Periodontal regenerative treatment with connective tissue grafts in deep intrabony defect and gingival recession in the maxillary canine: a case report with 3-year follow-up

This case report described a modified bilaminar technique for treating a single gingival recession. Patient presented a gingival recession in a maxillary canine. Tooth was in a buccally prominent position and soft keratinized tissue apical to the recession was reduced but still present. A split-full-split thickness trapezoidal flap was designed. Root’s surface was prepared with curettes. Epithelial-connective tissue graft was harvested from the palate with reduced dimension. After deepithelialization, the graft was placed with a fibrin-fibronectin system at the maximum root coverage level, and the flap coronally advanced and sutured. At 3-year follow-up control, the free gingival margin was still stable at the postsurgery position, with a thicker biotype corresponding to the grafted area, with no probing and a suitable aesthetic result.

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Multilayered Connective Tissue Grafting Technique to Improve Aesthetics after Failed GBR: A Clinical Case Report of 16 Months Follow-Up

Case Reports in Dentistry ◽

10.1155/2020/3906468 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Gabriele Villa ◽

Gionata Bellucci ◽

Simone Magnolo ◽

Farah Asa’ad

Keyword(s):

Case Report ◽

Soft Tissue ◽

Connective Tissue ◽

Gingival Recession ◽

Class Iii ◽

Tissue Quality ◽

Maxillary Central Incisor ◽

Mucogingival Surgery ◽

Grafting Technique

Objective. This case report describes soft-tissue management after a failed GBR procedure to enhance the soft-tissue quality, quantity, and aesthetic outcomes. Case Presentation. A 38-year-old patient visited the Dental Clinic of the Ospedale Maggiore Policlinico, University of Milan, Milan, Italy, for a chief complaint of unsatisfactory aesthetics of the anterior maxillary area. Dental history disclosed failed preimplant vertical bone augmentation with GBR procedure in the area of the left maxillary central incisor resulting in a severe gingival recession of adjacent teeth and compromised soft-tissue quantity and quality and severe ridge atrophy (class III). Multilayered connective tissue grafting technique, in a two-step mucogingival surgery, was used to cover the gingival recessions, reach even gingival margin, and reconstruct the defect. Frenectomy was done after the second mucogingival surgery to relieve the muscle attachment. A definitive cantilever bridge was placed to restore the left and right maxillary central incisors, and a satisfactory aesthetic outcome was reached. Conclusions. Multilayered connective tissue grafting technique might be successful in correcting soft-tissue quantity and quality in class III ridge defects.

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Long-Term Stability of Root Coverage of Restored Roots: A 18-Year Follow-up Case Report

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2020/45529.14224 ◽

2020 ◽

Author(s):

Khalid S Al-Hamdan

Keyword(s):

Case Report ◽

Connective Tissue ◽

Gingival Recession ◽

Long Term Results ◽

Restorative Material ◽

Connective Tissue Graft ◽

Tissue Graft ◽

Root Surfaces

Tooth sensitivity is a major concern following gingival recession. Stable long-term results are necessary for the management of this condition. Here, we present a case report with the aim of validating the utilisation of a connective tissue graft to replace a restorative material over the root surface for a long term. A 36-year-old female patient presented with the chief complaint of sensitivity in her lower right (#43) and left (#33) canines, which were previously restored with a composite restoration. The recession type defect was Miller’s Class II. The old restoration was removed and replaced with a connective tissue graft, accompanied by a double-papilla flap. The case was followed-up for 18 years, and the results were stable during the follow-up period, with a highly satisfied patient. Based on these results, it can be reported that a connective tissue graft has highly predictable results and can be used for previously restored root surfaces. In addition, the connective tissue graft provides more stable results than does the use of a restorative material over root surfaces.

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Use of Subepithelial Connective Tissue Graft for Root Coverage

World Journal of Dentistry ◽

10.5005/wjoud-2-2-159 ◽

2011 ◽

Vol 2 (2) ◽

pp. 159-162

Author(s):

Sheela Kumar Gujjari ◽

MB Harsha ◽

Deepak Prasad

Keyword(s):

Case Report ◽

Connective Tissue ◽

Gingival Recession ◽

Root Coverage ◽

Connective Tissue Graft ◽

Tissue Graft ◽

Anterior Teeth ◽

Subepithelial Connective Tissue Graft ◽

Stable Result

ABSTRACT Until recently, periodontal therapy was predominantly focused on establishing biologically and functionally stable periodontium. The presence of mucogingival problems and gingival recession around anterior teeth exemplifies a situation in which a treatment modality that addresses not only biological and functional but also esthetic demands are required from the periodontist. The advent of procedure such as subepithelial connective tissue graft in the mid-1980s and its various modifications thereafter, have led to improved and more predictable outcomes of root coverage. Thus, the present day clinicians have become more capable of addressing the esthetic demands of their patients. This case report shows the usage of subepithelial connective tissue graft for root coverage of upper right first premolar, which shows successful root coverage with a stable result. The technique used here created a healthy, functional and esthetic gingival unit that appeared resistant to further breakdown at a 6-month follow-up.

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Successful management of extensive root caries with gingival recession using a multidisciplinary team approach- A case report of a 1-year follow-up

International Journal of Medical and Dental Case Reports ◽

10.15713/ins.ijmdcr.98 ◽

2018 ◽

Vol 5 (1) ◽

pp. 1-4

Author(s):

Vrushali Abhyankar ◽

Paul S. Bland ◽

Jordan Hansen

Keyword(s):

Case Report ◽

Multidisciplinary Team ◽

Gingival Recession ◽

Team Approach ◽

Root Caries ◽

Successful Management ◽

Multidisciplinary Team Approach

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Subepithelial Connective Tissue Graft for Gingival Recession Coverage: A Case Report

Journal of Dentistry and Oral Sciences ◽

10.37191/mapsci-2582-3736-2(4)-052 ◽

2020 ◽

Author(s):

Anita Mehta

Keyword(s):

Case Report ◽

Connective Tissue ◽

Gingival Recession ◽

Tooth Brushing ◽

Vulnerable Area ◽

Connective Tissue Graft ◽

Tissue Graft ◽

Keratinized Tissue ◽

Subepithelial Connective Tissue Graft ◽

Dentinal Hypersensitivity

The Gingival recession is considered a multi-factorial. The etiology may be an anatomically vulnerable area, faulty tooth brushing, high frenum attachment. In cases where there is progressive recession, aesthetics concern or increasing dentinal hypersensitivity, we can do recession coverage. Depending upon the presence or absence of adequate keratinized tissue we can choose the technique. In case of adequate width of keratinized tissue, usually we can do displaced flap and in case where there is inadequate width, we can do gingival grafting.

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Root Coverage with Coronally Advanced Flap with Connective Tissue Graft: Literature Review and Case Report

Odovtos - International Journal of Dental Sciences ◽

10.15517/ijds.v19i2.28745 ◽

2017 ◽

Vol 19 (2) ◽

pp. 25

Author(s):

Francisco J. Jiménez Bolaños DDS ◽

Marcelino Fernández Murillo

Keyword(s):

Case Report ◽

Connective Tissue ◽

Gingival Recession ◽

Root Coverage ◽

Patient Reports ◽

Coronally Advanced Flap ◽

Connective Tissue Graft ◽

Tissue Graft ◽

Cast Doubt ◽

Aesthetic Results

The root coverage procedure to treat gingival recessions is the best line of treatment, being the most used the coronal advanced flap. There have been multiple clinical and aesthetic results that cast doubt on whether this procedure by adding a connective tissue graft will be a more predictable and more aesthetic regarding defect removal. In this case report a patient 24-year-old male refers hypersensitivity and aesthetic discomfort in the area of gingival recession. An autologous graft with a coronal flap advancement of connective tissue will be used. After six months of healing the patient reports improvements in: sensitivity, plaque control and aesthetics.

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