Treatment of Miller Class I Gingival Recession with Using Nonpedicle Adipose Tissue after Bichectomy Surgical Technique: A Case Report

Abstract

Gingival recession is an oral health problem that affects a large part of the population. Several treatments are suggested in the current literature; among them is the use of buccal fat pad grafting. The objective of this case report is to describe the treatment of a Miller Class I gingival recession using a nonpedicled buccal fat pad graft immediately after performing the surgery for buccal fat pad removal (bichectomy technique). First, bilateral surgical removal of the buccal fat pad was performed with the main objective of eliminating oral mucosa biting. The recipient site was prepared to receive a portion of the fat pad that was cut and macerated in a size that was sufficient to cover the recession. The patient was followed up at 15, 30, 60, and 365 days postsurgery, and the results showed an elimination of the oral mucosa biting and complete coverage of the gingival recession. It was concluded that the nonpedicled buccal fat pad graft is another option for the treatment of Miller Class I recessions.

Pengaruh Ozonated Olive Oil terhadap Jumlah Osteoblas pada Gingiva Tikus Wistar Jantan yang Mengalami Periodontitis

“…Sel ini berperan penting dalam proses pembentukan tulang (Saputri, 2021). Storrer (2019) menjelaskan bahwa osteoblas merupakan sel yang memiliki peran sangat penting dalam menciptakan dan mempertahankan struktur kerangka. Sel-sel ini bertanggung jawab untuk deposisi matriks tulang dan untuk regulasi osteoklas.…”

Uso de la bola adiposa de bichat como injerto para tratar la recesión gingival

“…Recientemente, Storrer et al (26) presentaron un injerto libre de BAB con un seguimiento de 365 días, en un caso de recesión Miller Clase I, logrando una cubertura estable del 100 % e indicando, por consiguiente, que es una técnica eficaz, segura y fácil de realizar, y puede considerarse una opción de tratamiento. Panda et al (27) mencionan que la BAB, utilizada como un injerto subepitelial, aumenta la previsibilidad y el resultado de los procedimientos de cobertura de raíz en casos con mal pronóstico, debido a su menor morbilidad del sitio donante, vascularización y resultado favorable.…”

Surgical protocol of buccal fat pad excision technique for functional and aesthetic purposes: a series of 58 clinical cases

“…However, even when well indicated, it is a procedure that generates controversy due to the lack of knowledge of the anatomy of the region, as well as the lack of detailed surgical description of the technique, not making it reproducible and safe (ALVAREZ and SIQUEIRA, 2018). There is a limited number of published studies regarding buccal fat pad removal for aesthetic contouring of the midface and lack of patient follow-up or reported post-operative complications (ALVAREZ and SIQUEIRA, 2018;BENJAMIN and REISH, 2018;STORRER et al, 2019;WENIGER et al, 2019).…”