Clinical evaluation of Class II and Class III gingival recession defects of maxillary posterior teeth treated with pedicled buccal fat pad: A pilot study

ABSTRACTAim of study: The aim of this study was to Compare the effectiveness of Non-pedicled buccal fat pad versus Platelet rich fibrin in treatment of Miller class II gingival recession using vistubular Incision Subperiosteal Tunnel Access TechniquePatients and methods:This study was conducted on 40 patients with class II gingival recession in anterior or premolar segment. The entire patients were selected from the out patient clinic of the Oral Medicine, Oral Diagnosis, and Periodontology Department. Faculty of Dentistry, Minya University.Forty patients with gingival recession class II were divided randomly into two groups:Group I: (20 defect) using VISTA technique with Non- pedicled buccal fat pad (NPBFP), Group II: (20 defect) using VISTA technique with platelet rich fibrin (PRF).Results: In both groups all clinical parameters were statistically significant from pre-operative period till 6 months follow up period. In the comparison between the two groups after 6 months follow up period, there were no statistically significant difference between two groups regarding all clinical parameters except percentage of root coverage; there was significant increase in percentage of root coverage after 3 and 6 months follow up period in group II with p value was less than 0.05.Conclusion: Both PRF membrane and NPBFP are effective in the management of Class II gingival recession defects using VISTA technique. PRF group has better results regarding percentage of root coverage than NPBPF group after 3 and 6 months follow up.

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Evaluation of root coverage with pedicled buccal fat pad in class III and class IV gingival recession defects

Journal of Family Medicine and Primary Care ◽

10.4103/jfmpc.jfmpc_1104_19 ◽

2020 ◽

Vol 9 (3) ◽

pp. 1656

Author(s):

K Monika ◽

Lokesh Sunkala ◽

N Sandeep ◽

K Keerthi ◽

BVimal Bharathi ◽

...

Keyword(s):

Gingival Recession ◽

Class Iii ◽

Root Coverage ◽

Fat Pad ◽

Buccal Fat Pad ◽

Class Iv

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Two-Year Clinical Evaluation of Pedicled Buccal Fat Pad Alone and with Emdogain for Root Coverage of Severe Gingival Recession Defects: A Case Series

The International Journal of Periodontics & Restorative Dentistry ◽

10.11607/prd.2630 ◽

2017 ◽

Vol 37 (6) ◽

pp. 901-907

Author(s):

Sally El-Haddad ◽

Mohammad El-Shall

Keyword(s):

Clinical Evaluation ◽

Case Series ◽

Gingival Recession ◽

Root Coverage ◽

Fat Pad ◽

Buccal Fat Pad

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Tratamento de fístula bucosinusal após exodontia com corpo adiposo da bochecha e retalho vestibular em paciente diabético: relato de caso

ARCHIVES OF HEALTH INVESTIGATION ◽

10.21270/archi.v9i3.4801 ◽

2020 ◽

Vol 9 (3) ◽

Author(s):

Rodrigo Capalbo-Silva ◽

Hiskell Francine Fernandes e Oliveira ◽

Henrique Hadad ◽

Bruno Coelho Mendes ◽

Breno dos Reis Fernandes ◽

...

Keyword(s):

Advancement Flap ◽

Rational Approach ◽

Collagen Membrane ◽

Fat Pad ◽

Buccal Fat Pad ◽

Posterior Teeth ◽

Oroantral Fistula ◽

Surgical Options ◽

Odontogenic Sinusitis ◽

Oroantral Communication

A comunicação bucosinusal trata-se da comunicação não natural da cavidade bucal com o seio maxilar, estando muitas vezes relacionada a extração dos dentes superiores posteriores. A literatura apresenta diversas opções de tratamento para esses casos, entre eles o fechamento com o retalho pediculado com o corpo adiposo bucal. O objetivo deste trabalho foi relatar um caso de fístula bucosinusal em paciente diabético, discutindo alternativas cirúrgicas correlacionadas com problema sistêmico do paciente e características locais do defeito. Paciente do sexo masculino, 55 anos de idade, com histórico de dez dias de exodontia do elemento 27, com queixa de passagem de ar ao meio bucal através do sítio cirúrgico. Com base nos exames, o diagnóstico definitivo foi de comunicação bucosinusal, sendo estipulado o tratamento cirúrgico para o fechamento da comunicação através de duas camadas com o corpo adiposo da bochecha seguido do retalho vestibular. No acompanhamento de 8 meses e meio o paciente não apresenta queixas e pode-se observar o fechamento completo da comunicação bucosinusal. O retalho pediculado do corpo adiposo bucal seguido do retalho vestibular mostrou-se efetivo no tratamento da fístula bucosinusal em paciente diabético controlado.Descritores: Fístula Bucoantral; Cirurgia Bucal; Diabetes Mellitus.ReferênciasLozano-Carrascal N, Salomó-Coll O, Gehrke SA, Calvo-Guirado JL, Hernández-Alfaro F, Gargallo-Albiol J. Radiological evaluation of maxillary sinus anatomy: A cross-sectional study of 300 patients. Ann Anat. 2017;214:1-8.Jang JK, Kwak SW, Ha JH, Kim HC. Anatomical relationship of maxillary posterior teeth with the sinus floor and buccal cortex. J Oral Rehabil. 2017;44(8):617-25. Khandelwal P, Hajira N. Management of Oro-antral Communication and Fistula: Various Surgical Options. World J Plast Surg. 2017;6(1):3-8.Parvini P, Obreja K, Begic A, et al. Decision-making in closure of oroantral communication and fistula. Int J Implant Dent. 2019;5(1):13.Lin PT, Bukachevsky R, Blake M. Management of odontogenic sinusitis with persistent oro-antral fistula. Ear Nose Throat J. 1991;70(8):488-90.Al-Juboori MJ, Al-Attas MA, Magno Filho LC. Treatment of chronic oroantral fistula with platelet-rich fibrin clot and collagen membrane: a case report. Clin Cosmet Investig Dent. 2018; 10:245-49.Kiran Kumar Krishanappa S, Eachempati P, Kumbargere Nagraj S, Shetty NY, Moe S, Aggarwal H et al. Interventions for treating oro-antral communications and fistulae due to dental procedures. Cochrane Database Syst Rev. 2018;8(8):CD011784. Darr A, Jolly K, Martin T, Monaghan A, Grime P, Isles M et al. Three-layered technique to repair an oroantral fistula using a posterior-pedicled inferior turbinate, buccal fat pad, and buccal mucosal advancement flap. Br J Oral Maxillofac Surg. 2018;56(7):638-39.Parvini P, Obreja K, Sader R, Becker J, Schwarz F, Salti L. Surgical options in oroantral fistula management: a narrative review. Int J Implant Dent. 2018;4(1):40. Lin PT, Bukachevsky R, Blake M. Management of odontogenic sinusitis with persistent oro-antral fistula. Ear Nose Throat J. 1991;70(8):488-90.Borgonovo AE, Berardinelli FV, Favale M, Maiorana C. Surgical options in oroantral fistula treatment. Open Dent J. 2012;6:94-8.Ribeiro FS, de Toledo CT, Aleixo MR, Durigan MC, Silva WC, Bueno SK et al. Treatment of Oroantral Communication Using the Lateral Palatal Sliding Flap Technique. Case Rep Med. 2015;2015:730623.Erdoğan O, Esen E, Ustün Y. Bony palatal necrosis in a diabetic patient secondary to palatal rotational flap. J Diabetes Complications. 2005;19(6):364-67.Tideman H, Bosanquet A, Scott J. Use of the buccal fat pad as a pedicled graft. J Oral Maxillofac Surg. 1986;44(6):435-40.Yang S, Jee YJ, Ryu DM. Reconstruction of large oroantral defects using a pedicled buccal fat pad. Maxillofac Plast Reconstr Surg. 2018; 40(1):7.Raldi FV, Sardinha SCS, Albergaria-Barbosa JR. Fechamento de comunicação bucossinusal usando enxerto pediculado com corpo adiposo bucal. BCI. 2000;7(25):60-3.Poeschl PW, Baumann A, Russmueller G, Poeschl E, Klug C, Ewers R. Closure of oroantral communications with Bichat's buccal fat pad. J Oral Maxillofac Surg. 2009;67(7):1460-66.Batra H, Jindal G, Kaur S. Evaluation of different treatment modalities for closure of oro-antral communications and formulation of a rational approach. J Maxillofac Oral Surg. 2010;9(1):13-8. Weinstock RJ, Nikoyan L, Dym H. Composite three-layer closure of oral antral communication with 10 months follow-up-a case study. J Oral Maxillofac Surg. 2014;72(2):266.e1-266.e2667.Candamourty R, Jain MK, Sankar K, Babu MR. Double-layered closure of oroantral fistula using buccal fat pad and buccal advancement flap. J Nat Sci Biol Med. 2012;3(2):203-5.

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Comparative evaluation of Tweed's analyses in Class I, Class II, and Class III participants of Central India: A pilot study

International Journal of Orthodontic Rehabilitation ◽

10.4103/ijor.ijor_9_19 ◽

2019 ◽

Vol 10 (2) ◽

pp. 70

Author(s):

Shail Kumari ◽

ShirishM Bapat ◽

Kshitij Gupta ◽

Bosco Thomas

Keyword(s):

Pilot Study ◽

Comparative Evaluation ◽

Central India ◽

Class Ii ◽

Class I ◽

Class Iii

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Study Of The Efficacy Of Pedicled Buccal Fat Pad Graft Technique In The Management Of Oro-Antral Communications

International Journal of Dentistry Research ◽

10.31254/dentistry.2020.5103 ◽

2020 ◽

Vol 5 (1) ◽

pp. 7-13

Author(s):

Natashekara Mallesh ◽

◽

Mysuru Vasudevamurthy Akshatha ◽

Hussameldien Hussien ◽

◽

...

Keyword(s):

Clinical Study ◽

Minimal Risk ◽

Graft Material ◽

Fat Pad ◽

Buccal Fat Pad ◽

Posterior Teeth ◽

Recipient Site ◽

Reliable Technique ◽

Skilled Operator ◽

Posterior Maxilla

Background of the study: Oro-antral communication is a complication associated with extraction of maxillary posterior teeth, surgeries of the maxillary sinus or pathologies associated with the sinus or the posterior maxilla. Such abnormal communications need to be repaired at the earliest, to maintain oral and nasal complex harmony and to prevent undue complications thereafter. These communications can be repaired by various methods, one of those being buccal fat pad pedicled graft technique which will be clinically evaluated and critically discussed in this paper. The pre-operative, immediate and post-operative measures followed, the eligibility criteria chosen and the duration of follow up period will formulate the outline for the study. A careful assessment of the criteria, clinical signs and healing is noted, to establish the outcome of the technique. Aim: The aim of this clinical study is to evaluate the effectiveness of buccal fat pad pedicled graft technique for closure of Oro-antral communications. The purpose of choosing this method is easy availability of the graft near to the recipient site, ease of technique for the surgeon, reliable technique and predictable outcome of the treatment. The effectiveness of the procedure and its predictability, in comparison to other methods is dealt in detail below. Methods: An observational study to evaluate the effectiveness of a surgical technique to repair oro-antral communications wherein the pedicled buccal fat pad is used as a graft material. 20 patients with OAC, who were presented to the department of Oral & Maxillofacial surgery, VS Dental College & Hospital, Bangalore were recruited for the study. The clinical study was conducted in accordance with the protocol and the results were evaluated on the basis of patient’s comfort towards the procedure, ease of the technique, healing time, post-operative complications and recurrence rate of the communication. The details of the technique and a review of the previous studies published were discussed in detail, to form a relevant summary. Results: The technique was found to be more effective and convenient to both the patient and operator, owing to its ease of performing, minimal risk of complications from the grafted site and the harvest site and predictable healing. Conclusions: The technique is easiest among the various methods recommended so far, pertaining to the procedure and predictability. Although, the training and experience of a skilled operator is equally important in achieving the best results.

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Treatment of Miller Class I Gingival Recession with Using Nonpedicle Adipose Tissue after Bichectomy Surgical Technique: A Case Report

Case Reports in Dentistry ◽

10.1155/2019/1049453 ◽

2019 ◽

Vol 2019 ◽

pp. 1-5

Author(s):

Carmen Lucia Mueller Storrer ◽

Leonardo Luiz Muller ◽

Janes Francio Pissaia ◽

Carla Frehner Andrade ◽

Claudia Roberta Tenório Trevisani ◽

...

Keyword(s):

Case Report ◽

Oral Mucosa ◽

Gingival Recession ◽

Class I ◽

Surgical Removal ◽

Fat Pad ◽

Buccal Fat Pad ◽

Recipient Site ◽

Oral Health Problem ◽

To Receive

Gingival recession is an oral health problem that affects a large part of the population. Several treatments are suggested in the current literature; among them is the use of buccal fat pad grafting. The objective of this case report is to describe the treatment of a Miller Class I gingival recession using a nonpedicled buccal fat pad graft immediately after performing the surgery for buccal fat pad removal (bichectomy technique). First, bilateral surgical removal of the buccal fat pad was performed with the main objective of eliminating oral mucosa biting. The recipient site was prepared to receive a portion of the fat pad that was cut and macerated in a size that was sufficient to cover the recession. The patient was followed up at 15, 30, 60, and 365 days postsurgery, and the results showed an elimination of the oral mucosa biting and complete coverage of the gingival recession. It was concluded that the nonpedicled buccal fat pad graft is another option for the treatment of Miller Class I recessions.

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