Periodontal Plastic Microsurgery in the Treatment of Deep Gingival Recession after Orthodontic Movement

Abstract

Gingival recession is a condition that affects a large portion of the young and adult population and negatively affects the aesthetic aspects of the smile. Many factors are related to its development, including orthodontic movement beyond the osseous limits. Many treatment options have been proposed to cover the exposed root surface. The aim of this article was to describe three cases where a subepithelial connective tissue graft was performed, using a microsurgical technique, in the treatment of deep gingival recession after orthodontic treatment. This technique resulted in successful root coverage and keratinized tissue gain, improving the gingival esthetic pattern.

Endodontic and Periodontal Treatment of Complete Buccal Root and Apex Exposition: A Challenging Case Report With 17 Months Follow‐Up

“…It can occur in case of extreme arch expansions, 1 in an attempt at a conservative treatment with no extractions, moving the tooth outside the alveolar housing, 2 mainly on mandibular incisor proclination. Moreover, a higher incidence of facial bony dehiscence and GR is found for thin periodontal phenotype, 3 affecting between 20% and 25% of patients, between 2 and 5 years after orthodontic treatment. 4 Thereby, as result of orthodontic management, GR may be associated with apical periodontitis, jeopardizing either the vitality of the tooth as the buccal bone wall.…”

Cirurgia minimamente invasiva x cirurgia convencional na taxa de recobrimento radicular e previsibilidade estética: Uma revisão integrativa

“…Possui uma prevalência mundial de 88% em indivíduos com idades superiores a 65 anos e 50% naqueles com idade entre 18 e 64 anos. (Vieira et al, 2016;Menezes, Kahn, Egreja, Silva & Machado, 2011) O tratamento das recessões gengivais está incluído nas cirurgias plásticas periodontais e pode ser efetuado mediante técnicas como retalho posicionado coronariamente com ou sem enxerto de tecido conjuntivo subepitelial, retalho posicionado lateralmente e enxerto gengival livre (Kahn, Rodrigues & Barceleiro, 2013). As abordagens cirúrgicas para os tratamentos podem ser de forma convencional através de cirurgias a retalho ou de maneira minimamente invasiva (Vieira et al, 2016;Menezes et al, 2011;Kahn et al, 2013;Ryder & Armitage, 2000).…”

Comparative evaluation of treatment of localized gingival recessions with coronally advanced flap using microsurgical and conventional techniques

“…Hence, minimally invasive techniques were developed to minimize tissue trauma and allow primary wound closure. [19]…”