scholarly journals Exploring the Gingival Recession Surgical Treatment Modalities: A Literature Review

2018 ◽  
Vol 6 (4) ◽  
pp. 698-708 ◽  
Author(s):  
Mirsad Shkreta ◽  
Aneta Atanasovska-Stojanovska ◽  
Blerta Dollaku ◽  
Zlatanka Belazelkoska

Gingival recessions present complex soft tissue pathology, with a multiple aetiology and a high prevalence which increases with age. They are defined as an exposure of the root surface of the teeth as a result of the apical migration of the gingival margin beyond the cementum-enamel junction, causing functional and aesthetic disturbances to the affected individuals. Aiming to ensure complete root coverage and satisfying aesthetic outcomes, a wide range of surgical techniques have been proposed through the decades for the treatment of the gingival recessions. The following literature review attempts to provide a comprehensive, structured and up-to-date summary of the relevant literature regarding these surgical techniques, aiming to emphasise for each technique its indications, its long-term success and predictability, its advantages and disadvantages about each other.

Author(s):  
Ena Sharma ◽  
Amit Lakhani ◽  
Rasveen Kaur ◽  
Ravneet Kaur

This case series reports the various treatment modalities to treat the multiple recessions. Gingival recession is a widespread clinical manifestation affecting single or multiple root surfaces at all teeth types. Periodontal reconstructive surgery consists of various mucogingival procedures. The primary goal of these procedures is to benefit periodontal health through the reconstruction of lost hard and soft tissues, or by preventing its additional loss, and also enhancing the esthetic appearance. Platelet-rich fibrin is a second generation platelet concentrate and is defined as an autologous leukocyte and platelet-rich fibrin biomaterial. Care was taken not to extend the incisions till the tip of the interdental papilla. A full thickness mucoperiosteal flap was reflected, extending beyond the mucogingival junction. A wide range of surgical techniques has been proposed for the treatment of the gingival recessions, each with its advantages and disadvantages. To provide predictable and long-term results, it is of paramount importance that the surgical technique is individually selected, taking into account several crucial factors such as the size of the defect, the width of the keratinised gingiva apical to the defect and the thickness of the flap.


2020 ◽  
Vol 8 (2) ◽  
pp. 43
Author(s):  
Anette Stájer ◽  
Szilvia Kajári ◽  
Márió Gajdács ◽  
Aima Musah-Eroje ◽  
Zoltán Baráth

The significant growth in scientific and technological advancements within the field of dentistry has resulted in a wide range of novel treatment modalities for dentists to use. Photodynamic therapy (PDT) is an emerging, non-invasive treatment method, involving photosensitizers, light of a specific wavelength and the generation of singlet oxygen and reactive oxygen species (ROS) to eliminate unwanted eukaryotic cells (e.g., malignancies in the oral cavity) or pathogenic microorganisms. The aim of this review article is to summarize the history, general concepts, advantages and disadvantages of PDT and to provide examples for current indications of PDT in various subspecialties of dentistry (oral and maxillofacial surgery, oral medicine, endodontics, preventive dentistry, periodontology and implantology), in addition to presenting some images from our own experiences about the clinical success with PDT.


Meccanica ◽  
2020 ◽  
Vol 55 (10) ◽  
pp. 1949-1974
Author(s):  
Marco Negri ◽  
Domenica Mirauda ◽  
Stefano Malavasi

Abstract Vortex-induced vibrations (VIV) in systems with more than one degree of freedom often present complex synchronization among the motion components, also hidden by the randomness that characterizes the motion itself. A phase average method has been here developed and applied to the displacements of a tethered sphere, at low mass and damping, to analyze its xy trajectories over a wide range of reduced velocities, 5 ≤ U* ≤ 25 (Reynolds numbers, 5.1 × 103 ≤ Re ≤ 2.67 × 104). This method has allowed the identification of both the periodic and chaotic contribution of each motion component, accurately reconstructing the underlying trajectory periodic pattern. The two classical vibration modes, I and II, have been also observed. The method developed here was able to better rebuild the experimental data compared to other methods found in the relevant literature, providing useful insights into the study of the dynamic response of a freely-oscillating tethered sphere immersed in a steady flow.


2004 ◽  
Vol 12 (3) ◽  
pp. 250-255 ◽  
Author(s):  
Milena Guerreiro Marini ◽  
Sebastião Luiz Aguiar Greghi ◽  
Euloir Passanezi ◽  
Adriana Campos Passanezi Sant'Ana

The gingival recession was assessed in 380 adult individuals aged more than 20 years and comprised both subjects being treated and looking for treatment at Bauru Dental School. Clinical evaluation was conducted by a single examiner in all teeth and involved analysis of four dental aspects (mesial, buccal, distal and lingual). The gingival recession was regarded as present whenever more than 1mm of root surface was exposed, and its vertical width was measured in millimeters from the cementoenamel junction to the gingival margin. The recessions were further scored following the criteria suggested by Miller in 1985. Gingival recession was observed in at least one dental surface in about 89% of the individuals analyzed. The prevalence, extension and severity of this clinical aspect increased with age. Class I recessions were the most frequent, yet there was a gradual increase of Class III and IV recessions as older subjects were evaluated. The mandibular teeth displayed more surfaces with gingival recession than the maxillary teeth and the mandibular incisors were the most affected teeth. Such high prevalence of gingival recession in adult patients demonstrates that dental professionals should provide attention to the clinical relevance of such alterations, as well as to the diagnosis of the etiologic factors.


2016 ◽  
Vol 40 (0) ◽  
pp. 47-69
Author(s):  
Natalia Tomczewska-Popowycz

Purpose. The purpose of the study is to explore the challenges of defining what is commonly known as “ethnic tourism” or “sentimental tourism”. Provided here is a review, comparison, integration and systematization of the definitions of the phenomenon, its facets and characteristics. In particular, such variations as “nostalgic tourism”, “diaspora tourism”, “roots tourism”, “genealogy tourism” and others, are subjected tocomparative analysis. Based on the review, typology and hierarchy of the definitions are offered. Method. The study is based on a systemic literature review, and qualitative and frequency analysis of the definitions of the phenomenon. The literature search was not limited to publications by Polish authors, but included relevant literature on the topic in Ukrainian, Russian and English languages. The author is a native-speaker of Ukrainian and Russian, which is why the author presents his own translations of definitions in the article, while the translations from English language were consulted with other native-speakers. The systemic trends in the focus and content of definitions were analyzed with respect to temporal (changes over time) and geographical (regional differences) variation. Findings. The result is a division of the definitions, rankings based on their popularity, and a description of the trends in various locations and at different periods. Important nuanced differences in the definitions are pointed out to more precisely describe different facets of the phenomenon. Research limitations and conclusions. The study is mainly focused on the papers of Eastern European authors with reference to English-language literature. Practical implications. Sentimental tourism is a growing phenomenon. Due to the early fragmentation of literature, a wide range of definitions has been introduced leading to confusion and the improper use of terms. As a result, conduting searches, linking studies and analyzing the literature has become very difficult. The present study brings order to the field, thereby providing a solid foundation for integrating and systemizing the literature. A division of the definitions and a clear differentiation of their nuanced meanings will aid future researchers in more precisely defining the phenomena and consolidating the literature. Originality. Despite the existence of a large body of research on what is known as sentimental tourism, the present study is the first attempt to introduce clarity to the fragmented and conflicting definitions of the phenomenon. Type of paper. Integrative literature review involving conceptual and quantitative analysis.


2018 ◽  
Vol 12 (1) ◽  
pp. 520-528
Author(s):  
Jaume Miranda-Rius ◽  
Lluís Brunet-Llobet ◽  
Eduard Lahor-Soler

Introduction: Orofacial pain of periodontal origin has a wide range of causes, and its high prevalence and negative effect on patients' quality of life make intervention mandatory. This review provides a periodontological overview of the field of orofacial pain, focusing on the entities which involve the periodontal tissues and may be the cause of this pain or discomfort. Methods: The study comprised a literature search of these pathologies conducted in the MEDLINE/PubMed Database. Acute infectious entities such as gingival and periodontal abscesses are emergencies that require a rapid response. Periodontitis associated with endodontic processes, necrotizing periodontal disorders, desquamative gingivitis, gingival recession, and mucogingival herpetic lesions, cause mild to severe pain due to tissue destruction and loss. Other lesions that lead to periodontal discomfort include gingival enlargement and periodontal ligament strains associated with occlusal trauma, parafunctional habit and the impaction of food or foreign bodies. Conclusion: A range of therapeutic, pharmacological and surgical alternatives are available for the management of these injuries. However, the wide variety of causes of orofacial pain or periodontal discomfort may confuse the clinician during diagnosis and may lead to the wrong choice of treatment.


2020 ◽  
Vol 12 (2) ◽  
pp. 91-95
Author(s):  
Mohammad Ahmad Javaid ◽  
Aamna Sohail ◽  
Raafay Ahmed

Gingival recession defined as the apical migration of the gingival margin leads to the exposure of root surface. This in turn may lead to compromised esthetics, dentine hypersensitivity and attachment loss. Severe gingival recession is typically managed surgically. However, achieving complete root coverage in cases of severe gingival recession, especially in the mandibular canine region is quite challenging. Different surgical techniques have been described in the literature to manage this condition. Tunnelling technique is one such technique which has shown promising results. Use of connective tissue graft with tunnelling technique has demonstrated favorable results in cases with mild to moderate gingival recession. Here we report a case where connective tissue graft was used in conjunction with tunnelling technique to achieve complete root coverage despite severe gingival recession and unfavorable prognosis.


2017 ◽  
Vol 2 (2) ◽  

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.


2018 ◽  
Vol 68 (3) ◽  
pp. 346-353
Author(s):  
Karolina Białoskórska ◽  
Przemysław Szczyrek

Foregoing researches about precision attachments like magnets conclude in significant progress in this field. The aim of this study is cognition of direction of development and possibilities of using this type of precision attachments in overdentures supported by teeth or implants. Furthermore short characteristic of magnet and keeper, including advantages and disadvantages as well as the influence on patient health was introduced. Major advantages as the permanent attractive force, the maintainability of hygiene and easy usage for patients, as well as a wide range of indications cause that magnetic precision attachments are worthy recommendation in nowadays prosthodontics.


2019 ◽  
Vol 133 (4) ◽  
pp. 262-268 ◽  
Author(s):  
S Vandenbroeck ◽  
M Jorissen

AbstractBackgroundEndoscopic septoplasty is an alternative approach for a deviated nasal septum. Since its introduction, numerous techniques have been developed, each with its own advantages and limitations. A literature review is presented, along with our experience with endoscopic spur resection.MethodsThe Medline and Google Scholar databases were searched for relevant literature, and the records of all patients undergoing endoscopic spur resection at the University Hospitals Leuven between 2001 and 2015 were reviewed.Results and conclusionEndoscopic septoplasty offers improved visualisation and the option of limited flap dissection, which are particularly helpful when dealing with isolated spurs, posterior deviations and revision septoplasty. It enhances teaching and improves surgical transition to endoscopic sinus surgery. Reported success and complication rates are comparable to those seen in traditional approaches. Endoscopic spur resection, as conducted at the University Hospitals Leuven, was shown to be a quick, safe and efficient technique when dealing with isolated septal spurs, especially when combined with endoscopic sinus surgery.


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