scholarly journals Efficacy of Free Gingival Graft in Treatment of Localized Gingival Recession in Smokers and Non-Smokers: Donor Site Healing, Graft Shrinkage and Success

2020 ◽  
Vol 23 (4) ◽  
pp. 401-407
Author(s):  
Shweta Agrawal ◽  
Pramod Kumar Koirala ◽  
Shalini Pradhan ◽  
Ranjita Shrestha Gorkhali

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.


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

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


2015 ◽  
Vol 42 (6) ◽  
pp. 582-589 ◽  
Author(s):  
Huseyin Gencay Keceli ◽  
Bahadir Ugur Aylikci ◽  
Serhat Koseoglu ◽  
Anil Dolgun

2015 ◽  
Vol 86 (5) ◽  
pp. 674-681 ◽  
Author(s):  
Chen-Ying Wang ◽  
Sheng-Chueh Tsai ◽  
Min-Chen Yu ◽  
Yu-Fang Lin ◽  
Chih-Cheng Chen ◽  
...  

Author(s):  
Karthikeyan Murthykumar ◽  
Arvina Rajasekar ◽  
Gurumoorthy Kaarthikeyan

Esthetic demands among the patients have increased markedly over the past few years. The Gingival recession is one of the prime concerns, and there are various treatment modalities in managing recession defects. Most often, outcomes following root coverage procedures are not assessed. Thus the current article aims to determine the aesthetic outcome following various treatment modalities for root coverage procedures using Recession Score (RES). In the present study, seventeen patients with Miller Class I, II and III recession defects treated with root coverage procedures were evaluated retrospectively. Esthetic outcomes were assessed using the root coverage score (RES) . Among 17 managed recession sites, 6(35%) had complete root coverage. Three of six patients who attained complete root coverage had a perfect score (RES-10). Free Gingival Graft showed better root coverage and recession score (RES); however, there was no significant association between root coverage, RES and various treatment modalities used for recession coverage (p>0.05).


2020 ◽  
Vol 1 (1) ◽  
pp. 01-06
Author(s):  
Deliverska E

Background The main goal of root coverage procedure is complete coverage of the recession defect with a good esthetic result related to the adjacent soft tissues and minimal probing depth after the healing process. Purpose The aim of this study was to compare the efficiency of surgical and nonsurgical treatment options in patients with gingival recession and dentin hypersensitivity (DH). Material and methods 60 patients with gingival recession Miller Class I and II with hypersensitivity and esthetic concerns were included. 30 of them were treated with free soft-tissue graft procedures and control group of 30 people were treated with anti-hypersensitivity gel. Surgically treated patients were separated in two groups: 20 of them- with coronally advanced flap with sub-epithelial connective tissue graft and 10 of them- with free gingival graft. Results We achieved full coverage on the exposed root surfaces in 18 patients treated with coronally advanced flap and de-epithelized graft and partial root coverage in two of them. Patients treated with free gingival graft procedure achieved full root coverage in 6 of them and partial on 4 of them (GR=1 mm after surgery). Surgical treatment led to resolution of the esthetic issues of the patients and elimination or reduction of the DH. In control group there were partial elimination of root sensitivity. Conclusion: In surgical treated group with both techniques we achieved resolution of DH and coverage of the root surface with healthy keratinized tissues. Surgery may be considered for treatment options of DH depending on the indications.


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