Subepithelial Connective Tissue Graft for the Treatment of Gingival Recessions in Miller Class III in Patient with Anterior Crossbite: A Case Report
Keywords:
Gingival recession, Root coverage, Subepithelial connective tissue graft, Miller class III gingival recessionAbstract
This case report showed the treatment of gingival recessions on 41, 42 and 32 in Thai female 34 years old with anterior crossbite. The recessions with the loss of bone and soft tissue in the interdental area were classified in Miller class III gingival recession, result in aesthetic problem and hypersensitivity, especially on 41 which presented the recession depth at 6 mm. and 1 mm. of keratinized gingiva. Root coverage procedure by subepithelial connective tissue graft technique was indicated. The results demonstrated partial root coverage on 41; root coverage on 1 month: 83.3%, 5 months: 66.7%, 1 year: 58.4%, 3 years to 5 years: 50%. The width of keratinized gingiva was 1 mm. before treatment, 1 month after: 7 mm., 5 months: 6 mm., 1 year: 5 mm., 3 years to 5 years: 4 mm. The percentage of root coverage and the width of keratinized gingiva on 41 seemed to decrease exponentially with a longer follow-up time, although seemed to slightly reduced in 3 years after treatment and then stable. Long-term stability was not predictable, longer follow-ups were needed . In the patients with anterior crossbite, orthodontic treatment with surgery may reduced the occurrence of gingival recession, thus, it should be considered.
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