scholarly journals Lateral Pedicle Graft Procedure for the Treatment of Isolated Tooth Recession- A Case Report

2021 ◽  
Vol 6 (2) ◽  
pp. 9-13
Author(s):  
Neelam Rana ◽  
Sachit Anand Arora ◽  
Rupali Kalsi
Keyword(s):  
Case Report ◽  
Gingival Recession ◽  
Root Coverage ◽  
Esthetic Surgery ◽  
Pedicle Flap ◽  
Recipient Site ◽  
Keratinized Tissue ◽  
Single Tooth ◽  
Tissue Grafts ◽  
Root Surfaces

Gingival recession is defined as the apical migration of the gingival margin from its physiologic level which further causes pathologic exposure of root surfaces. Mucogingival esthetic surgery includes the treatment of mucogingival esthetic alterations. The Mucogingival problems may be caused by gingival recession which is often associated with non-carious cervical lesion or by root caries or by altered passive eruption. Root coverage is achieved by many procedures like free gingival autografts, pedicle graft and connective tissue grafts. Recession can be treated by surgical or non-surgical means. surgical procedure includes various methods of increasing the width of keratinized tissue such as frenectomy in case of high frenal attachment & root coverage procedures and nonsurgical approach include-restorations, crowns, veneers and gingival masks. Lateral displaced pedicle flap was first described by Grupe and Warren in 1956 which was indicated in area to cover isolated apical migration of gingiva, & denuded root surfaces that have adequate amount of donor tissue adjacent to the recipient site. In few clinical studies it is seen that the success rate with Lateral pedicle graft is 70%, it is preferred over free gingival autografts in narrow and shallow gingival defects. This case report present the predictability of root coverage by using Lateral pedicle grafts in single tooth narrow and shallow gingival recession. Keywords: Lateral pedicle graft, Gingival recession, Attachment loss, Graft.

scholarly journals Laterally Displaced Pedicle Flap for the Management of Localised Gingival Recession: A Case Report

2020 ◽  
Vol 4 (1) ◽  
pp. 35-38
Author(s):  
Kripa Shahi ◽  
Deepa Aryal ◽  
Surendra Man Shrestha
Keyword(s):  
Case Report ◽  
Gingival Recession ◽  
Treatment Modalities ◽  
Central Incisor ◽  
Root Coverage ◽  
Pedicle Flap ◽  
Recipient Site ◽  
Promising Treatment ◽  
Plaque Control

Gingival recession, whenever presents with sensitivity, aesthetic problem, root caries or difficulty in plaque control may pose a challenge for clinicians. Among the various treatment modalities for root coverage, laterally displaced flap has been a promising treatment for isolated gingival recession with an adequate amount of donor tissue adjacent to the recipient site. This case report presents a case of successful root coverage where laterally displaced flap was employed for the management of gingival recession in mandibular central incisor with two and a half years follow up.

scholarly journals A Modified Bilaminar Technique with the Use of a Fibrin-Fibronectin System for a Single Gingival Recession: A Case Report with a Follow-Up of 3 Years

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Michele Perelli ◽  
Paolo Giacomo Arduino ◽  
Mario Semenza ◽  
Roberto Abundo ◽  
Hector Sarmiento
Keyword(s):  
Case Report ◽  
Gingival Recession ◽  
Root Coverage ◽  
Canine Tooth ◽  
Maxillary Canine ◽  
Aesthetic Result ◽  
Keratinized Tissue ◽  
Reduced Dimension ◽  
Maximum Root

This case report described a modified bilaminar technique for treating a single gingival recession. Patient presented a gingival recession in a maxillary canine. Tooth was in a buccally prominent position and soft keratinized tissue apical to the recession was reduced but still present. A split-full-split thickness trapezoidal flap was designed. Root’s surface was prepared with curettes. Epithelial-connective tissue graft was harvested from the palate with reduced dimension. After deepithelialization, the graft was placed with a fibrin-fibronectin system at the maximum root coverage level, and the flap coronally advanced and sutured. At 3-year follow-up control, the free gingival margin was still stable at the postsurgery position, with a thicker biotype corresponding to the grafted area, with no probing and a suitable aesthetic result.

scholarly journals Postoperative complications following free gingival graft: a case report

2021 ◽  
Vol 23 (2) ◽  
pp. 110-112
Author(s):  
Valma Da Costa Vieira Schrederhof ◽  
Alcione de Fátima Zanatta Filther ◽  
Ana Paula Tulio Manfron ◽  
Gabriela Fracasso Moraes ◽  
Humberto Osvaldo Schwartz Filho
Keyword(s):  
Case Report ◽  
Postoperative Complications ◽  
Donor Site ◽  
Gingival Recession ◽  
Hot Water ◽  
Recipient Site ◽  
Free Gingival Graft ◽  
Keratinized Tissue ◽  
Patient Reported ◽  
Gingival Graft

AbstractAmong the available techniques for gingival recession treatment, the main surgical technique for gain of keratinized tissue is the free gingival graft. This procedure is also indicated for vestibule extension and frenulum removal. The technique consists of the epithelial and connective tissues removal from a donor site and its repositioning on to a recipient site, being an effective primary stability mandatory for the healing process. The aim of this study was to describe a case report of a 35-year-old male, who reported a postoperative complication in donor area, after a free gingival graft which occurred 07 days later. This situation occurred after patient reported having rinsed his mouth with hot water during shower. Due to that, a 1mm thick acetate tray was readymade for the donor site comfort and protection. Among the demands presented in this case, free gingival graft was the primary surgical choice to increase keratinized tissue. Despite the patient’s morbidity, due to the two surgical sites, the use of the acetate tray showed great reduction in patient’s discomfort and trauma. This approach proved to be successful since the patient described increase in self-esteem and oral hygiene facilitation which in combination contributed to satisfactory final results. Keywords: Periodontics. Gingival Recession. Postoperative Complications. ResumoEntre as técnicas disponíveis para o tratamento da recessão gengival, a principal técnica cirúrgica para ganho de tecido queratinizado é o enxerto gengival livre. Este procedimento também é indicado para extensão do vestíbulo e remoção do frênulo. A técnica consiste na remoção de tecidos epiteliais e conectivos de um local doador e seu reposicionamento no local receptor, sendo necessária uma estabilidade primária eficaz para o processo de cicatrização. O objetivo deste estudo foi descrever um relato de caso de um homem de 35 anos, que relatou uma complicação pós-operatória na área doadora, 07 dias após a realização de um enxerto gengival livre. Essa situação ocorreu depois que o paciente relatou ter enxaguado a boca com água quente durante o banho. Devido a isso, uma placa de acetato de 1 mm de espessura foi preparada para conforto e proteção do local doador. Entre as demandas apresentadas neste caso, o enxerto gengival livre foi a principal opção cirúrgica para aumentar o tecido queratinizado. Apesar da morbidade do paciente, devido aos dois locais cirúrgicos, o uso da placa de acetato demonstrou grande redução no desconforto e trauma do paciente. Essa abordagem mostrou-se bem-sucedida, uma vez que o paciente descreveu aumento da autoestima e facilitação da higiene bucal, o que em conjunto contribuiu para resultados finais satisfatórios. Palavras-chave: Periodontia. Recessão Gengival. Complicações Pós-Operatórias

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 Palatal Gingival Recession Root Coverage: A Case Report

2015 ◽  
Vol 22 (1) ◽  
pp. 59-63
Author(s):  
Maha A. Bahammam
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Gingival Recession ◽  
Root Coverage ◽  
Pedicle Flap ◽  
Palatal Mucosa

The treatment of palatal gingival recession is technically challenging due to difficult accessibility and the nature of the palatal mucosa. Treatment of this defect was not reported routinely in the literature and perhaps is not usually performed. However, palatal gingival recession defects might be indicated for the treatment in some cases. This case report presents a method of using a rotational connective tissue pedicle flap to correct a palatal gingival recession defect. Substantial amount of root coverage was obtained with this technique (85.7%). Therefore, whenever indicated, the rotational connective tissue pedicle flap can be used to correct palatal gingival recession defects  

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 Evaluation of The Clinical Efficacy of Collagen Membrane In Combination with Bone Grafts in the Treatment of Miller’s Class I /II Marginal Tissue Recession: A Case Report

2015 ◽  
Vol 03 (03) ◽  
pp. 179-184
Author(s):  
Yash Dev ◽  
Nitin Khuller ◽  
Preetinder Singh ◽  
Prabhjot Kaur ◽  
Yashbir Raghav ◽  
...  
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Clinical Effectiveness ◽  
Gingival Recession ◽  
Point Of View ◽  
Tissue Response ◽  
Class I ◽  
Collagen Membrane ◽  
Clinical Parameters ◽  
Root Coverage

AbstractThe aim of this clinical trial was to evaluate the clinical effectiveness of a collagen barrier along with an alloplastic bone graft in the treatment of gingival recession defects. Two patients having Miller’s Class I or Class II recession defects participated in the study. One was treated with a collagen membrane covered by a coronally positioned flap. Second patient also had bone graft placed beneath the membrane. Clinical parameters were recorded. Patients were followed postoperatively and healing was evaluated at 1, 3 and 6 months, with recession depth as the primary criteria for assessment. This case report revealed a favorable tissue response to bone graft and collagen membrane from both clinical and esthetic point of view in the treatment of gingival recession. Root coverage tended to be better with the addition of bone graft.

scholarly journals Root Coverage with Coronally Advanced Flap with Connective Tissue Graft: Literature Review and Case Report

2017 ◽  
Vol 19 (2) ◽  
pp. 25
Author(s):  
Francisco J. Jiménez Bolaños DDS ◽  
Marcelino Fernández Murillo
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Gingival Recession ◽  
Root Coverage ◽  
Patient Reports ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Cast Doubt ◽  
Aesthetic Results

The root coverage procedure to treat gingival recessions is the best line of treatment, being the most used the coronal advanced flap.  There have been multiple clinical and aesthetic results that cast doubt on whether this procedure by adding a connective tissue graft will be a more predictable and more aesthetic regarding defect removal. In this case report a patient 24-year-old male refers hypersensitivity and aesthetic discomfort in the area of gingival recession.  An autologous graft with a coronal flap advancement of connective tissue will be used. After six months of healing the patient reports improvements in: sensitivity, plaque control and aesthetics.

scholarly journals rhPDGF Mediated Root Coverage Procedure Using Coronally Advanced Flap in Treatment of Multiple Recession Defects: A Case Report

2016 ◽  
Vol 04 (01) ◽  
pp. 059-064
Author(s):  
Preetinder Singh ◽  
Yash Dev ◽  
Khuller Nitin ◽  
Anahita Singh ◽  
Prabhjot Kaur ◽  
...  
Keyword(s):  
Case Report ◽  
Primary Outcome ◽  
Gingival Recession ◽  
Root Surface ◽  
Primary Outcome Measure ◽  
Tissue Response ◽  
Root Coverage ◽  
Coronally Advanced Flap ◽  
Lower Jaw ◽  
Points Of View

AbstractGingival recession has been defined as the term used to characterize the apical shift of the marginal gingiva from its normal position on the crown of the tooth to levels on the root surface beyond the cemento-enamel junction (CEJ). Numerous techniques have been developed for treatment of these defects including rotational and advanced gingival flaps, soft-tissue grafting procedures with autogenous and allograft materials. This paper illustrates a case report of 42-years-old male patient with a chief complaint of thermal root sensitivity in relation with front teeth of lower jaw and describes a technique to coronally advance the flap in combination with recombinant human platelet-derived growth factor-BB (rhPDGF-BB) (GEM 21S®) to treat multiple gingival recession defects. Patient was followed postoperatively, and healing was evaluated at 1, 3 and 6 months, with recession depth as the primary outcome measure. This case report revealed a favourable tissue response to GEM 21S® from both clinical and aesthetic points of view showing excellent plastic surgery results for gingiva.

scholarly journals Platelet Rich Fibrin as Wound Coverage of Donor Site in Free Gingival Graft

2018 ◽  
Vol 2 (1) ◽  
pp. 26-29
Author(s):  
Shweta Agrawal ◽  
Pramod Kumar Koirala ◽  
Shalini Pradhan ◽  
Ranjita Shrestha Gorkhali
Keyword(s):  
Wound Healing ◽  
Pain Perception ◽  
Donor Site ◽  
Gingival Recession ◽  
Root Coverage ◽  
Wound Coverage ◽  
Platelet Rich Fibrin ◽  
Free Gingival Graft ◽  
Keratinized Tissue ◽  
Gingival Graft

Free gingival graft is one of the technique used for root coverage so as to increase the inadequate keratinized tissue. The donor tissue is most frequently taken from the palate and generally the donor site is not covered or protected. Platelet rich fibrin is one of the good option for the wound coverage of donor site after free gingival graft so as to reduce the pain perception to patient and faster wound healing. The case report includes two cases with gingival recession, treated on the same day with free gingival graft with the use of platelet rich fibrin in the donor site in case 1 and without platelet rich fibrin in case 2 respectively which were compared for pain perception and wound healing postoperatively at 24 hours, 3 days, 5 days, 7 days and 14 days. There was less pain perception and discomfort in the donor site with the use of platelet rich fibrin and enhanced healing compared to donor site without platelet rich fibrin.

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