 mm with calculus deposits, and referred to do frenectomy with Incision below the Clamp. While the second patient was 15 year old with labialis superior frenulum extend up to palatine papilla, central diastema and referred to do frenectomy with conventional technique.Results: The conventional techniques is done by engaged the frenum by a haemostat that inserted into the depth of the vestibule, and incision were placed on the upper and the under surface of haemostat, then followed by suturing the wound and periodontal pack. Insision below the clamp technique is done by placing a hemostat in position adjacent and parallel to the lip mucosa, and incision carried out below the clamp, then followed by suturing at the mucolabial fold and periodontal pack.Conclusions: Patients were very satisfied with the results that achieved. Technique Incision below the Clamp is an alternative treatment with good aesthetic and less bleeding during frenectomies by using a scalpel.

scholarly journals Multidisciplinary treatment: association among orthodontics, implantodontia and prosthetics. Case report

2018 ◽  
Vol 21 (3) ◽  
pp. 357
Author(s):  
Juliana De Fátima Pedroso ◽  
Dimas Renó de Lima ◽  
Fernando Renó de Lima ◽  
Renato Pazinatto
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Tooth Movement ◽  
Multidisciplinary Treatment ◽  
Bone Transplantation ◽  
Removable Partial Denture ◽  
Partial Denture ◽  
Restorative Treatment ◽  
End Of Treatment ◽  
Artificial Teeth

<p>Deficiencies in the alveolar ridge, dental migration and malocclusion are conditions that may hamper restorative treatment and thus must be resolved by taking a multidisciplinary approach. This clinical case report is associated with orthodontics, implantology and prostheses for rehabilitation. A 34-year-old male patient presented himself in a private practice complaining of aesthetics and discomfort when chewing. At the clinical examination, teeth numbers 11, 12, 21, 22 and 25 were absent, with a removable partial denture replacing them. Due to the prolonged use of this prosthesis, wear of the artificial teeth and the extrusion of the anterior inferior teeth were present. A depression was also present in the vestibular region of the upper incisors, which did not provide adequate lip support. The tomographic examination revealed that despite the deficiency of the vestibular-lingual bone volume, the remnant in this region allowed for the implantation of implants. Orthodontic treatment was performed for the intrusion of the inferior elements and the alignment of the arches, with the goal of providing more spaces for rehabilitation. Afterward, the patient underwent surgery to install implants in the 11, 21 and 25 regions, concomitantly with bone regeneration in the vestibular region of the upper incisors. During this time, the patient used a new removable partial denture. After eight months, the prosthetic phase was started. Ten years after the end of treatment, the patient is satisfied with the results and performs maintenance every six months.</p><p><strong>Keywords</strong></p><p>Tooth movement techniques; Dental implants; Bone transplantation; Dental prosthesis.</p>

scholarly journals Clark’s Technique of Vestibuloplasty - A Case Report

2020 ◽  
Vol 4 (2) ◽  
pp. 93-95
Author(s):  
Benju Shrestha ◽  
Krishna Prasad Lamichhane ◽  
Shaili Pradhan ◽  
Ranjita Shrestha Gorkhali ◽  
Pramod Kumar Koirala
Keyword(s):  
Case Report ◽  
Oral Hygiene ◽  
Surgical Procedure ◽  
Gingival Recession ◽  
Muscle Attachment ◽  
Attached Gingiva

Shallow vestibule can create a barrier in oral hygiene maintenance and can cause gingival recession due to the muscular traction. Inadequate vestibular depth in combination with inadequate attached gingiva is said to cause more food accumulation during mastication. Hence, shallow vestibule impeding with oral hygiene maintenance requires correction. Vestibuloplasty involves surgical procedure for repositioning of mucosa and muscle attachment thereby increasing the vestibular depth. There are various techniques of vestibuloplasty. This case report highlights upon the Clark’s technique of vestibuloplasty for correction of shallow vestibule.

scholarly journals LASER VESTIBULOPLASTY WITH PERIOSTEUM FENESTRARTION –A CASE REPORT.

2020 ◽  
pp. 22-23
Author(s):  
Shahnaaz Sultana ◽  
Shrikar Desai ◽  
Veena Patil ◽  
Priyanka Agarwal ◽  
Sobia T. Ansari
Keyword(s):  
Case Report ◽  
Diode Laser ◽  
Gingival Recession ◽  
Complete Healing ◽  
Gingival Margin ◽  
Innovative Technique ◽  
Post Operative Pain ◽  
Attached Gingiva

The most common mucoginigival problems includes inadequate width of attached gingiva, abnormal frenal attachment, gingival recession, and decreased vestibular depth, pockets extending upto mucogingival junction, gingival excess , inconsistent gingival margin, excessive gingival display and abnormal colour of gingival. Many periodontal plastic surgeries has been employed in the treatment of these problems. But all the procedures are technique sensitive and comes with their own disadvantage. Hence, the case report represents an innovative technique of using 980 nm diode laser instead of convention scalpel to increase the width of attached gingiva and deepening of shallow vestibule with periosteum fenestration. Post operative pain and discomfort was minimal and complete healing of tissues at the end of 3 weeks was reported.

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