2012, Number 1
<< Back Next >>
Rev Mex Periodontol 2012; 3 (1)
Immediate post-extraction connective tissue graft in order to correct vestibular defects. A three-case report
Gutiérrez LJA, Ríos GD, Moreno LA
Language: Spanish
References: 21
Page: 24-29
PDF size: 110.04 Kb.
ABSTRACT
Before an extraction it should be provided a treatment plan to replace the loss tooth, based not just on function but also in aesthetics. Due to the different changes that occurs after performing an extraction, such as resorption of the alveolar process; they have been using different types of techniques and material to preserve the alveolar process. In this case report was done by placing a connective tissue graft immediately postextraction to avoid vestibular defects that can affect aesthetics and function when restoring.
Methods: Two vertical incisions are made from the mucogingival line, stands a full-thickness flap, we performed the extraction of the part to be treated, debride the site, place a connective tissue graft and sutured coronally positioning the flap so that it is sutured all the way to the palatal side.
Results: At three months after the procedure there is no vestibular defect in the wall and a perfect healing to take final impressions.
Conclusions: This technique allows us to not have to wait until it heals the extraction site for increasing the alveolar process; we can guide the healing, it will be more aesthetically pleasing and that will allows us to gain tissue for guided bone regeneration if needed.
REFERENCES
Sobolik CF. Alveolar bone resorption. J Prosthec Dent 1960; 10: 612-619.
Fugazzotto P. Treatment options following single rooted tooth removal: A literature review and proposed hierarchy of treatment selection. J Periodontol 2005; 76 (5): 821-832.
Sheer P, Boyne PJ. Maintenance of alveolar bone through implantation of bone graft substitutes in tooth extraction sockets. J Am Dent Assoc 1987; 114: 594-597.
Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone Healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-months prospective study. Int J Periodontics Restorative Dent 2003; 23: 313-323.
Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in dogs. J Clin Periodontol 2003; 30: 809-818.
Seibert JS. Reconstruction of deformed, partially edentulous ridges, using full thickness only grafts. Part 1. Tecnique and wound healing. Compend Contin Educ Dent 1983; 4: 437-453.
Diaz A, Fonseca M, Covo E. Injerto de tejido conectivo subepitelial con utilización de hidroxiapatita para aumento de reborde alveolar. Reporte de un caso. Duazary 2008; 5 (1): 48-55.
Garber CA, Rosenberg ES. The edentulous ridge in fixed prostodontics. Compend Contin Educ Den 1981; 2: 212.
Meltezer JA. Edentulous area tissue graft correction of an esthetic defect. A case report. J Periodontal 1979; 50 (6): 320-322.
Jiménez D, Vives T, Bertos N, Pascual A. Tratamiento del alvéolo postextracción. Revisión de la literatura actual: a propósito de un caso clínico. Revista Odontológica de Especialidades 2011.
Camargo P, Melnick P, Kenney B. The use of gingival graft for esthetic purposes. Periodontology 2000; 27: 72-96.
Becker W, Becker BE, Caffesse R. A comparison of demineralized freeze-dried bone and autologous bone to induce bone formation in human extraction sockets. J Periodontol 1994; 65: 1128-1133.
Artzi Z, Tal H, Dayan D. Porous bovine bone mineral in healing of human extraction sockets. Part 1: histomorphometric evaluations at nine months. J Periodontol 2000; 71: 1015-1023.
Nemcovsky CE, Serfaty V. Alveolar ridge preservation following extraction of maxillary anterior teeth. Report of 23 consecutive cases. J Periodontol 1996; 67: 390-395.
Guarnieri R, Pecora G, Fini M et al. Medical grade calcium sulphate hemihydrate in healing of human extraction sockets: clinical and histological observations at three months. J Periodontol 2004; 75: 902-908.
Camargo PM, Lecovik V, Weinlaender M. Influence of bioactive glass changes in alveolar process dimensions after exodontia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000; 90: 581-586.
Haris AG, Szabo G, Ashman A, Divinyi T, Suba Z, Martonffy K. Five-year 224-patients prospective histological story of the clinical applications using a synthetic bone alloplastic. Implant Dentistry 1998; 7: 287-299.
Lecovik V, Kenney EB, Weinlaender M et al. A bone regenerative approach to alveolar reach maintenance following tooth extraction. Report of 10 cases. J Periodontol 1997; 68: 563-570.
Iasella JM, Greenwell H, Miller RL et al. Reach preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development: a clinical and histologic study in humans. J Periodontol 2003; 74: 990-999.
Serino G, Biancu S, Iezzi G, Piatelli A. Ridge preservation following to extraction using a polylactide and polygylycolide sponge as space filler: a clinical and histological study in humans. Clin Oral Implants Res 2003; 14: 651-658.
Darby I, Chen S, de Poli R. Reach preservation: What is it and when should it be considered. Australian Dental Journal 2008; 53: 11-21.