Simultaneous Application of Combination of Three Surgical Techniques for Treatment of Gingival Recession: A Case Report

Deliberador, Tatiana Miranda; Santos, Felipe Rychuv; Bosco, Álvaro Francisco; Furlaneto, Flávia Aparecida Chaves; Messora, Michel Reis; Giovanini, Allan Fernando; Nagata, Maria José Hitomi

doi:10.2209/tdcpublication.51.201

Cited by 4 publications

(3 citation statements)

References 15 publications

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“…Ten patients were selected at the dental clinic of PUCPR who presented at least 2 teeth in different hemiarches with gingival recession of ≥2 mm and no loss of interproximal attachment, classified as RT1 according to Cairo et al [19,20] Patients with systemic disease and those who had detrimental oral habits were excluded from the study [21]. All the patients signed a form indicating that they provided free and informed consent; this form contained comprehensive information about this study.…”

Section: Methodsmentioning

confidence: 99%

Evaluation of 2 techniques of epithelial removal in subepithelial connective tissue graft surgery: a comparative histological study

Mattos

Papalexiou

Tramontina

et al. 2020

J Periodontal Implant Sci

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Purpose: Subepithelial connective tissue grafts (SCTGs) are commonly performed for the treatment of gingival recession due to their high predictability. This study evaluated and histologically compared connective tissue grafts in terms of the presence of epithelial remnants and composition of the tissue types that were present (epithelium, lamina propria, and submucosa). Methods: Ten patients underwent epithelium removal using 2 different techniques: the use of a blade (group B) and through abrasion (group A). Twenty samples were collected and each tissue type was analyzed histologically in terms of its area, thickness, and proportion of the total area of the graft. Results: In 4 samples (40%) from group B (n=10) and 2 samples (20%) from group A (n=10), the presence of an epithelial remnant was observed, but the difference between the groups was not statistically significant (P>0.05). Likewise, no statistically significant differences were observed between the groups regarding the area, mean thickness, or proportion of the total area for any of the tissue types (P>0.05). Conclusions: Histologically, SCTGs did not show statistically significant differences in terms of their tissue composition depending on whether they were separated from the epithelial tissue by abrasion or by using a blade.

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Section: Methodsmentioning

confidence: 99%

Evaluation of 2 techniques of epithelial removal in subepithelial connective tissue graft surgery: a comparative histological study

Mattos

Papalexiou

Tramontina

et al. 2020

J Periodontal Implant Sci

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“…Por otro lado, el CPL también ha demostrado ser un procedimiento efectivo en el tratamiento de recesiones gingivales localizadas en dientes mandibulares cuando hay una cantidad apropiada de tejido queratinizado en el sitio donador, obteniendo un incremento en el tejido queratinizado y un alto grado de cobertura radicular (13) . Se ha reportado según la literatura que el tratamiento de recesiones localizadas con el uso de un CPL ha obtenido porcentajes de una cobertura radicular promedio del 61.90% al 96% y una cobertura radicular completa del 15.0% al 83.3% (1,14) .…”

Section: Discusión Y Conclusiónunclassified

Recesión mandibular única tratada con colgajo desplazado lateral: Reporte de un caso

Hernández-Juárez,

Díaz-Alfaro,

Rodríguez-Pulido

et al. 2023

Int. j interdiscip. dent.

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INTRODUCCIÓNHoy en día, uno de los principales motivos de consulta relacionados con la inconformidad del paciente en cuanto a la apariencia estética, es la presencia de recesiones gingivales. Éstas se definen como, la migración de los tejidos periodontales marginales, apical a la unión cemento esmalte (1) .Cairo (2) propone un nuevo sistema de clasificación de recesiones gingivales divididas en tres tipos principales, donde la tipo 1 (RT1) indica una recesión sin pérdida de inserción interproximal y no es posible detectar la unión cemento esmalte (UCE), en la tipo 2 (RT2) existe una recesión gingival con pérdida de inserción interproximal pero ésta es igual o menor que la cantidad de recesión presente por vestibular, caso contrario en la tipo 3 (RT3) donde la pérdida de inserción interproximal es mayor que la recesión por vestibular.El principal objetivo ante una recesión gingival es lograr una cobertura radicular completa(CRC) (3) . Para ello, se han descrito varias técnicas en recesiones gingivales localizadas, dentro de las cuales destacan,

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“…The laterally positioned flap procedure has been evaluated in case reports, clinical experiments, and controlled clinical trials. Deliberador et al treated a series of challenging Class III recession type defects with simultaneous application of a combination of three procedures: the tunnel preparation, connective tissue graft, and laterally positioned flap. The laterally positioned flap plus subepithelial connective tissue graft was selected to increase the gingival thickness of some elements.…”

Section: Laterally Positioned Flapmentioning

confidence: 99%

Experimental and clinical studies on plastic periodontal procedures

Novaes

Palioto

2019

Periodontology 2000

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We have compiled, in this Periodontology 2000 review, all Latin American literature on experimental and clinical studies of periodontal plastic procedures. The body of literature on this subject has led to a discussion of the features and treatment outcomes of root‐coverage procedures. Over time, knowledge on periodontal plastic procedures has become less empirical and more supportive of the clinical management of recession‐type defects. Gingival recession etiology, animal studies, free gingival grafts, pedicle flaps (semilunar, laterally positioned, and coronally positioned), and subepithelial connective tissue grafts are extensively reviewed. The use of allografts as an alternative to subepithelial connective tissue grafts, the treatment of multiple gingival recessions, and the rationale for use of guided tissue regeneration and enamel matrix derivative in plastic periodontal procedure is discussed. We also assess how smoking can affect the treatment outcomes in plastic surgery procedures. Minimally invasive procedures are of great value in improving the features of the final tissues. The following aspects identified in this compilation were of great interest: (a) some factors, anatomical in nature, favor the formation of root recessions, but it is the inflammatory process (caused by the presence of biofilm and/or by traumatic toothbrushing) that is responsible for the development of root recessions; and (b) pedicle flap procedures (especially the coronally positioned flap) are extremely versatile and have the most predictable outcome of all root‐coverage procedures, especially when combined with subepithelial connective tissue grafting and/or allogeneic grafts. In summary: subepithelial connective tissue grafting is considered as the first option to augment gingival width and thickness, and it may provide better long‐term results; the same principles of root‐coverage procedures in individual sites appear be used in clinical practice also for multiple‐recession type defects; an allograft is an efficient alternative to a subepithelial connective tissue graft and, when it is the treatment option of choice, the use of wide, extended flaps should be considered; because of the superiority of plastic periodontal procedures over guided tissue regeneration and the technical difficulty of the latter, guided tissue regeneration has become obsolete for root‐coverage procedures; there is rather a large body of evidence attesting that smoking negatively influences root‐coverage procedures, especially subepithelial connective tissue grafts; and minimally invasive techniques may be of great value for improving the results obtained with plastic periodontal procedures, but these techniques need to be better addressed in clinical trials, both in terms of the quality and quantity of the new tissue generated.

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Simultaneous Application of Combination of Three Surgical Techniques for Treatment of Gingival Recession: A Case Report

Cited by 4 publications

References 15 publications

Evaluation of 2 techniques of epithelial removal in subepithelial connective tissue graft surgery: a comparative histological study

Evaluation of 2 techniques of epithelial removal in subepithelial connective tissue graft surgery: a comparative histological study

Recesión mandibular única tratada con colgajo desplazado lateral: Reporte de un caso

Experimental and clinical studies on plastic periodontal procedures

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