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

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.

2005 ◽  
Vol 6 (2) ◽  
pp. 139-150 ◽  
Author(s):  
Lawrence G. Breault ◽  
Lemuel L. Covington ◽  
Barry G. Bishop ◽  
Constance L. Sedon

Abstract Periodontal plastic surgical techniques have evolved to meet the demands of today's dental patient. Free gingival grafts (FGGs), pedicle flaps, subepithelial connective tissue grafts (SCTGs), acellular dermal matrix (ADM) grafts, and guided tissue regeneration (GTR) have all been used to cover denuded root surfaces. FGGs have demonstrated inconsistent results. Pedicle flaps have provided consistent results, but adequate tissue must be present initially. ADM grafts have also demonstrated success, but long-term stability may be a problem. Presently, SCTGs and GTR should be considered the treatment of choice for root coverage. They are the most predictable with average root coverage as high as 98.9% and 92.3%, respectively. Citation Sedon CL, Breault LG, Covington LL, Bishop BG. The Subepithelial Connective Tissue Graft: Part II. Histologic Healing and Clinical Root Coverage. J Contemp Dent Pract 2005 May;(6)2:139-150.


2005 ◽  
Vol 6 (1) ◽  
pp. 146-162 ◽  
Author(s):  
Lawrence G. Breault ◽  
Lemuel L. Covington ◽  
Barry G. Bishop ◽  
Constance L. Sedon

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.


Author(s):  
Anita Mehta

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.


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