scholarly journals Gingival mask for conservative management of gingival recession: A case report

2021 ◽  
Vol 4 (1) ◽  
pp. 57-60
Author(s):  
SK Chaudhary ◽  
H Agrawal ◽  
R Dhakal ◽  
A Yadav
Keyword(s):  
Patient Satisfaction ◽  
Case Report ◽  
Periodontal Disease ◽  
Gingival Recession ◽  
Surgical Reconstruction ◽  
Black Triangle ◽  
Self Confidence ◽  
The Face ◽  
Severe Destruction

Smile is the jewel of the face, which not only enhances the beauty of the person but also influences self-confidence. Dental esthetic is composed of white and pink component. The long-term periodontal disease results in the destruction of the pink component leading to gingival recession in some cases, which results in elongated tooth with black triangle and unesthetic smile. When severe destruction is present in the maxillary anterior region surgical reconstruction is unpredictable. This destruction can be masked with a prosthesis like gingival mask after the control of periodontal disease. This case report describes the use of the gingival mask as a conservative treatment modality for recession, achieving optimum esthetics and patient satisfaction.

scholarly journals Functional Treatment of a Child with Extracapsular Mandibular Fracture

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Diana Cassi ◽  
Marisabel Magnifico ◽  
Chiara Di Blasio ◽  
Mauro Gandolfini ◽  
Alberto Di Blasio
Keyword(s):  
Case Report ◽  
Surgical Therapy ◽  
Mandibular Fracture ◽  
Functional Treatment ◽  
Fracture Line ◽  
Therapeutic Regimen ◽  
Traumatic Lesions ◽  
The Face ◽  
Condylar Fractures

Condylar fractures are among the most frequent fractures in the context of traumatic lesions of the face. The management of condylar fractures is still controversial, especially when fractures occur in children: if overlooked or inappropriately treated, these lesions may lead to severe sequelae, both cosmetic and functional. The therapy must be careful because severe long-term complications can occur. In this case report, the authors present a case of mandibular fracture in which the decision between surgical therapy and functional therapeutic regimen may be controversial due to the particular anatomy of the fracture line and the age of the patient.

Canadian Case Report of Erythema Nodosum Leprosum Successfully Treated with Prednisone and Thalidomide

2010 ◽  
Vol 14 (2) ◽  
pp. 95-99 ◽  
Author(s):  
Mélissa Saber ◽  
Caroline Bourassa-Fulop ◽  
Danielle Bouffard ◽  
Nathalie Provost
Keyword(s):  
Case Report ◽  
Erythema Nodosum ◽  
Term Treatment ◽  
Response To Treatment ◽  
Cutaneous Lesions ◽  
Erythema Nodosum Leprosum ◽  
Long Term Treatment ◽  
The Face ◽  
Systemic Symptoms

Background: Erythema nodosum leprosum (ENL) is a disease rarely encountered in Canada. It is characterized by multiple remissions and recurrences, often requires long-term treatment, and can result in debilitating sequelae. Objective: To promote rapid recognition and adequate therapy for ENL. Methods: Case report of a 39-year-old man diagnosed with an ENL. The clinical and histopathologic features, treatment provided, and response to treatment are detailed in this article. Results: ENL presented itself as painful cutaneous lesions on the face and limbs, bilateral paresthesia of the fourth and fifth fingers, and systemic symptoms. Prednisone 40 mg daily for a week and then 60 mg daily for another week reduced the lesions by 80% and the pain by 50%. Although prednisone 60 mg daily was continued for one more week and then stopped, thalidomide was started at a dose of 300 mg daily for 4 weeks and then reduced gradually, which led to complete resolution. Conclusion: At the 7½-month follow-up, the patient remained completely asymptomatic.

A Case Report of a 20-year Clinical Follow-up of Porcelain Laminate Veneer Restorations

2009 ◽  
Vol 34 (5) ◽  
pp. 626-630 ◽  
Author(s):  
Y. Katoh ◽  
Y. Taira ◽  
C. Kato ◽  
M. Suzuki ◽  
K. Shinkai
Keyword(s):  
Case Report ◽  
Clinical Relevance ◽  
Gingival Recession ◽  
Tooth Surface ◽  
Porcelain Laminate Veneer ◽  
Clinical Cases

Clinical Relevance Porcelain laminate veneer restorations of tetracycline-stained teeth had sufficient longevity in vivo. But, in long-term clinical cases, re-exposure of the discolored cervical tooth surface is inevitable due to the gingival recession of aging.

scholarly journals Surgical reconstruction of lost papilla around implant with a modified technique: A case report

2018 ◽  
Vol 8 (2) ◽  
pp. 67-72
Author(s):  
Mahdi Faraji ◽  
Andre Van Zyl
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Clinical Application ◽  
Surgical Reconstruction ◽  
Modified Technique ◽  
Black Triangle ◽  
Coronally Advanced Flap ◽  
Flap Procedure

This case report describes the clinical application of the coronally advanced flap procedure associated with the subepithelial connective tissue pedicle graft with palatal tunneling for the reconstruction of interproximal papillae. In this modified technique the distal end of the pedicle graft was divided into two parts, creating a bifid, which were then placed around the abutment and sutured on the facial aspect. This technique resulted in the filling up of the entire black triangle, coverage of gingival recessions on adjacent teeth, a significant improvement in the emergence profile of the implant-supported restoration, and obvious esthetic improvement

When Gingival Recession Is Rescued By Periodontal Plastic Surgery: A Clinical Case Report

2017 ◽  
Vol 2 (2) ◽  
Keyword(s):  
Case Report ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Root Surface ◽  
Root Coverage ◽  
Patient Reported ◽  
Term Evaluation ◽  
Periodontal Plastic Surgery

Gingival recession is the most common mucogingival defect. It is characterized by the exposure of the tooth root surface resulting from displacement of the gingival margin below the cementoenamel junction. The denuded root surfaces compromise dental and gingival aesthetics with dentine hypersensitivity, caries proclivity, cervical abrasion and oral hygiene disability. When deciding root coverage, settled surgical techniques have been proposed and each procedure challenges to expand on limitations of the others. The purpose of this case report is to assess the esthetic correction of localized gingival recession using combined coronally positioned flap with connective tissue graft techniques. Long term evaluation, extended to two years after surgical treatment, is performed. The part of the prophylactic management to prevent potential future recessions is also enhanced. Significant increasing in keratinized and attached gingival tissues and reduction of height and width of recession were obtained. Gain of root coverage was 100% with great improvement in attachment level. Prevention of recession was accomplished and the results were stable after two years follow up. Patient-reported outcomes were satisfaction and esthetic appearance.

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

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.

scholarly journals Long term efficacy of root coverage techniques

2021 ◽  
Vol 6 (2) ◽  
pp. 79-87
Author(s):  
V.S.Ananya Sweta ◽  
Jananni Muthu ◽  
B Pratebha ◽  
R Saravana Kumar
Keyword(s):  
Periodontal Disease ◽  
Gingival Recession ◽  
Cochrane Library ◽  
Mechanical Trauma ◽  
Root Coverage ◽  
Coronally Advanced Flap ◽  
Term Efficacy ◽  
Long Term Follow Up

Gingival recession is a dramatic soft tissue finding in teeth affected by periodontal disease and remains one of the most common aesthetic concerns associated with periodontal tissue. The etiology of the condition is multifactorial but is commonly associated with alveolar morphology, tooth brushing, mechanical trauma and periodontal disease. With greater understanding of the dynamics of healing along with an awareness of aesthetics various periodontal procedures have been introduced to deal with problems of gingival recession. The long-term stability of the outcomes obtained with the surgical treatment of single and multiple gingival recessions has been evaluated in a few studies. Of the vast repertoire of mucogingival procedures for gingival recession management, long term studies of more than 5 years is present only for coronally advanced flap with or without connective tissue grafts. There are many other novel techniques in literature with little or no evidence to prove its long term efficacy. Various studies published during the last 30 years were identified through a search of the PubMed/Medline, Science Direct and Cochrane Library databases. “Follow up”, “root coverage”, root coverage procedures, root coverage techniques were the key words used for the search. In this review we have grouped the efficacy of various root coverage techniques based on their short and long term follow up. The review emphasises the value of meticulous follow up in order to validate efficacy of root coverage techniques. It also discusses the factors responsible for stability of results.

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