The present study aims to describe, through a case report, the functioning of bone grafts, where they are obtained including bone banks and the different dental areas in which it is used. A 50-year.old female patient HMR, sought the postgraduate college of dentistry CECAPE for oral rehabilitation. The initial clinical examination revealed the absence of several dental elements in both the maxilla and mandible, bone resorption in the entire maxillary extension where there was an absence of elements in the anterior region and the presence of a torus in the palatal region. Initial tomographic examinations of the maxilla and mandible were performed, looking for the best conduct regarding the diagnosis and planning of the case. After the clinical and radiographic examinations was performed, and the diagnosis was reached, it was determined as a treatment for oral rehabilitation of the maxilla, bone grafting and an Implant-supported Removable Partial Prosthesis and for the mandible a Dento-muco-supported Removable Partial Prosthesis. Dental treatments and oral rehabilitation from the use of bone tissues and bone grafting have become commonly used. Procedures that would normally lead to failure started to increase the percentage of successes due to the use of these biomaterials. The use of bone grafts in dentistry has been shown to be a very effective and useful resource, considering its great applicability in bone reconstructions in different areas of dentistry.
Introduction: Gingival Recessions (GR) are understood as processes of apical migration of periodontal tissues in relation to the cement-enamel junction, that is, they result in an inadequate positioning of the periodontium of protection, causing the consequent root exposure of the dental elements involved. Objective: The present study aims to report a case of Miller class III root coverage with coronary tissue repositioning associate with conjunctive graft. Case Report: A 50-year-old male, leucoderma, normossemic, sought care in a private clinic and presented as the main complaint the root exposition in element 41. After anamnesis, and before an accurate clinical examination and panoramic radiographic the presence of Miller's class III gingival recession, located on the buccal surface of the dental element 41, was diagnosed. The etiological factor includes a chronic periodontitis associated with bacterial plaque. Discussion: Regarding the collection of palatal connective tissue to be used as an autogenous graft material, the surgical technique adopted in this present case report provides a flap of adequate blood supply, whose nutrition will occur through the connective tissue and periosteum remnant of the surgical site of the recipient. Conclusion: The adopted therapeutic approach comprises a surgical technique of relative ease of execution, which seeks to minimize the postoperative discomfort of the patient and the existence of postoperative complications.Descriptors: Periodontics; Guided Tissue Regeneration; Dentistry; Surgery Oral.ReferencesJenabian N, Motallebnejad M, Zahedi E, Sarmast ND, Angelov N. Coronally advanced flap and connective tissue graft with or without plasma rich in growth factors (PRGF) in treatment of gingival recession. J Clin Exp Dent. 2018;10(5):e431-38. Rehan M, Khatri M, Bansal M, Puri K, Kumar A. Comparative Evaluation of Coronally Advanced Flap Using Amniotic Membrane and Platelet-rich Fibrin Membrane in Gingival Recession: An 18-Month Clinical Study. Contemp Clin Dent. 2018;9(2):188-94.Pini Prato GP, Franceschi D, Cortellini P, Chambrone L. Long-term evaluation (20 years) of the outcomes of subepithelial connective tissue graft plus coronally advanced flap in the treatment of maxillary single recession-type defects. J Periodontol. 2018;89(11):1290-1299.Miller PD Jr. A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985;5(2):8-13.Guttiganur N, Aspalli S, Sanikop MV, Desai A, Gaddale R, Devanoorkar A. Classification systems for gingival recession and suggestion of a new classification system. Indian J Dent Res. 2018;29(2):233-37.Rasperini G, Acunzo R, Pellegrini G, Pagni G, Tonetti M, Pini Prato GP et al. Predictor factors for long-term outcomes stability of coronally advanced flap with or without connective tissue graft in the treatment of single maxillary gingival recessions: 9 years results of a randomized controlled clinical trial. J Clin Periodontol. 2018;45(9):1107-17.Trombelli L, Simonelli A, Minenna L, Rasperini G, Farina R. Effect of a Connective Tissue Graft in Combination With a Single Flap Approach in the Regenerative Treatment of Intraosseous Defects. J Periodontol. 2017;88(4):348-56.Tavelli L, Barootchi S, Nguyen TVN, Tattan M, Ravidà A, Wang HL. Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: A systematic review and meta-analysis. J Periodontol. 2018;89(9):1075-1090. George SG, Kanakamedala AK, Mahendra J, Kareem N, Mahendra L, Jerry JJ. Treatment of gingival recession using a coronally-advanced flap procedure with or without placental membrane. J Investig Clin Dent. 2018;9(3):e12340. Ramireddy S, Mahendra J, Rajaram V, Ari G, Kanakamedala AK, Krishnakumar D. Treatment of gingival recession by coronally advanced flap in conjunction with platelet-rich fibrin or resin-modified glass-ionomer restoration: A clinical study. J Indian Soc Periodontol. 2018;22(1):45-49.Akram Z, Vohra F, Javed F. Low-level laser therapy as an adjunct to connective tissue graft procedure in the treatment of gingival recession defects: A systematic review and meta-analysis. J Esthet Restor Dent. 2018;30(4):299-306. Francetti L, Taschieri S, Cavalli N, Corbella S. Fifteen-Year Follow-Up of a Case of Surgical Retreatment of a Single Gingival Recession. Case Rep Dent. 2018;2018:3735162. Cairo F, Cortellini P, Tonetti M, Nieri M, Mervelt J, Pagavino G et al. Stability of root coverage outcomes at single maxillary gingival recession with loss of interdental attachment: 3-year extension results from a randomized, controlled, clinical trial. J Clin Periodontol. 2015;42(6):575-81.Deepa D, Arun Kumar KV. Clinical evaluation of Class II and Class III gingival recession defects of maxillary posterior teeth treated with pedicled buccal fat pad: A pilot study. Dent Res J (Isfahan). 2018;15(1):11-6.Culhaoglu R, Taner L, Guler B. Evaluation of the effect of dose-dependent platelet-rich fibrin membrane on treatment of gingival recession: a randomized, controlled clinical trial. J Appl Oral Sci. 2018;26:e20170278. Reino DM, Novaes AB Jr, Grisi MF, Maia LP, de Souza SL. Palatal harvesting technique modification for better control of the connective tissue graft dimensions. Braz Dent J. 2013;24(6):565-68. Apicella A, Heunemann P, Bolisetty S, Marascio M, Graf AG, Garamszegi L et al. The Influence of Arginine on the Response of Enamel Matrix Derivative (EMD) Proteins to Thermal Stress: Towards Improving the Stability of EMD-Based Products. PLoS One. 2015;10(12):e0144641. da Silva Neves FL, Silveira CA, Dias SB, Santamaria Junior M, de Marco AC, Kerbauy WD et al. Comparison of two power densities on the healing of palatal wounds after connective tissue graft removal: randomized clinical trial. Lasers Med Sci. 2016;31(7):1371-78.Schmidlin P, Zobrist K, Attin T, Wegehaupt F. In vitro re-hardening of artificial enamel caries lesions using enamel matrix proteins or self-assembling peptides. J Appl Oral Sci. 2016;24(1):31-6.Aguirre-Zorzano LA, García-De La Fuente AM, Estefanía-Fresco R, Marichalar-Mendía X. Complications of harvesting a connective tissue graft from the palate. A retrospective study and description of a new technique. J Clin Exp Dent. 2017;9(12):e1439-e45.Arweiler NB, Auschill TM, Donos N, Sculean A. Antibacterial effect of an enamel matrix protein derivative on in vivo dental biofilm vitality. Clin Oral Investig. 2002;6(4):205-9.Bhutda G, Deo V. Five years clinical results following treatment of human intra-bony defects with an enamel matrix derivative: a randomized controlled trial. Acta Odontol Scand. 2013;71(3-4):764-70.Bajić MP, Danilović V, Prokić B, Prokić BB, Manojlović M, Živković S. Histological Effects of Enamel Matrix Derivative on Exposed Dental Pulp. Srp Arh Celok Lek. 2015;143(7-8):397-403.Jaiswal GR, Kumar R, Khatri PM, Jaiswal SG, Bhongade ML. The effectiveness of enamel matrix protein (Emdogain(®)) in combination with coronally advanced flap in the treatment of multiple marginal tissue recession: A clinical study. J Indian Soc Periodontol. 2012;16(2):224-30.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.