scholarly journals Cirurgia minimamente invasiva x cirurgia convencional na taxa de recobrimento radicular e previsibilidade estética: Uma revisão integrativa

2021 ◽  
Vol 10 (5) ◽  
pp. e17610514314
Author(s):  
Silvano Santos Pinheiro ◽  
Francisco de Assis de Souza Junior ◽  
Isaías Lopes de Medeiros ◽  
Bruno Cesar de Vasconcelos Gurgel ◽  
Euler Maciel Dantas ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Plastic Surgery ◽  
Web Of Science ◽  
Gingival Recession ◽  
Root Coverage ◽  
Minimally Invasive Surgical ◽  
Periodontal Plastic Surgery

A cirurgia minimamente invasiva (CMI), é um termo que descreve procedimentos cirúrgicos pouco invasivos com ou sem instrumentos de ampliação, porém ainda não existe evidência científica se existe maior previsibilidade estética e de taxa de recobrimento radicular nas CMI em relação a cirurgia para recobrimento radicular convencional. Desta forma, foi realizada uma revisão integrativa da literatura utilizando-se a seguinte estratégia de busca: (microsurgery OR surgical AND minimally invasive surgical OR surgery AND gingival recession AND periodontal plastic surgery OR surgical AND root coverage). nas bases de dados SciELO, PubMed, Scopus, Web of Science, Science Direct, BVS e Google Acadêmico utilizando-se de artigos publicados entre os períodos de 2011 à 2019. No total foram encontrados 546 artigos e após a seleção mediante os critérios de inclusão permaneceram 05 artigos para o estudo, todos ensaios clínicos randomizados. As informações avaliadas dos artigos foram seus objetivos, tamanho da amostra, técnicas cirúrgicas realizadas, o tempo de acompanhamento e os resultados e conclusão. Com base nas análises, pode-se concluir que a CMI não necessita do uso de instrumentos de magnificação. A tunelização realizada para recobrimento radicular proporciona melhores resultados como ganho tecidual e estético em relação ao Retalho tracionado coronalmente (RTC), principalmente para as classes I e II de Miller. O uso de enxerto conjuntivo associado a CMI aumentou a previsibilidade de resultados satisfatórios.

scholarly journals Free Gingival Autograft for Augmentation of Keratinized Tissue and Stabilization of Gingival Recession - 2 Case Reports

2016 ◽  
Vol 04 (02) ◽  
pp. 126-130
Author(s):  
Hemant Gupta ◽  
Sangeeta Aggarwal ◽  
Ruby Singla ◽  
Sumit Kochhar ◽  
Sukhvinder Kaur
Keyword(s):  
Plastic Surgery ◽  
Treatment Modality ◽  
Current Practice ◽  
Case Reports ◽  
Gingival Recession ◽  
Class I ◽  
Root Coverage ◽  
Keratinized Tissue ◽  
Periodontal Plastic Surgery ◽  
Functional Problems

AbstractIn the current practice of periodontics, clinicians are faced with the challenge of not only addressing biological and functional problems present in the periodontium, but also providing therapy that results in acceptable aesthetics. The presence of mucogingival problems and gingival recession around anterior, highly visible teeth exemplifies a situation in which a treatment modality that addresses both biological and aesthetic demands is required from the therapist. Periodontal plastic surgery procedures are performed to resolve these mucogingival problems. This paper presents two cases of gingival recession (Miller's class I and class II) successfully treated with complete root coverage by free gingival autografts.

Gingival Thickness and Outcome of Periodontal Plastic Surgery Procedures: A Meta-regression Analysis

2020 ◽  
pp. 238008442094217
Author(s):  
L. Paternò Holtzman ◽  
G. Blasi ◽  
E. Rivera ◽  
F. Herrero ◽  
K. Downton ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Plastic Surgery ◽  
Secondary Outcome ◽  
Root Coverage ◽  
Tissue Thickness ◽  
Gingival Thickness ◽  
Soft Tissue Thickness ◽  
Periodontal Plastic Surgery ◽  
The Impact

Objective: To evaluate the impact of soft tissue thickness (STT) on root coverage achieved with different periodontal plastic surgery procedures. Background: Gingival recession has been managed successfully through various surgical approaches, with great variability in outcomes. Anatomic characteristics of the recipient site and selected technique account in part for this variability. Gingival flap thickness is one of the most critical site-related characteristics. Methods: An electronic search was conducted on the major databases (PubMed, Embase, Web of Science). Human prospective studies with at least 6 mo of follow-up and with a numeric baseline measurement for gingival thickness were eligible. Only studies including nonsmoking patients were considered. Variables included surgical approach, participant characteristics, local anatomic factors, and follow-up time. Primary outcome was mean percentage root coverage (%RC) achieved, and complete root coverage was a secondary outcome. Results: A total of 42 studies were included (35 randomized controlled trials, 5 case series, 1 prospective cohort study, and 1 controlled clinical trial). Across studies, the pooled %RC was 81.9% (95% CI, 79.1% to 84.7%). The %RC was not significantly associated ( P = 0.267) with baseline soft tissue thickness; however there was a significant ( P = 0.031) inverse relationship between STT and %RC after 12-mo follow-up. Subgroup analysis showed that for no graft, there was a significant ( P = 0.025) positive relationship between STT and %RC with the exclusion of the single outlier study based on STT. Conclusions: STT plays a limited role in predicting root coverage across all approaches; when flaps are performed with no graft, the effect of STT is most critical. The length of time following surgery appears to influence outcomes, with 12-mo follow-up offering greater insight. Knowledge Transfer Statement: The results of this study can suggest to clinicians which periodontal plastic surgery technique to employ when treating challenging cases. In particular, it can be helpful when selecting the treatment approach to treat thin phenotype sites. This study could help clinicians provide a more appropriate treatment decision in such cases.

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 Surgical management of gingival recession using autogenous soft tissue grafts

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Peter Windisch ◽  
Balint Molnar
Keyword(s):  
Soft Tissue ◽  
Plastic Surgery ◽  
Gold Standard ◽  
Standard Treatment ◽  
Treatment Approach ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Tissue Grafts ◽  
Periodontal Plastic Surgery ◽  
Soft Tissue Grafts

Abstract One of the chief goals of periodontal plastic surgery is establishment of ideal pink esthetics through the reconstruction of gingival recessions. A gold standard treatment approach for coverage of gingival recession with predictable esthetic outcomes is the transplantation of autogenous soft tissue grafts. Various surgical techniques can be used in combination with autogenous soft tissue grafts for gingival recession coverage.

scholarly journals A new digital evaluation protocol applied in a retrospective analysis of periodontal plastic surgery of gingival recessions

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Tiago Marques ◽  
N. M. Santos ◽  
Joana Fialho ◽  
J. Montero ◽  
A. Correia
Keyword(s):  
Connective Tissue ◽  
Plastic Surgery ◽  
Invasive Technique ◽  
Root Coverage ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Evaluation Protocol ◽  
Digital Evaluation ◽  
Periodontal Plastic Surgery

AbstractThis research aimed to develop a new digital evaluation protocol to objectively quantify the volumetric changes of root coverage periodontal plastic surgery when combined with connective tissue graft. Consecutive patients with Cairo recession type 1 (RT1) or Cairo recession type 2 (RT2) were treated. Accurate study models obtained at baseline and follow-ups were optically scanned. Healing dynamics were measured by calculating volume differences between time points. Nineteen patients were treated between December 2014 and January 2019. At 3-month follow-up, root coverage was 95.6% (± 14.5%) with tunnel and connective tissue graft (TUN + CTG) technique, and 88.9% (± 20.5%) with the vestibular incision subperiosteal tunnel access and connective tissue graft (VISTA + CTG) technique. Recession decreased 1.33 (± 0.86) mm and 1.42 (± 0.92) mm, respectively (p = 0.337). At 6-month follow-up, root coverage was 96.5% (± 10.4%) with the TUN + CTG and 93.9% (± 10.3%) with the VISTA + CTG. Recession decreased 1.35 (± 0.85) mm and 1.45 (± 0.82) mm, respectively (p = 0.455). Complete root coverage was achieved in 86.7% (± 0.4%) with TUN + CTG and 70.6% (± 0.5%) with VISTA + CTG. No statistically significant differences were found between techniques. The digital protocol presented proved to be a non-invasive technique for accurate measurements of clinical outcomes. Both techniques reduce gingival recessions, with no statistically significant differences.

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