scholarly journals Soft Tissue Reconstruction with Free Gingival Graft Technique following Excision of a Fibroma

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Nurcan Tezci ◽  
Suleyman Emre Meseli ◽  
Burcu Karaduman ◽  
Serap Dogan ◽  
Sabri Hasan Meric
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Squamous Epithelium ◽  
Alveolar Bone ◽  
Periodontal Treatment ◽  
Soft Tissue Reconstruction ◽  
Free Gingival Graft ◽  
Tissue Reconstruction ◽  
Stratified Squamous Epithelium ◽  
Gingival Graft

Background. Oral fibromas are benign, asymptomatic, smooth surfaced, firm structured tumoral lesions that originate from gingival connective tissue or periodontal ligament. Histologically, they are nodular masses characterized by a dense connective tissue, surrounded by stratified squamous epithelium.Case Report. This case report includes the clinical, radiographical, and histological findings and periodontal treatment of a 38-year-old female patient having painless swelling on the gingiva. Intraoral examination revealed a fibrotic, sessile, smooth surfaced gingival overgrowth interdentally between the teeth #13 and #14. Radiographical findings were normal. Initial periodontal treatment (IPT) was applied including oral hygiene instructions, scaling, and root planing. Following IPT, the lesion (0.7 × 0.6 × 0.4 cm) was excised and examined histopathologically. Subsequently, flap operation was performed to have an access to alveolar bone. Surgical site was reconstructed with free gingival graft obtained from hard palate. Hematoxylin-eosin stained sections revealed a nodular mass composed by dense collagen fibers in lamina propria covered by a stratified squamous epithelium, which were consistent with fibroma. Gingival healing was uneventful and without any recurrence during the 12-month follow-up.Conclusions. In order to achieve optimal functional and aesthetical outcomes, free gingival graft can be used for the reconstruction of the wound site after the excision of the fibroma.

scholarly journals Use of the Free Gingival Grafting Technique for soft tissue reconstruction after excision of a Peripheral Ossifying Fibroma

2021 ◽  
Vol 10 (2) ◽  
pp. e36710212622
Author(s):  
Nathália Januario de Araujo ◽  
Lara Brandão Ribeiro Franco ◽  
Leonardo Alan Delanora ◽  
Ruan Henrique Delmonica Barra ◽  
Juliano Milanezi de Almeida
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Surgical Techniques ◽  
Ossifying Fibroma ◽  
Surgical Removal ◽  
Soft Tissue Reconstruction ◽  
Free Gingival Graft ◽  
Peripheral Ossifying Fibroma ◽  
Tissue Reconstruction ◽  
Gingival Graft

The Peripheral Ossifying Fibroma is a benign tumor that develops from a hyperplastic tissue reaction, usually related to traumatic stimulus that are responsible for triggering inflammatory reactions of the connective tissue. Histologically, it is a nodular mass characterized by a dense connective tissue, surrounded by stratified squamous epithelium. Surgical removal in these cases is indicated, and for reconstruction of soft tissue in the region, some periodontal surgical techniques are recommended, such as free gingival grafting. Thus, the present study aims to report a clinical case submitted to the free gingival graft technique for tissue reconstruction after the surgical removal of a fibroma. A total excision of the lesion was performed, later sent to a histopathological report where it was diagnosed as Peripheral Ossifying Fibroma, after the removal of the lesion the region was left with the periosteum exposed and then the free gingival graft was performed to cover the region and promote keratinized gum augmentation. This technique proved to be efficient for reconstruction of soft tissue in the region after surgical removal of the Peripheral Ossifying Fibroma, returning aesthetics, function and periodontal health.

On-bone fixation of free gingival graft causes osteoinductive effect in human alveolar bone

2021 ◽  
pp. 201-207
Author(s):  
S. S. Edranov ◽  
◽  
N. Yu. Matveeva ◽  
S. G. Kalinichenko ◽  
◽  
...  
Keyword(s):  
Alveolar Bone ◽  
Free Gingival Graft ◽  
Bone Fixation ◽  
Gingival Graft

Histologic Analysis of the Oral Mucosa Lining Osseointegrated Implant Cover Screws: A Study in Humans

2010 ◽  
Vol 36 (1) ◽  
pp. 3-10
Author(s):  
André Alan Nahas ◽  
Paula Dechichi ◽  
Denildo de Magalhães ◽  
Andreia Espíndola Vieira
Keyword(s):  
Connective Tissue ◽  
Dental Implants ◽  
Oral Mucosa ◽  
Squamous Epithelium ◽  
Histologic Analysis ◽  
Morphologic Characteristics ◽  
Osseointegrated Implant ◽  
Oral Environment ◽  
Stratified Squamous Epithelium ◽  
Clinical Conditions

Abstract Osseointegrated dental implants are inserted into the alveolar ridge, and for them to function as tooth replacements, the surrounding tissues need to adapt to them. Just as with teeth, dental implants traverse the oral mucosa and have access to the contaminated environment of the oral cavity. Therefore, periodontal and peri-implant tissues are important for establishing a protective barrier. The aim of the present study was to perform a histologic analysis of the mucosa surrounding osseointegrated implant cover screws. For this study, 17 mucosal specimens were obtained from 12 patients during the second surgical session for implant exposure to the oral environment. After histologic preparation, specimens were sectioned perpendicularly to the mucosal surface to a thickness of about 3 µm, stained with 1% toluidine blue, and examined under light microscopy. All specimens showed a keratinized, stratified, squamous epithelium with well-defined strata. In the lamina propria, unorganized dense connective tissue was noted in the reticular layer, and in 4 samples, a chronic inflammatory infiltrate was seen in this region. The papillary layer presented tall connective papillae consisting of loose connective tissue. The results of this study confirm the hypothesis that the mucosa that conceals osseointegrated implant cover screws has the same morphologic characteristics as the alveolar masticatory mucosa. Furthermore, clinical conditions of normality in peri-implant tissues may not coincide with situations of histologic normality.

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