Subepithelial Connective Tissue Graft for Treatment of Gingival Recession: A Case Report
Keywords:
Gingival recession, Root coverage, Subepithelial connective tissue graftAbstract
Gingival recession is a condition where the gingival margin has apical displacement from cementoenamel junction causing exposure of the root surface. This can result in aesthetic concerns and tooth sensitivity, as well as increased susceptibility to plaque accumulation and gingival inflammation. Root coverage using subepithelial connective tissue graft is a method to treat gingival recession. The present case report aimed to present the root coverage on tooth 41 where the periodontal tissue destruction was significant and had implications for the patient's aesthetics and post-treatment oral hygiene following orthodontic treatment. Using subepithelial connective tissue graft by tunnelling technique, the patient was followed up for 1 year and 8 months revealing partial coverage of the root surface on tooth 41 and increased keratinized gingiva. The patient exhibited good periodontal health and was satisfied with the treatment outcomes. The success of treatment depends on factors such as the proper characteristics of recipient sites, surgical procedure and good oral hygiene care.
References
Miller PD Jr. A classification of marginal tissue recession. Int J Periodontics Restorative Dent 1985;5(2):8-13.
Sullivan HC, Atkins JH. Free autogenous gingival grafts. 3. Utilization of grafts in the treatment of gingival recession. Periodontics 1968;6(4):152-60.
Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 1985;56(12):715-20.
Raetzke PB. Covering localized areas of root exposure employing the "envelope" technique. J Periodontol 1985;56(7):397-402.
Zabalegui I, Sicilia A, Cambra J, Gil J, Sanz M. Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: a clinical report. Int J Periodontics Restorative Dent 1999;19(2):199-206.
Zucchelli G, Mele M, Mazzotti C, Marzadori M, Montebugnoli L, De Sanctis M. Coronally advanced flap with and without vertical releasing incisions for the treatment of multiple gingival recessions: a comparative controlled randomized clinical trial. J Periodontol 2009;80(7):1083-94.
Lang NP, Loe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol 1972;43(10):623-27.
Scheyer ET, Sanz M, Dibart S, Greenwell H, John V, Kim DM, et al. Periodontal soft tissue non-root coverage procedure: a consensus report from the AAP regeneration workshop. J Periodontol 2015;86(2 Suppl):S73-6.
Tavedhikul K, Kungsadalpipob K. Decision making for root coverage surgical techniques. J Dent Assoc Thai 2016;66(4):268-84.
Chaysri C, Kungsadalpipop K. Factors affecting the root coverage outcome. Thai J Periodontol 2007;1(1):56-67.
Chambrone L, Salinas Ortega MA, Sukekava F, Rotundo R, Kalemaj Z, Buti J, et al. Root coverage procedures for treating localized and multiple recession-type defects. Cochrane Database Syst Rev 2018;10(10):CD007161.
Zuhr O, Bäumer D, Hürzeler M. The addition of soft tissue replacement grafts in plastic periodontal and implant surgery: critical elements in desigh and execution. J Clin Periodontol 2014;41(Suppl 15):S123-42.
Souccar NM, Oueis R, Mussleman Jr JP, Geurs NC, Abou-Arraj RV. The impact of orthodontic retainers on gingival recession: a best-evidence review. Compend Contin Educ Dent 2022;43(3):E1-4.
Rajwani AR, Hawes SND, To A, Quaranta A, Rincon Aguilar JC. Effectiveness of manual toothbrushing tech- niques on plaque and gingivitis: a systematic review. Oral Health Prev Dent 2020;18(1):843-54.
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