scholarly journals Papilla Reconstruction: Reclaiming the Lost!

2016 ◽  
Vol 7 (1) ◽  
pp. 19-22
Author(s):  
Mahantesha Sharanappa ◽  
Kranti Konuganti ◽  
Apoorva Kumar ◽  
Rima LNU
Keyword(s):  
Connective Tissue ◽  
Soft Tissues ◽  
Surgical Techniques ◽  
Scar Tissue ◽  
Free Gingival Graft ◽  
Subepithelial Connective Tissue Graft ◽  
Interdental Papilla ◽  
Tissue Grafts ◽  
Esthetic Dentistry ◽  
Modern Era

ABSTRACT Increasing esthetic demands of the modern era has converted modern dentistry to pink and white esthetic dentistry. One of the most difficult goals in the regeneration of the soft tissues is the reconstruction of interdental papilla. A number of techniques have been tried, but the results still lack predictability. Nonsurgical techniques include repeated curettage of the interdental papilla, orthodontic and restorative correction, and hyaluronic acid application, while surgical techniques include pedicle and free gingival graft, connective tissue grafts, and subepithelial connective tissue graft. This article presents a report of two cases where a combination of platelet-rich fibrin (PRF) and pedicle graft was utilized to retain maximum vascularity and minimize scar tissue formation. The atraumatic management of the tissues with a pouch-like design avoids tension and pressure and is critical for the success of the procedure. Adequate fill of the interdental papilla was observed in both the cases and the results were stable up to 6 months. How to cite this article Sharanappa M, Konuganti K, Kumar A, Rima. Papilla Reconstruction: Reclaiming the Lost! J Health Sci Res 2016;7(1):19-22.

scholarly journals Morphological and Molecular Characterization of Human Gingival Tissue Overlying Multiple Oral Exostoses

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Luca Francetti ◽  
Claudia Dellavia ◽  
Stefano Corbella ◽  
Nicolò Cavalli ◽  
Claudia Moscheni ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Soft Tissues ◽  
Surgical Techniques ◽  
Mechanical Stimulus ◽  
Gingival Tissue ◽  
Collagen Turnover ◽  
Cultured Fibroblasts ◽  
Abnormal Growth ◽  
Free Gingival Graft ◽  
Molecular Features

Gingival and osseous augmentations are reported as hypertrophic or hyperplastic reactions to different factors including chronic traumatisms and surgeries such as free gingival graft (FGG) that induce an abnormal growth of both hard and soft tissues in genetically predisposed subjects. Since an imbalance in collagen turnover plays a key role in the development of gingival overgrowth leading to an accumulation of collagen in gingival connective tissue, in this study we described the histological and molecular features of three oral overgrowths obtained from a 34-year-old woman previously operated for FGG in order to evaluate a possible relationship between exostoses and overgrown tissue. Healthy and overgrown gingiva were analyzed by histological methods, and the expression of genes and proteins involved in collagen synthesis, maturation, and degradation was assessed in cultured fibroblasts obtained from gingival fragments at the molecular level. Our results show that general morphology and collagen content were similar in healthy and overgrown gingivae. However, fibroblasts obtained from the overgrown gingiva revealed an anabolic phenotype characterized by an increased collagen turnover and maturation. These findings indicate that an exostosis could act as a mechanical stimulus stretching the overlying connective tissue and triggering an anabolic phenotype of gingival fibroblasts and suggest to use minimally invasive surgical techniques to avoid traumatizing the periosteal tissues for the eradication of the exostosis with minimal relapses.

The Subepithelial Connective Tissue Graft: Part 1. Patient Selection and Surgical Techniques

2005 ◽  
Vol 6 (1) ◽  
pp. 146-162 ◽  
Author(s):  
Lawrence G. Breault ◽  
Lemuel L. Covington ◽  
Barry G. Bishop ◽  
Constance L. Sedon
Keyword(s):  
Connective Tissue ◽  
Patient Selection ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Surgical Approaches ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
Tissue Grafts ◽  
Treatment Alternatives

Abstract Periodontal mucogingival techniques continually evolve. This provides the patient more treatment alternatives for common problems such as gingival recession. General practitioners should be familiar with these techniques in order to identify patients who might benefit from them. Currently, subepithelial connective tissue grafts (SCTG) remain the most reliable techniques used to cover denuded root surfaces. This paper reviews patient selection and the numerous surgical approaches for subepithelial connective tissue grafting. Citation Sedon CL, Breault LG, Covington LL, Bishop BG. The Subepithelial Connective Tissue Graft: Part I. Patient Selection and Surgical Techniques. J Contemp Dent Pract 2005 February;(6)1:146-162.

Pseudoaneurysm of the Greater Palatine Vessel Following Subepithelial Connective Tissue Graft

2019 ◽  
Vol 45 (6) ◽  
pp. 483-485
Author(s):  
Joshua Segal ◽  
Monika Patel ◽  
Henry Woo ◽  
Rachel Pruitt
Keyword(s):  
Connective Tissue ◽  
Donor Site ◽  
Flap Necrosis ◽  
Root Coverage ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Graft Harvest ◽  
Subepithelial Connective Tissue Graft ◽  
Tissue Grafts

Subepithelial gingival connective tissue grafts are a common surgical procedure performed in periodontal and implant surgery. This versatile procedure has many indications including tooth root coverage, thickening of gingiva, and improvement of the quality of the crestal gingiva. Several techniques have been described for graft harvest from the palate. Reported complications from these techniques include pain, inflammation, bleeding, flap necrosis, and infection in the donor site. We report a previously unpublished complication following subepithelial gingival connective tissue graft from the palate: pseudoaneurysm of the greater palatine vessel.

scholarly journals How Thick Is the Oral Mucosa around Implants after Augmentation with Different Materials: A Systematic Review of the Effectiveness of Substitute Matrices in Comparison to Connective Tissue Grafts

2020 ◽  
Vol 21 (14) ◽  
pp. 5043
Author(s):  
Martin Lissek ◽  
Martin Boeker ◽  
Arndt Happe
Keyword(s):  
Systematic Review ◽  
Connective Tissue ◽  
Dental Implants ◽  
Oral Mucosa ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Significant Difference ◽  
Subepithelial Connective Tissue Graft ◽  
Tissue Grafts ◽  
Substitute Materials

This systematic review aimed to assess the effectiveness of xenogeneic collagen matrices (XCMs) and acellular dermal matrices (ADMs) in comparison to connective tissue grafts (CTGs) for the augmentation of oral mucosa around dental implants. MEDLINE and the Web of Science were searched for clinical studies that compared substitute materials for the augmentation of oral mucosa to the subepithelial connective tissue graft around dental implants during or after implantation. The review was conducted according to the recommendations of the PRISMA statement. From an initial search result set of 1050 references, seven articles were included in the review. The study designs were heterogeneous, so no meta-analysis could be performed. Both the CTG and either type of substitute material resulted in increased mucosal thickness. Four studies showed no significant difference, while three demonstrated a significant difference, favoring the CTGs over alternative materials. Soft tissue augmentation around dental implants is a safe procedure and leads to thicker mucosal tissue. The subepithelial connective tissue graft can still be regarded as the gold standard, but substitute materials may be an acceptable alternative in some situations, such as for pain-sensitive patients, among inexperienced surgeons, and for sites with an already thick biotype.

Restoration of the Soft-tissue Margin in Single-tooth Implant in the Anterior Maxilla

2006 ◽  
Vol 32 (6) ◽  
pp. 286-290 ◽  
Author(s):  
Jamil Awad Shibli ◽  
Susana d'Avila
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Surgical Techniques ◽  
Soft Tissue Defect ◽  
Anterior Maxilla ◽  
Grafting Technique ◽  
Single Tooth ◽  
Implant Restoration ◽  
Tissue Grafts ◽  
Single Tooth Implant

Abstract Esthetic requirements for dental implant restoration have arisen in recent years. Despite several surgical techniques that have been developed, the treatment of the peri-implant soft-tissue defect is still difficult. The purpose of this clinical article is to describe a grafting technique using subepithelial connective tissue grafts to recontour soft-tissue margin discrepancy for single-tooth implant restorations in the anterior maxilla. After 2-year follow-up, this procedure shows that the use of connective tissue grafts can be a predictable approach to establish new and stable peri-implant soft-tissue margin.

Surgical Reconstruction of Interdental Papilla Using Subepithelial Connective Tissue Graft (SCTG) with a Coronally Advanced Flap: A Clinical Evaluation of Five Cases

2010 ◽  
Vol 11 (6) ◽  
pp. 49-57 ◽  
Author(s):  
Manohar Bhongade ◽  
Priyanka Jaiswal ◽  
Ishan Tiwari ◽  
Ramesh Chavan ◽  
Pankaj Banode
Keyword(s):  
Connective Tissue ◽  
Surgical Reconstruction ◽  
Horizontal Distance ◽  
Gingival Margin ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Post Surgery ◽  
Subepithelial Connective Tissue Graft ◽  
Interdental Papilla

Abstract Aim The aim of these case reports was to evaluate the effectiveness of a subepithelial connective tissue graft with a coronally advanced flap to reconstruct an interdental papilla. Background In the last decade, esthetics has become a major concern in periodontal therapy. One of the most difficult and elusive goals for the periodontist in the esthetic aspect of periodontal therapy is the reconstruction of the interdental papilla. Consequently, the absence or loss of the interdental papilla for a variety of reasons may create significant esthetic, functional, and phonetic challenges for the patient. Case Description Five systemically healthy patients between the ages of 23 and 52 years with absence of the periodontal pocket were selected. Loss of interdental papillary height was classified using the Nordland and Tarnow classification system as class 1 to 4. All five patients received a subepithelial connective tissue graft (SCTG) with a coronally advanced flap (CAF). Four parameters were measured at baseline and at six months post-surgery: (1) vertical distance from contact point to gingival margin, (2) soft tissue (papilla) height in the interdental area, (3) horizontal distance at the gingival margin, and (4) width of keratinized gingiva. The changes noted at six months post-surgery were (1) the vertical distance decreased from 3.2±0.44 mm to 0.4±0.54 mm, (2) the mean gain in soft tissue (papilla) height increased from 3.2±0.44 mm to 5.8±0.44 mm, (3) the horizontal distance at the gingival margin was reduced from 2.6±0.54 mm to 0.4±0.54 mm and the width of the keratinized gingiva increased 1.4±0.89 mm. Conclusion The periodontal surgical technique used for the five reported cases successfully reconstructed the interdental papilla in just one type of papilla loss, the class I situation. Therefore, it should not be concluded that the technique shown would be equally as successful for every type of papilla loss. Furthermore, the postoperative time interval was short, at only six months. Clinical Significance A subepithelial connective tissue graft supported by a coronally advanced flap should be considered to surgically correct the loss of an interdental papilla in class I cases. Citation Jaiswal P, Bhongade M, Tiwari I, Chavan R, Banode P. Surgical Reconstruction of Interdental Papilla Using Subepithelial Connective Tissue Graft (SCTG) with a Coronally Advanced Flap: A Clinical Evaluation of Five Cases. J Contemp Dent Pract [Internet]. 2010 December; 11(6):049-057. Available from: http://www.thejcdp. com/journal/view/volume11-issue6-jaiswal

scholarly journals USO DE HIPERPLASIA GENGIVAL FIBROSA EM REGIÃO DE TUBER COMO ALTERNATIVA PARA CORREÇÃO DE DEFEITO ALVEOLAR: RELATO DE CASO

2020 ◽  
Vol 12 (2) ◽  
pp. 93-101
Author(s):  
Aline Colnago Ribeiro ◽  
Letícia Melluzzi Babolin da Silva ◽  
Paula Lazilha Faleiros ◽  
Rosalinda Tanuri Zaninotto Venturim
Keyword(s):  
Connective Tissue ◽  
Surgical Techniques ◽  
Prosthetic Rehabilitation ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Future Success ◽  
Donor Area ◽  
Aesthetic Results ◽  
Subepithelial Connective Tissue Graft ◽  
Lip Defect

The various preprosthetic periodontal surgical techniques proposed currently, provide a future prosthetic work with better aesthetic results and functional.The objective of this study was to report a clinical case of periodontal surgery for correction of the defect in the alveolar border, by means of the subepithelial connective tissue graft. Patient presented fibrous hyperplastic growth, in the region of the maxilla túber and lip defect in the region of the upper central incisor. After planning the event,were carried out, concomitantly, two plastic surgeries prosthetic periodontal lunches. In the first surgery, a connective tissue graft was removed from the donor area, the maxila túber and then was adapted in the anterior region, receiving area where the defect of flange. Thoughtout a postoperatory period of 45 days, that the choice of surgical technique, the type of graft used for correction of the defect of rim, were pre-requisites for the future success in aesthetic and functional prosthetic rehabilitation.

scholarly journals Free Gingival Autograft and Subepithelial Connective Tissue Graft for the Treatment of Gingival Recession: A Brief Review and Report of Three Cases

2016 ◽  
Vol 6 (3) ◽  
pp. 225-232
Author(s):  
Seema Yadav ◽  
Jaishree A Rijhwani ◽  
Vineet V Kini
Keyword(s):  
Connective Tissue ◽  
Gingival Recession ◽  
Root Coverage ◽  
Recipient Site ◽  
Advantages And Disadvantages ◽  
Free Gingival Graft ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Attached Gingiva ◽  
Subepithelial Connective Tissue Graft

ABSTRACT Gingival recession is the migration of the free gingival margin apical to the cementoenamel junction. There are various factors contributing toward gingival recession apart from periodontal disease that include faulty tooth brushing, tooth position or malaligned teeth, high muscle or frenal attachment, alveolar bone dehiscence, orthodontic forces, and iatrogenic factors leading to problems of esthetics, hypersensitivity, and root caries. Several periodontal plastic surgical techniques have been introduced in the previous literature aiming to correct marginal tissue recessions, the predictability of which depends upon careful evaluation of the defect type, presence of attached gingiva, keratinized tissue width, and presence of single or multiple gingival recessions. The use of free gingival graft (FGG) and subepithelial connective tissue graft (SCTG) in root coverage is indicated for the treatment of single or multiple gingival recessions. Although both FGGs and SCTGs provide significant reduction in recession depth and clinical attachment gain for Miller's Class I and II gingival recession defects, SCTG seems to offer root coverage with a better color match between donor and recipient site tissue rendering better esthetics. Considering the advantages and disadvantages of FGG and SCTG in root coverage procedures, the following case reports describe the clinical results using FGG by Miller's technique, and using SCTGs by technique of Langer and Langer, and Zabalegui tunnel technique for the treatment of gingival recession. How to cite this article Rijhwani JA, Kini VV, Pereira R, Yadav S. Free Gingival Autograft and Subepithelial Connective Tissue Graft for the Treatment of Gingival Recession: A Brief Review and Report of Three Cases. J Contemp Dent 2016;6(3):225-232.

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