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

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.

scholarly journals Association of subepithelial connective tissue graft and plasma rich-fibrin for treatment of gingival recession – clinical case report with 12 months post-surgical follow-up

RSBO ◽  
2020 ◽  
Vol 17 (1) ◽  
pp. 63-08
Author(s):  
Felipe Rychuv Santos ◽  
Vinícius Zanin Damas ◽  
Thais Nandara Machado ◽  
Thais Oliveira ◽  
Julia Feltrin ◽  
...  
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Surgical Procedure ◽  
Gingival Recession ◽  
Periodontal Tissue ◽  
Dental Clinic ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
Upper Molar

Gum is a portion of periodontal tissue that plays an important role in protecting the surface of the teeth. Its migration beyond the boundaries of the cementum enamel junction, exposing the root of the tooth, is called Gingival Recession (GR) which increases susceptibility to root caries, dentin sensitivity, and aesthetic discomfort. Objective: The main goal of this case report is to describe a surgical procedure that combined the technique of subepithelial connective tissue graft and Plasma-rich fibrin for treatment of gingival recession. Case report: A man, 45 years old, leucoderma, attended the Positive University dental clinic complaining that ‘his gum was rising, and his teeth were sensitive’. Clinical buccal examination was performed according to international guidelines for periodontal data collection and was the man was diagnosed with GR in the region comprising the buccal faces of the first right upper molar to the first right premolar. Before surgical procedure, 60 ml of blood Gum is a portion of periodontal tissue that plays an important role in protecting the surface of the teeth. Its migration beyond the boundaries of the cementum enamel junction, exposing the root of the tooth, is called Gingival Recession (GR) which increases susceptibility to root caries, dentin sensitivity, and aesthetic discomfort. Objective: The main goal of this case report is to describe a surgical procedure that combined the technique of subepithelial connective tissue graft and Plasma-rich fibrin for treatment of gingival recession. Case report: A man, 45 years old, leucoderma, attended the Positive University dental clinic complaining that ‘his gum was rising, and his teeth were sensitive’. Clinical buccal examination was performed according to international guidelines for periodontal data collection and was the man was diagnosed with GR in the region comprising the buccal faces of the first right upper molar to the first right premolar. Before surgical procedure, 60 ml of blood

Use of Subepithelial Connective Tissue Graft for Root Coverage

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.

Histologic and Clinical Study of Gingival Recession Treated with Subepithelial Connective Tissue Graft: A Case Report

2017 ◽  
Vol 37 (1) ◽  
pp. 89-97
Author(s):  
Ana-María García-De-la-Fuente ◽  
Luis Aguirre-Zorzano ◽  
Ruth Estefanía-Fresco ◽  
Laia Roig-Ódena ◽  
José-Manuel Aguirre-Urizar
Keyword(s):  
Case Report ◽  
Clinical Study ◽  
Connective Tissue ◽  
Gingival Recession ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft

scholarly journals Treatment of Gingival Recessions Class II Miller in Lower Jaw with Coronary Advanced Flap and Connective Tissue Graft-Case Report

2020 ◽  
Vol 24 (3) ◽  
pp. 60-64
Author(s):  
Antoaneta Mlachkova ◽  
Zdravka Pashova-Tasseva
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Gingival Recession ◽  
Class Ii ◽  
Root Coverage ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Lower Jaw ◽  
Keratinized Tissue

SummaryBackground/Aim: Gingival recession is defined as apical migration if the gingival margin associated with exposure of the cement - enamel junction. The gingival recessions are major esthetic concern in patients at any age. In cases with esthetic and functional considerations mucogingival surgery is indicated. The advantages of CAF with or without CTG are making this procedure highly recommended in the esthetic zone. The results are predictable about root coverage, widening if the gingival tissues and esthetics. The aim of the recent case report is to demonstrate the succesfull combination of coronally advanced flap with connective tissue graft in the treatment of wide and deep gingival recessions.Case Report: Female patient seeking consultation with great concern” not to lose the lower canines”. She noticed elongation of the teeth in the recent years complained with tenderness while brushing them. The initial examination showed presence of multiple gingival recessions in the upper and the lower jaw. Full periodontal status was taken and following diagnosis was established – dental plaque induced gingivitis, class II gingival recession in teeth #33 and #43 (Miller`s classification), RT1 by Cairo. After cause-related therapy two surgical procedures were performed in separate sessions. Both gingival recessions were surgically treated by means of CAF with CTG.Conclusions: Despite the limitating factors such as lack of keratinized tissue in the patient’s mandible that rather difficult the performance of the technique of choise, the coronally advanced flap with connective tissue graft is predictable technique for full root coverage.

scholarly journals EFFECT OF SMOKING ON THE PERIODONTAL MICROSURGERY TECHNIQUE ON THE TREATMENT OF GINGIVAL RECESSION

2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Renata De Araújo Barbosa ◽  
Mônica Dourado ◽  
Maria Cecília Azoubel ◽  
Roberta Santos Tunes ◽  
Érica Del Peloso Ribeiro ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Gingival Recession ◽  
Root Coverage ◽  
Average Percentage ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Keratinized Tissue ◽  
Probing Depth ◽  
Subepithelial Connective Tissue Graft ◽  
Attachment Level

This paper aims to evaluate the effects of smoking on periodontal microsurgery technique using the subepithelial connective tissue graft (SCTG) for treatment of gingival recession on smokers. 14 patients nonsmokers and 12 smokers were selected, presenting Miller’s Class I and II gingival recession ≥ 2.0 mm. For both groups, the subepithelial connective tissue graft was used with the aid of a surgical microscope. The clinical parameters of width and height of the gingival recession, height and thickness of keratinized tissue, probing depth and clinical attachment level were evaluated before and six months after surgery. At the end of the study, there were obtained an average percentage of 96.66% of root coverage on nonsmokers and 82.49% on smokers (p=0.03). Complete root coverage was observed in 78,57% and 50% of patients, respectively. Therapy can benefit both groups, but smokers have less favorable outcomes to root coverage with periodontal microsurgery using the SCTG.

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