scholarly journals Obtaining intraoral subepithelial connective tissue graft: Dermabrasion Technique- Case report

10.3823/2615 ◽  
2019 ◽  
Vol 12 ◽  
Author(s):  
Marcelo Pereira Nunes ◽  
Luís Fernando Pereira Nunes ◽  
João Carlos Bittencourt Ribeiro ◽  
Roberto Mourão Pinho ◽  
Camila Agra de Souza ◽  
...  
Keyword(s):  
Connective Tissue ◽  
High Speed ◽  
Healing Process ◽  
Soft Tissue Augmentation ◽  
Epithelial Layer ◽  
Connective Tissue Graft ◽  
Diamond Drill ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
Subepithelial Layer

Objectives: The present study aims to describe the dermabrasion technique to obtain connective tissue rich in collagen, with satisfactory thickness and anatomy, removing the epithelial layer with diamond drill in high speed handpiece and under refrigeration. Materials and Methods: A 50-year-old patient was selected for immediate dental implant (element 25) and soft tissue augmentation in the periodontal and peri-implant region. An epithelial connective tissue graft was performed in the area comprising elements 23, 24, 25 and mesial of 26. For the preparation of the donor area of the graft, the dermabrasion technique was used through a spherical diamond drill bit (medium or thick granulation) in high speed and under refrigeration, being able to remove the epithelium without losing part of the subepithelial layer. Results: The healing process is by second intention and presented a normal evolution with formation of adequate tissues. Conclusions: The Dermabrasion technique allows to obtain adequate grafts, removing the epithelial layer in a simple way and guarantee the desired thickness.

scholarly journals Technical Note on Root Coverage of Lower Anterior Teeth Using a Partially Deepithelialized Connective Tissue Graft (PE-CTG) Aided by a High-Speed Handpiece

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Kyeong-Ok Lim ◽  
Byung-Ock Kim ◽  
Won-Pyo Lee
Keyword(s):  
Connective Tissue ◽  
High Speed ◽  
Healing Process ◽  
Technical Note ◽  
Anterior Region ◽  
Root Coverage ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Anterior Teeth ◽  
Subepithelial Connective Tissue Graft

Root coverage in the mandibular anterior region is challenging because of a thin gingival biotype, shallow vestibule, and high frenum attachment. Several methods have been introduced to predict the root coverage in this area. Stimmelmayr proposed a method of performing root coverage using a combination epithelialized-subepithelial connective tissue graft (CTG). However, it is difficult to precisely acquire connective tissue according to this method. Therefore, in this case report, we would like to introduce a technique to harvest a partially deepithelialized CTG (PE-CTG) aided by a high-speed handpiece, which helps in procuring the graft easily and quickly. This method could lower the patient’s morbidity at donor sites and enhance the healing process. Additionally, it could increase the amount of keratinized gingiva in the mandibular anterior region without reducing the vestibular depth. Therefore, PE-CTG using a high-speed handpiece can be a promising treatment option for the root coverage of the mandibular anterior teeth.

Subepithelial Connective Tissue Graft for Gingival Recession Coverage: A Case Report

2020 ◽  
Author(s):  
Anita Mehta
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Gingival Recession ◽  
Tooth Brushing ◽  
Vulnerable Area ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Keratinized Tissue ◽  
Subepithelial Connective Tissue Graft ◽  
Dentinal Hypersensitivity

The Gingival recession is considered a multi-factorial. The etiology may be an anatomically vulnerable area, faulty tooth brushing, high frenum attachment. In cases where there is progressive recession, aesthetics concern or increasing dentinal hypersensitivity, we can do recession coverage. Depending upon the presence or absence of adequate keratinized tissue we can choose the technique. In case of adequate width of keratinized tissue, usually we can do displaced flap and in case where there is inadequate width, we can do gingival grafting.

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