Castro RRA, Vargas CAP

Language: Spanish
References: 35
Page: 15-23
PDF size: 119.94 Kb.

ABSTRACT

Introduction: When gingival recession defects affecting multiple teeth with an inadequate amount of keratinized gingiva must make a selection of surgical techniques to treat all defects simultaneously, and to ensure the predictability of treatment. Objective: The next series of cases presents the results at six months follow up in terms of reduction of the recession and gain of keratinized tissue, obtained through the technique of coronally advanced flap more connective tissue graft in cases of multiple gingival recessions with inadequate amount of keratinized tissue. Materials and methods: The study population consisted of nine patients who had multiple gingival recessions. All patients had symptoms of sensitivity, and the treated areas were associated with an inadequate amount of keratinized gingiva. All defects were treated with coronally advanced flap and connective tissue graft. Clinical revaluation was performed six months after surgery. Results: We present a total of 33 teeth treated. In the initial steps, the average depth to the survey was 1.06 ± 0.13 mm. The average initial recession was 2.19 ± 1.00 mm. A reassessment at six months the average recession was significantly reduced (0.51 ± 0.12 mm, p ‹ 0.0001); therefore, the amount of root coverage was 1.67 ± 0.94 mm. The gain of keratinized tissue was significant (1.03 ± 0.93 mm, p ‹0.0001). The depth to the survey had a reduction with a significant difference (p ‹ 0.012). Conclusions: The results of this study demonstrate that the proposed technique is highly effective in the treatment of multiple gingival recessions with inadequate amount of keratinized tissue, in terms of reduction of the recession, and the gain of keratinized tissue.

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