scholarly journals Root coverage of a previously restored tooth. A case report with a 7-year follow-up

2009 ◽  
Vol Volume 1 ◽  
pp. 35-38
Author(s):  
Alexander Corsair
Keyword(s):  
Case Report ◽  
Root Coverage

scholarly journals Combining Techniques to Treat Isolated Deep Recession-Type Defects: A Case Report with Long-Term Stability

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
João Carnio ◽  
Anna Tereza Carnio
Keyword(s):  
Case Report ◽  
Root Coverage ◽  
Case Presentation ◽  
Term Stability ◽  
Long Term Stability ◽  
Dental Procedures ◽  
Donor Area ◽  
Deep Recession

Introduction. The purpose of this case report was to show the clinical long-term stability of a successful two-step root coverage procedure. A combination of two single techniques was used to treat an isolated deep-wide defect. Case Presentation. A 28-year-old female patient was referred in order to treat a single recession defect at #22. Due to her fear of dental procedures and a poor economic situation, the team developed an alternative solution. They used a modified apically repositioned flap (MARF) to increase the donor area and then a laterally positioned flap (LPF) to treat the root defect. Clinical evaluation at the three-year follow-up revealed complete resolution of the defect, a gain in clinical attachment, excellent esthetic results, and minor morbidity to the patient. Conclusion. The combination of the MARF and the LPF procedures was able to successfully treat a single deep recession defect with some advantages over traditional techniques such as simplicity, ideal color match of tissues, and the absence of palatal donor tissue.

scholarly journals Root coverage with buccal fat pad placed on restored cervical abrasion: Case report with three-year follow-up

2018 ◽  
Vol 22 (2) ◽  
pp. 182
Author(s):  
Sagrika Shukla ◽  
HarpreetSingh Grover ◽  
Ashi Chug ◽  
Kuldeep Singh
Keyword(s):  
Case Report ◽  
Root Coverage ◽  
Fat Pad ◽  
Buccal Fat Pad

scholarly journals Root coverage stability with acellular dermal matrix in multiple gingival recessions in esthetic zone: A clinical case report with 12-year follow-up

2019 ◽  
Vol 23 (6) ◽  
pp. 584
Author(s):  
ÍsisDe Fátima Balderrama ◽  
Rafael Ferreira ◽  
DanielRomeu Benchimol Rezende ◽  
AnaLúcia Raphaelli Nahás Nogueira ◽  
SebastiãoLuiz Aguiar Greghi ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Acellular Dermal Matrix ◽  
Root Coverage ◽  
Dermal Matrix ◽  
Acellular Dermal

scholarly journals Self-Inflicted Gingival Injury Due to Habitual Fingernail Scratching: A Case Report with a 1-Year Follow Up

2009 ◽  
Vol 03 (02) ◽  
pp. 150-154 ◽  
Author(s):  
Alparslan Dilsiz ◽  
Tugba Aydin
Keyword(s):  
Case Report ◽  
Soft Tissues ◽  
Psychological Support ◽  
Physical Injury ◽  
Root Coverage ◽  
Periodontal Health ◽  
Gingival Bleeding ◽  
Traumatic Lesions ◽  
Oral Hygiene Instruction

ABSTRACTInjuries to oral soft-tissues can occur due to accidental, iatrogenic, and factitious traumas. Traumatic lesions, whether chemical, physical, or thermal in nature, are among the most common in the mouth. A type of physical injury to the gingival tissues is self-inflicted. Sometimes the lesions are termed gingivitis artefacta. Self-inflicted gingival injuries in children and adolescents can occur as a result of accidental trauma, premeditated infliction, or chronic habits such as fingernail biting, digit sucking, or sucking on objects such as pens, pencils or pacifiers. The purpose of this case report was to illustrate the destructive nature of the habit and to describe the successful treatment of this case. A 14-year-old girl with moderate pain, gingival bleeding and recession in the anterior mandibulary region was admitted to periodontology clinic. Upon questioning, the patient readily admitted traumatizing her gingiva with her fingernail. Treatment consisted of oral hygiene instruction, mechanical debridement, psychological support and surgical periodontal treatment. Postoperatively, complete root coverage, gains in clinical attachment levels, and highly significant increases in the width of keratinized gingiva were observed. This case report shows that it is possible to treat gingival injury and maintain the periodontal health of a patient with destructive habit. Patient compliance, regular dental follow-ups, and psychological support may be useful in stabilizing the periodontal condition of these patients. Dentists must be aware that self-inflicted gingival injury, although thought to be uncommon, is quite widespread. (Eur J Dent 2009;3:150-155)

scholarly journals A Modified Bilaminar Technique with the Use of a Fibrin-Fibronectin System for a Single Gingival Recession: A Case Report with a Follow-Up of 3 Years

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Michele Perelli ◽  
Paolo Giacomo Arduino ◽  
Mario Semenza ◽  
Roberto Abundo ◽  
Hector Sarmiento
Keyword(s):  
Case Report ◽  
Gingival Recession ◽  
Root Coverage ◽  
Canine Tooth ◽  
Maxillary Canine ◽  
Aesthetic Result ◽  
Keratinized Tissue ◽  
Reduced Dimension ◽  
Maximum Root

This case report described a modified bilaminar technique for treating a single gingival recession. Patient presented a gingival recession in a maxillary canine. Tooth was in a buccally prominent position and soft keratinized tissue apical to the recession was reduced but still present. A split-full-split thickness trapezoidal flap was designed. Root’s surface was prepared with curettes. Epithelial-connective tissue graft was harvested from the palate with reduced dimension. After deepithelialization, the graft was placed with a fibrin-fibronectin system at the maximum root coverage level, and the flap coronally advanced and sutured. At 3-year follow-up control, the free gingival margin was still stable at the postsurgery position, with a thicker biotype corresponding to the grafted area, with no probing and a suitable aesthetic result.

scholarly journals Multidisciplinary Approach to Cover an Apex-Exposed Tooth: A Case Report after 6-Year Follow-Up

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Jamila Kissa ◽  
Wafa El Kholti ◽  
Khadija Sekak ◽  
Sihame Chemlali
Keyword(s):  
Case Report ◽  
Clinical Outcomes ◽  
Multidisciplinary Approach ◽  
Root Apex ◽  
Class Iii ◽  
Root Coverage ◽  
Related Factors ◽  
Clinical Attachment Loss ◽  
Keratinized Tissue

Introduction. The prognosis for a successful treatment of gingival recessions (GRs) is one of the main criteria for deciding whether or not and how to perform root coverage surgery. The defect-related factors are the most important to predict root coverage outcomes. Thus, severe GR could make the root coverage (RC) challenging especially in cases with advanced interdental clinical attachment loss (ICAL). Case Presentation. This case report demonstrates a challenging management of a deep localized Miller Class III GR with root apex exposure associated with ICAL. After initial therapy, the treatment had consisted of a multidisciplinary approach involving endodontic treatment, periodontal plastic surgery including a laterally positioned flap, and orthodontic treatment. The 6-year follow-up showed improvement in clinical outcomes (recession reduction (RR) and keratinized tissue (KT) augmentation) and a higher patient satisfaction. Conclusions. This case report demonstrates the role of the multidisciplinary approach in the management of deep GRs associated with ICAL. A rational choice of the RC technique was critical to achieve good clinical outcomes.

When Gingival Recession Is Rescued By Periodontal Plastic Surgery: A Clinical Case Report

2017 ◽  
Vol 2 (2) ◽  
Keyword(s):  
Case Report ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Root Surface ◽  
Root Coverage ◽  
Patient Reported ◽  
Term Evaluation ◽  
Periodontal Plastic Surgery

Gingival recession is the most common mucogingival defect. It is characterized by the exposure of the tooth root surface resulting from displacement of the gingival margin below the cementoenamel junction. The denuded root surfaces compromise dental and gingival aesthetics with dentine hypersensitivity, caries proclivity, cervical abrasion and oral hygiene disability. When deciding root coverage, settled surgical techniques have been proposed and each procedure challenges to expand on limitations of the others. The purpose of this case report is to assess the esthetic correction of localized gingival recession using combined coronally positioned flap with connective tissue graft techniques. Long term evaluation, extended to two years after surgical treatment, is performed. The part of the prophylactic management to prevent potential future recessions is also enhanced. Significant increasing in keratinized and attached gingival tissues and reduction of height and width of recession were obtained. Gain of root coverage was 100% with great improvement in attachment level. Prevention of recession was accomplished and the results were stable after two years follow up. Patient-reported outcomes were satisfaction and esthetic appearance.

Partly deepithelialised palatal graft for the treatment of deep-wide palatal recession defect: simplified protocol with 18-month follow-up

2020 ◽  
Vol 13 (11) ◽  
pp. e236954
Author(s):  
Amit Parashar ◽  
Indranil Deb Roy ◽  
Arpit Gupta
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Surgical Procedures ◽  
Healing Process ◽  
Root Coverage ◽  
Defect Site ◽  
Long Term Follow Up

Advances in periodontal plastic surgical procedures have led to achieve predictable root coverage outcomes for the recession defects. However, little has been reported and emphasised over management of palatal recession defects. The root coverage surgical procedures used for coverage of palatal recession defect are technically challenging in terms of accessibility and graft coverage. The purpose of this report is to describe a surgical technique used to manage deep-wide palatal recession defect. The technique uses partly deepithelialised palatal graft that is designed to approximately fit the defect site. This is employed for prolonged protection of the underlying healing process. This case report is unique in terms of treatment of deep (9.0 mm), wide (6.0 mm) palatal recession defect and its long-term follow-up for 18 months.

scholarly journals Coverage Root after Removing Peripheral Ossifying Fibroma: 5-Year Follow-Up Case Report

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Paulo S. G. Henriques ◽  
Luciana S. Okajima ◽  
Marcelo P. Nunes ◽  
Victor A. M. Montalli
Keyword(s):  
Case Report ◽  
Gingival Tissue ◽  
Ossifying Fibroma ◽  
Root Coverage ◽  
Free Gingival Graft ◽  
Coronally Advanced Flap ◽  
Peripheral Ossifying Fibroma ◽  
Root Exposure ◽  
Periodontal Plastic Surgery

When lesions in soft tissue reach the gingival margin, they can produce aesthetic defects during its permanence and after its removal. Periodontal plastic surgery allows the correction of the gingival contour using different techniques. This paper is a case report of a peripheral ossifying fibroma removal in the interproximal area of teeth 21 and 22 in addition to root coverage of the affected area through two surgical phases: keratinized gingival tissue augmentation surgery with free gingival graft concurrent with removal of the lesion and, in a second stage, root coverage by performing coronally advanced flap technique with a follow-up of five years. The initial results achieved, which were root coverage of 100% after 6 months, promoted an adequate gingival contour and prevented the development of a mucogingival defect or a root exposure with its functional and aesthetic consequences. After five years, the results showed long term success of the techniques, where the margin remained stable with complete root coverage and tissues were stable and harmonic in color.

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