Reabilitação dentária em região anterior com implante imediato e reconstrução alveolar por meio de enxertos conjuntivo autógeno e ósseo xenógeno

2021 ◽  
Vol 12 (47) ◽  
pp. 38-45
Author(s):  
Roberta Barros Andrade ◽  
Thales Martins Cruvinel ◽  
Rosymere Freitas de Sousa Cruvinel ◽  
Axlaine Duarte Queiroz ◽  
Andrea Sayuri Silveira Dias Terada ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Alveolar Bone ◽  
Treatment Time ◽  
Aesthetic Result ◽  
Connective Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
Immediate Implant ◽  
Prosthetic Component ◽  
Interdental Papilla

The immediate implant, in addition to provide reduction of clinical treatment time, aims to promote preservation of marginal bone ridges and maintain the emergency profile of the dental crown. The present study shows a clinical procedure involving minimally traumatic extration, followed by the immediate installation of a morse taper implant (Alvim 3,5 x 13 mm, Neodent®) in addition to the use of subepithelial connective tissue graft (SCTG). In order to remedy a loss of remnant alveolar bone tissue, bovine biomaterial (Geistlich Bio-Oss®) was used in alveolar reconstruction also with the intention of covering implant’s spires and promoving stability for the recently grafted soft tissue. After the surgical installation of the implant was completed, an initial 30N locking was obtained, what made impossible the immediate installation of a provisional over the implant. Then fixed temporary restoration was carried out, using a pontic with cervical ovoid format to maintain height, emergency profile, and interdental papilla contour. After 4 months of postoperative, was carried out surgery of implant reopening, with a new graft of connective tissue using the technique called pediculated, aiming the gain of vestibular tissue volume. Universal abutment type prosthetic component morse taper was used (measuring 3,3 x 4 x 6,5 mm Neodent®) and was carried out the confection and cementation of implant supported provisional. After a few weeks, the definitive crown was installed. With those procedures, for proper planning, and highly regarded techniques, a highly satisfactory functional and aesthetic result could be obtained.

Surgical Reconstruction of Interdental Papilla Using Subepithelial Connective Tissue Graft (SCTG) with a Coronally Advanced Flap: A Clinical Evaluation of Five Cases

2010 ◽  
Vol 11 (6) ◽  
pp. 49-57 ◽  
Author(s):  
Manohar Bhongade ◽  
Priyanka Jaiswal ◽  
Ishan Tiwari ◽  
Ramesh Chavan ◽  
Pankaj Banode
Keyword(s):  
Connective Tissue ◽  
Surgical Reconstruction ◽  
Horizontal Distance ◽  
Gingival Margin ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Post Surgery ◽  
Subepithelial Connective Tissue Graft ◽  
Interdental Papilla

Abstract Aim The aim of these case reports was to evaluate the effectiveness of a subepithelial connective tissue graft with a coronally advanced flap to reconstruct an interdental papilla. Background In the last decade, esthetics has become a major concern in periodontal therapy. One of the most difficult and elusive goals for the periodontist in the esthetic aspect of periodontal therapy is the reconstruction of the interdental papilla. Consequently, the absence or loss of the interdental papilla for a variety of reasons may create significant esthetic, functional, and phonetic challenges for the patient. Case Description Five systemically healthy patients between the ages of 23 and 52 years with absence of the periodontal pocket were selected. Loss of interdental papillary height was classified using the Nordland and Tarnow classification system as class 1 to 4. All five patients received a subepithelial connective tissue graft (SCTG) with a coronally advanced flap (CAF). Four parameters were measured at baseline and at six months post-surgery: (1) vertical distance from contact point to gingival margin, (2) soft tissue (papilla) height in the interdental area, (3) horizontal distance at the gingival margin, and (4) width of keratinized gingiva. The changes noted at six months post-surgery were (1) the vertical distance decreased from 3.2±0.44 mm to 0.4±0.54 mm, (2) the mean gain in soft tissue (papilla) height increased from 3.2±0.44 mm to 5.8±0.44 mm, (3) the horizontal distance at the gingival margin was reduced from 2.6±0.54 mm to 0.4±0.54 mm and the width of the keratinized gingiva increased 1.4±0.89 mm. Conclusion The periodontal surgical technique used for the five reported cases successfully reconstructed the interdental papilla in just one type of papilla loss, the class I situation. Therefore, it should not be concluded that the technique shown would be equally as successful for every type of papilla loss. Furthermore, the postoperative time interval was short, at only six months. Clinical Significance A subepithelial connective tissue graft supported by a coronally advanced flap should be considered to surgically correct the loss of an interdental papilla in class I cases. Citation Jaiswal P, Bhongade M, Tiwari I, Chavan R, Banode P. Surgical Reconstruction of Interdental Papilla Using Subepithelial Connective Tissue Graft (SCTG) with a Coronally Advanced Flap: A Clinical Evaluation of Five Cases. J Contemp Dent Pract [Internet]. 2010 December; 11(6):049-057. Available from: http://www.thejcdp. com/journal/view/volume11-issue6-jaiswal

scholarly journals Comparative Clinical Evaluation of Platelet Rich Fibrin and Subepithelial Connective Tissue Graft in Interdental Papilla Reconstruction: A Randomized Controlled Clinical Trial

2021 ◽  
Vol 2 (5) ◽  
pp. 7-12
Author(s):  
Isha Goyal ◽  
Nishi Tanwar ◽  
Shikha Tewari ◽  
Rajinder Kumar Sharma ◽  
Satish Chander Narula
Keyword(s):  
Clinical Trial ◽  
Connective Tissue ◽  
Contact Point ◽  
Clinical Parameters ◽  
Platelet Rich Fibrin ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Intergroup Comparison ◽  
Subepithelial Connective Tissue Graft ◽  
Interdental Papilla

Background: Aesthetics has become a major concern nowadays. Loss of interdental papilla in the anterior region of the oral cavity accounts for a major compromise in aesthetics. Thus, techniques to correct this defect has emerged as a new area of research in dentistry. The present study aims to compare reconstruction of the interdental papilla using subepithelial connective tissue graft (SCTG)and platelet rich fibrin (PRF). Material and Methods: The present randomised clinical trial included 36 patients equally divided into test (platelet rich fibrin) and control groups (subepithelial connective tissue graft). Papilla reconstruction was done and clinical parameters- contact point to interdental papilla distance (CPID), width of keratinized gingiva (WKG), plaque index (PI), gingival index (GI), papillary bleeding index (PBI), pocket depth (PPD) were recorded at baseline, 3 and 6 months. Healing index (HI) was recorded at 1, 2 and 3 weeks. Results: At the end of 6 months, it was found that interdental papillae fill in terms of decrease in distance from the contact point to the interdental papilla tip and gain in WKG was statistically significant in both the groups (p value ≤0.05). On intergroup comparison, however, it was found that the improvement in the abovementioned parameters was significantly greater in the control group (39.32%) as compared to the test group (14.79%). The difference in other clinical parameters at various time intervals were found to be nonsignificant.

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