Case Report: Abrasion Through the Abuse of Dental Floss

Everett, Frank G.; Kunkel, Paul W.

doi:10.1902/jop.1953.24.3.186

Cited by 12 publications

(5 citation statements)

References 3 publications

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“…Flossing trauma can contribute to tooth abrasion and gingival injury . These lesions often occur in highly motivated patients who have not been properly instructed in the technique of flossing.…”

Section: Etiology Of Gingival Recessionsmentioning

confidence: 99%

Periodontal plastic surgery

Zucchelli¹,

Mounssif²

2015

Periodontology 2000

262

251

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The aim of the present article is to summarize current knowledge in terms of the etiology, diagnosis, prognosis and surgical treatment of gingival recession. Whilst the main etiological factors (i.e. toothbrushing trauma and bacterial plaque) are well established, challenges still remain to be solved in the diagnostic, prognostic and classification processes of gingival recession, especially when the main reference parameter - the cemento-enamel junction - is no longer detectable on the affected tooth or when there is a slight loss of periodontal interdental attachment. Root coverage in single type gingival recession defects is a very predictable outcome following the use of various surgical techniques. The coronally advanced flap, with or without connective tissue grafting, is the technique of choice. The adjunctive use of connective tissue grafts improves the probability of achieving complete root coverage. Surgical coverage of multiple gingival recessions is also predictable with the coronally advanced flap and the coronally advanced flap plus the connective tissue graft, but no data are available indicating which, and how many, gingival recessions should be treated adjunctively with connective tissue grafting in order to limit patient morbidity and improve the esthetic outcome. None of the allograft materials currently available can be considered as a full substitute for the connective tissue graft, even if some recent results are encouraging. The need for future studies with patient-based outcomes (i.e. esthetics and morbidity) as primary objectives is emphasized in this review.

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Section: Etiology Of Gingival Recessionsmentioning

confidence: 99%

Periodontal plastic surgery

Zucchelli¹,

Mounssif²

2015

Periodontology 2000

262

251

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“…Everett and Kunkel (11) reported proximal and lingual flossing abrasion lesions involving the mandibular incisors. Approximately 35 years later, Rawlison (12) described a similar lesion located on the buccal surface of the maxillary central incisors.…”

Section: Discussionmentioning

confidence: 99%

Interproximal cervical lesions caused by incorrect flossing technique

Salas¹,

McClellan²,

MacNeill³

et al. 2011

Int J Dental Hygiene

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“…Gingival recession is clinically characterized by apical displacement of the marginal gingiva with exposure of the root surface and has a multifactorial etiology (Wennstrom, 1966). It can be related to anatomical factors, such as bone fenestrations and dehiscences, abnormal position of teeth in the arch, incorrect sequence of tooth eruption and individual tooth shape (Alldritt, 1968), vestibulopalatine dimension of soft and hard tissues (Wennstron et al, 1987) and amount of inserted gingiva (Novaes & Palioto, 2019); physiological, such as orthodontic movement outside bone boundaries (Wennstron et al, 1987); and pathological factors, such as incorrect use of dental floss and tapes (Everett & Kunkel, 1953), Capítulo 88 traumatic brushing (Khocht et al, 1993), perioral and intraoral 'piercings' (Campbell et al, 2002), trauma associated with malocclusion (Tugnait & Clerehugh, 2001), inflammation caused by biofilm accumulation (Baker & Seymour, 1976) and lesions caused by the herpes virus (Prato et al, 2002). Among the possible treatments for gingival recessions is root coverage, where the main indications are the patient's aesthetic demands, inconsistent and disharmonic gingival margin, reduction of dentin hypersensitivity, and the prevention of caries and cervical non-carious lesions (Chambrone & Tatakis, 2015;Zucchelli & Mounssif, 2015).…”

Section: Introductionmentioning

confidence: 99%

Use of leukocyte-platelet rich fibrin membrane in the treatment of gingival recession: a case report

Munhoz¹,

Oliveira²,

Decósimo³

et al. 2023

Collection of International Topics in Health Science- V1

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Leukocyte-platelet rich fibrin is an aggregate obtained by centrifuging the patient's own blood, it is rich in platelets, growth factors and cytokines and seems to improve the healing of the surgical wound and alleviate postoperative morbidity in cases of root coverage. The aim of this study is to report and discuss a clinical case of multiple gingival recessions treated with the association of the coronary repositioned flap and leukocyte-platelet rich fibrin. Patient, female, 28 years old, complaining of dentinal hypersensitivity and esthetic dissatisfaction. After physical and radiographic examinations, type 1 gingival recessions were observed in teeth 22, 23 and 24. Surgical planning included oblique paramarginal incisions starting from the cementoenamel junction of tooth 23 towards the gingival margin of adjacent teeth, flap detachment, then venipuncture and centrifugation at 2,494 revolutions per minute (700 g) for 12 minutes. At the end of this process, membranes were obtained, which were positioned and sutured over the gingival recessions, followed by coronary repositioning of the surgical papillae. In the postoperative period, satisfactory tissue repair was observed. Although the gold standard for root coverage is connective tissue grafting associated with the coronary repositioned flap, platelet aggregates stimulate the repair and regeneration of soft and hard tissues and can be a great option in some cases. In this clinical case, it was possible to perceive the beneficial effects of the use of leukocyte-platelet rich fibrin membrane in the treatment of gingival recessions.

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Case Report: Abrasion Through the Abuse of Dental Floss

Cited by 12 publications

References 3 publications

Periodontal plastic surgery

Periodontal plastic surgery

Interproximal cervical lesions caused by incorrect flossing technique

Use of leukocyte-platelet rich fibrin membrane in the treatment of gingival recession: a case report

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