Evaluation of root coverage with pedicled buccal fat pad in class III and class IV gingival recession defects

Monika, K; Sunkala, Lokesh; Nalla, Sandeep; K, Keerthi G.; Bharathi, B Vimal; Madhav, Gajula Venu

doi:10.4103/jfmpc.jfmpc_1104_19

Cited by 7 publications

(16 citation statements)

References 32 publications

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“…Conventional implants with a thin soft-tissue phenotypes, required subepithelial or free connective tissue graft to prevent the development of peri-implant mucosal dehiscence ( 22 , 23 ). In addition, based on current knowledge, the buccal fat pad has been successfully used to cover tooth recessions ( 24 , 25 ). Hence, from other perspective but following with a similar investigation line, the present study showed that peri-implant buccal mucosal dehiscence was significantly worse in those implants that were not covered with the buccal fat pad.…”

Section: Discussionmentioning

confidence: 99%

Effect of the buccal fat pad in the prevention of zygomatic implant surgery postoperative complications: A pilot study

Blanco-Ruiz,

Molinero-Mourelle,

Blanco-Ruiz

et al. 2023

Med Oral

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Background Zygomatic implants have been used to treat severe atrophy maxilla. Since its description, the technique has been improved in order to reduce patient morbidity as well as prosthesis rehabilitation time. Despite the improvements in the procedure, zygomatic implant treatments still have complications related to the peri-implant soft-tissue; a probing depth greater than 6 millimeter (mm) and a prevalence of bleeding on probing of 45% have been described. The mobilization of the buccal fat has been used to manage different oral and maxillofacial soft-tissue pathologies. The aim of this study was to assess whether the buccal fat pad might prevent mucosal dehiscence and avoid potential postoperative complications when is placed covering the body part of the zygomatic implants. Material and Methods In this pilot study, 7 patients were enrolled and a total of 28 zygomatic implants were placed and evaluated during a 12-month follow-up period. Surgical sites were randomly divided into two groups before implant placement: control group (A; in which no buccal fat pad was applied) and experimental group (B). Peri-implant soft tissue thickness difference, pain using a Visual Analog Scale (VAS), swelling, hematoma, buccal soft tissue healing and sinusitis, were evaluated. The implant survival rate was determined according the Aparicio success criteria and compared between the control and experimental procedure. Results A nonstatistical difference was found between groups regarding to pain. The experimental group showed higher soft-tissues thickness ( p = 0.03) and the implant survival rate was 100% in both groups. Conclusions The mobilization of the buccal fat pad to cover the body of the zygomatic implants increases peri-implant soft-tissue thickness, without increasing the postoperative pain. Key words: Zygomatic implants, maxillary atrophy, Complications, Postoperative care, Swelling, Pain.

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Section: Discussionmentioning

confidence: 99%

Effect of the buccal fat pad in the prevention of zygomatic implant surgery postoperative complications: A pilot study

Blanco-Ruiz,

Molinero-Mourelle,

Blanco-Ruiz

et al. 2023

Med Oral

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“… Sample size Diagnosis Location of recession Amount of AG Reduction in the gingival recession Clinical attachment gain % MRC Amount of increase in KG (PPD After) – (PPD before) Monika, et al. 2020 [ 46 ] 15 Miller's Class III & IV Maxillary posterior teeth N/A 2.73 mm 0.87 mm 46.78% 1–2 mm -0.8 m Deepa, et al. 2018 [ 47 ] 10 Miller's Class II & III Maxillary posterior teeth 2.5 mm 5.70 mm N/A 89.30% N/A 1 mm Panda, et al.…”

Section: Surgical Techniques For Treating Miller's Class Iii/iv (Adva...mentioning

confidence: 99%

Clinical comparison between different surgical techniques used to manage advanced gingival recession (Miller's class III & IV)

Lahham

Ta’a

2022

Heliyon

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“…On the one hand, it has biological implementation at different ages of the patient, and on the other hand, it can be used in small and large reconstructive surgical procedures, especially in the maxillofacial region [3]. These include the repair of oral cavity defects after resective surgeries, closure of clefts of the hard and soft palate, treatment of peri-implantitis and repair of defects around dental implants, and the management of tooth recessions and OAC [4], as well as in the treatment of temporomandibular joint ankylosis [5][6][7][8][9], congenital pathologies, jawbone necrosis, and postoperative reconstructions in cancer patients [10].…”

Section: Introductionmentioning

confidence: 99%

Morphological Evaluation and Immunohistochemical Analysis of the Reparative Potential of the Buccal Fat Pad

Zhidkov,

Panin,

Drobyshev

et al. 2024

Medicina

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Background and Objectives: There are many surgical techniques for oroantral communication treatment, one of which is the buccal fat pad. Of particular interest is the high reparative potential of the buccal fat pad, which may be contributed to by the presence of mesenchymal stem cells. The purpose of this work is to evaluate the reparative potential of BFP cells using morphological and immunohistochemical examination. Materials and Methods: 30 BFP samples were provided by the Clinic of Maxillofacial and Plastic Surgery of the Russian University of Medicine (Moscow, Russia) from 28 patients. Morphological examination of 30 BFP samples was performed at the Institute of Clinical Morphology and Digital Pathology of Sechenov University. Hematoxylin–eosin, Masson trichrome staining and immunohistochemical examination were performed to detect MSCs using primary antibodies CD133, CD44 and CD10. Results: During staining with hematoxylin–eosin and Masson’s trichrome, we detected adipocytes of white adipose tissue united into lobules separated by connective tissue layers, a large number of vessels of different calibers, as well as the general capsule of BFP. The thin connective tissue layers contained neurovascular bundles. Statistical processing of the results of the IHC examination of the samples using the Mann–Whitney criterion revealed that the total number of samples in which the expression of CD44, CD10 and CD133 antigens was confirmed was statistically significantly higher than the number of samples where the expression was not detected (p < 0.05). Conclusions: During the morphological study of the BFP samples, we revealed statistically significant signs of MSCs presence (p < 0.05), including in the brown fat tissue, which proves the high reparative potential of this type of tissue and can make the BFP a choice option among other autogenous donor materials when eliminating OAC and other surgical interventions in the maxillofacial region.

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Evaluation of root coverage with pedicled buccal fat pad in class III and class IV gingival recession defects

Cited by 7 publications

References 32 publications

Effect of the buccal fat pad in the prevention of zygomatic implant surgery postoperative complications: A pilot study

Effect of the buccal fat pad in the prevention of zygomatic implant surgery postoperative complications: A pilot study

Clinical comparison between different surgical techniques used to manage advanced gingival recession (Miller's class III & IV)

Morphological Evaluation and Immunohistochemical Analysis of the Reparative Potential of the Buccal Fat Pad

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