2015, Number 3
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Rev Cub Med Mil 2015; 44 (3)
Root coverage
Castillo CA, Doncel PC
Language: Spanish
References: 27
Page: 359-368
PDF size: 157.00 Kb.
ABSTRACT
Introduction: there are several treatment options for root coverage caused by periodontal recession, which is characterized by displacement toward apically
gingival margin, thereby dental root is exposed to the oral environment, which may cause dentine sensitivity, dental cavities, and aesthetic affectation.
Objective: present a clinical case where a surgical technique was used to root coverage.
Case report: a 32 year-old male patient came to consultation due to nuisance to thermal changes in tooth 23 and he was concerned about aesthetics since he had
his root exposed to the oral environment. On physical examination, altered gingival morphology was observed. It was characterized only by changing the apical gingival
position in tooth 23, which does not reach the mucogingival line. It was decided a corrective plan of nonsurgical treatment, treating dentin hyperesthesia by applying dentin desensitizing (fluoridated lacquer: Profilac), and corrective surgical treatment to make a lateral sliding flap to cover the exposed root, and treating aesthetic condition.
Conclusion: the used procedure had the expected results and it represents an alternative therapy when there is patient aesthetic compromise.
REFERENCES
Guinard E A, Caffesse R A. Treatment of Localized Gingival Recessions: Part I. Lateral Sliding Flap. Journal of Periodontology.1978;49(7):351-6.
Singh J, Bharti V. The effect of laterally positioned flap-revised technique and 24 % ethylenediaminetetraacetic acid root conditioning on root coverage: A case report. Saudi Dent J. 2014;26(3):132-8.
Yilmaz E Ozcelik O,Comert M Ozturan S Seydaoglu GTeughels W,Haytac MC. Laser-assisted laterally positioned flap operation: a randomized controlled clinical trial.
Eren Kuru B. Tratamiento de las recesiones gingivales localizadas empleando derivado de matriz del esmalte como ayuda a un colgajo de desplazamiento lateral: presentación de dos casos. Quintessence Int. 2009;40(6):461-9.
Ardila Medina C M, Guzmán Zuluaga I C. Cirugía plástica periodontal a través de la técnica Bilaminar y matrices alodérmicas. AMC [Internet]. [citado 08 Sep 2015 ] 2010,14(6):1-5. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025- 02552010000600014&lng=es
Cruz Morales R, Brito Pérez K, Caballero López D. Comportamiento de los trastornos mucogingivales y su tratamiento. Matanzas, 2008-2010. Rev Méd Electrón [Internet]. 2013 May-Jun [citado: 3 de Nov 2014]; 35(3):[aprox. 12 p.]. Disponible en: http://www.revmatanzas.sld.cu/revista%20medica/ano%202013/vol3%202013/te ma05.htm
Sarfati A, Bourgeois D, Katsahian S, Mora F, Philippe Bouchard Ph. Risk Assessment for Buccal Gingival Recession Defects in an Adult Population. Journal of Periodontology. 2010;81(10):1419-25
Bascones Martínez A, Ibero Sagastibelza I, Castro Lara G, Lázaro Calvo P. Revisión de los estudios comparativos entre regeneración tisular guiada y cirugía mucogingival en el tratamiento de recesiones gingivales. Avances en Periodoncia [Internet]. 2000 [citado: 3 de Nov 2014];12(1):1-17. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1699- 65852000000100002&lng=es
Sarfati A, Bourgeois D, Katsahian S, Mora F, Philippe Bouchard Ph. Risk Assessment for Buccal Gingival Recession Defects in an Adult Population. Journal of Periodontology. 2010;81(10):1419-25.
Rios FS, Costa RS, Moura MS, Jardim JJ, Maltz M, Haas AN. Find all citations by this author (default). Estimates and multivariable risk assessment of gingival recession in the population of adults from Porto Alegre, Brazil. Find all citations by this author (default). J Clin Periodontol 2014;41(11):1098-1107.
Ustun K, Sari Z,Orucoglu H, Duran I, Hakki SS. Severe Gingival Recession Caused by Traumatic Occlusion and Mucogingival Stress: A Case Report. Eur J Dent. 2008;2:127–133.
López-Pinedo M, Li-Wong J. Cubrimiento radicular. Rev Estomatol Herediana. 2011;21(3):226-230.
Zucchelli G, de Sanctis M. Modified two-stage procedures for the treatment of gingival recession. Eur J Esthet Dent. 2013;8(1):24-42.
Günay H, Geurtsen W, Lührs AK. Conservative treatment of periodontal recessions with class V-defects using gingiva-shaded composite--A systematic treatment concept. Dent Update. 2011; 38(2):124-6.
Kochar D, Narula S, Kumar Sharma R, Tewari S, Chopra D. Creeping Attachment in Miller Class III Recessions: A Report of Five Cases. Clinical Advances in Periodontics. 2012;2(4):217-222.
Kassab MM, Badawi H, Dentino AR. Treatment of gingival recession. Dent Clin North Am.2010;54(1):129-40.
Bains VK, Gupta V, Singh GP, Bains R. Mucogingival surgery: where we stand today. J Calif Dent Assoc. 2011;39(8):573-83.
Isler MS, Kolhatkar S, Bhola M. Treatment of isolated recession defects using the lateral sliding flap: a case series. Pract Proced Aesthet Dent. 2008;20(7):437-43.
Beckman BW. Lateral sliding pedicle flap for gingival cleft at the maxillary canine tooth. J Vet Dent. 2005;22(4):282-5.
Gomes Henriques PS, Magalhaes Carvalho V. Terapia de Recubrimiento Radicular. En: Gomes Henriques PS. Estética en Periodoncia y Cirugía Plástica Periodontal. Amolca. C.A. Venezuela; 2006. p. 69-135.
Takei HH, Azzi Ra. Periodontal Plastic and Esthetic Surgery. En: Newman MG, Takei HH, Carranza FA. Clinical Periodontology, Ninth Edition; USA, W. B. Saunders Co.; 2002. p. 851-71.
Rajkarnikar J. Efficacy of Lateral Pedicle Graft in the Treatment of Isolated Gingival Recession Defects. International Journal of Pharmaceutical Science Invention. 2014,3(1):46-50.
Romanelli HJ, Adams Pérez EJ. Cirugía Plástica Periodontal. En: Romanelli HJ, Adams Pérez EJ. Fundamentos de Cirugía Periodontal. Amolca C. A. Venezuela; 2004. p. 257-87.
Singh J, Bharti V. Laterally positioned flap-revised technique along with platelet rich fibrin in the management of Miller class II gingival recession. Dent Res J (Isfahan). 2013;10(2):268–73.
Soares LG, Castagna L, Resende CRS, Silva DG, Tinoco EMB, Falabella MEV. Root coverage with laterally positioned flap. Dental Press Implantol. 2012;6(4):86-92.
Dilsiz A, Aydin T, Selim Yavuz M. Root Surface Biomodification with an Er:YAG Laser for the Treatment of Gingival Recession with Subepithelial Connective Tissue Grafts. Photomed Laser Surg. 2010;28(4):511–17.
Eren Kuru B. Tratamiento de las recesiones gingivales localizadas empleando derivado de matriz del esmalte como ayuda a un colgajo de desplazamiento lateral: presentación de dos casos. Quintessence Int. 2009;40,(6):461-9).