Resolution of Abfraction-Associated Gingival Fenestration Utilizing Connective Tissue Grafting

Haskell, Braydon; Stern, Jacob K.; Ghiassi, Jordan; Kurialacherry, Andrew; Gaud-Quintana, Sadja; Peacock, Mark E.

doi:10.1155/2019/6810670

Cited by 4 publications

(8 citation statements)

References 10 publications

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“…[7][8][9] While the etiology of such defects is not yet fully understood, some predisposing factors such as periodontal diseases, prominent root contours, poor positioning, and vestibular protrusion of the roots associated with thin periodontal phenotype, are described in the literature. 10,11 In this case report, the presence of gingivitis in a thin periodontal phenotype was a determining predisposing factor for the GF defect observed on the facial aspect of tooth #24. It corroborates with the literature that shows dental calculus as the most common irritant leading to soft tissue fenestrations.…”

Section: Discussionmentioning

confidence: 70%

Gingival fenestration defect treated with gingivectomy and gingivoplasty: A case report with an 8‐year follow‐up

Campos

Buischi

Loomer

et al. 2021

Clin Adv Periodontics

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Introduction Gingival fenestration (GF) is scarcely reported in the literature. We present a unique case of GF defect combined with gingivitis and altered passive eruption (APE). Case Presentation An 18‐year‐old female patient with gingivitis, APE, and GF in the mandibular left central incisor presented for periodontal treatment. The gingival lesion was successfully treated with basic periodontal therapy gingivectomy, and gingivoplasty and resulted in an excellent aesthetic long‐term outcome. This case report shows its 8‐year clinical follow‐up. Conclusion There are no earlier reports dealing with the use of gingivoplasty for the treatment of GF, as it is not the usual therapeutic intervention for these defects. Gingivoplasty proved to be effective in treating GF. Why is this case new information? Available literature on gingival fenestration defects does not describe gingivectomy and gingivoplasty as a treatment of choice. Gingivectomy and gingivoplasty proved to be effective in treating gingival fenestration defects. What are the keys to successful management of this case? Proper diagnosis. What are the primary limitations to success in this case? Gingival fenestration has been defined when the overlying gingiva is denuded, exposing the root to the oral cavity. However, in this case report, only the crown was exposed because the patient had altered passive eruption.

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Section: Discussionmentioning

confidence: 70%

Gingival fenestration defect treated with gingivectomy and gingivoplasty: A case report with an 8‐year follow‐up

Campos

Buischi

Loomer

et al. 2021

Clin Adv Periodontics

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“…people, such as stress, clenching, and grinding teeth [2] . This alteration has a multifactorial etiology and can occur due to masticatory function, as signs and symptoms of these pathological activities, it can pathological wear, such as abrasion and erosion [5] . These are located in the cement-enamel junction of the tooth and are characterized by concavities with acute angles [3] .…”

Section: Introductionmentioning

confidence: 99%

Abfraction: Etiopathogenesis, clinical aspect, diagnosis and treatment, a review literature

Ornelas¹,

Vela²,

Palencia³

2022

Int. J. Appl. Dent. Sci.

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Dental abfractions are non-carious lesions that can complicate their diagnosis and correct treatment due to their characteristics. Objective: A literature review to analyze the etiopathogenic factors, clinical aspect, diagnosis, and treatment of dental abfractions. Methodology: A compilation of articles published in the last 5 years 2017-2022 was carried out using the PubMed electronic database. Abstracts and full texts were identified that included information on the etiopathogenesis, clinical aspect, diagnostic, and treatment. The implementation of the search using operators AND, OR, and NOT. Within the keywords used for the search "abfraction" "etiopathogenesis", "clinical aspect", "diagnostic" and "treatment". Results: Abfractions have a multifactorial origin (diet, mechanical action) which is more associated with occlusal forces. Most abfractions have a cervical crescent shape. Diagnosis depends on knowledge of the etiology, clinical aspect, and clinical history. The difficulty of treatment depends more on the difficulty of having a good marginal seal. Conclusions: According to the literature analyzed, the etiology of the affricative process is the product of inadequately distributed occlusal forces, which are concentrated in the cervical area. The therapeutics of these lesions can range from conservative treatments such as abrasives. However, more studies are needed to see the durability of this type of restoration. Therefore, education is important to avoid this type of injury.

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“…3 Although the etiology for GFs is unclear, putative factors that have been shown to be associated with GFs include plaque/calculus, cervical enamel projections, trauma, tooth malpositioning, occlusal factors, factitious habits, and iatrogenesis. 4,5 Although some GF lesions can be managed nonsurgically with monitoring and meticulous oral hygiene, surgical correction involving various periodontal plastic surgical procedures is preferred. 2 Successful treatment of GF by connective tissue grafting, 3,4 acellular dermal matrix allograft, 6 and regenerative approaches, 7,8 have been reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, the fenestration lesion may become vulnerable to plaque and calculus accumulation, dentinal hypersensitivity, and compromise the esthetics and periodontal stability of the affected tooth 3 . Although the etiology for GFs is unclear, putative factors that have been shown to be associated with GFs include plaque/calculus, cervical enamel projections, trauma, tooth malpositioning, occlusal factors, factitious habits, and iatrogenesis 4,5 …”

Section: Introductionmentioning

confidence: 99%

“…Although some GF lesions can be managed non‐surgically with monitoring and meticulous oral hygiene, surgical correction involving various periodontal plastic surgical procedures is preferred 2 . Successful treatment of GF by connective tissue grafting, 3,4 acellular dermal matrix allograft, 6 and regenerative approaches, 7,8 have been reported in the literature.…”

Section: Introductionmentioning

confidence: 99%

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Treatment of Gingival Fenestration With a Double Pedicle Flap Approach and Dehydrated Amnion–Chorion Membrane: A Case Report

Bhide

Tenenbaum

2020

Clin Adv Periodontics

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Introduction: Although gingival fenestrations (GFs) occur with relative infrequency, their actual incidence is thought to be much higher. Furthermore, if left untreated, these mucogingival defects can lead to unfavorable sequelae which can compromise the esthetics and stability of the teeth affected. Most GFs require surgical treatment for closure. Previously reported modalities of treatment include connective tissue grafting, acellular dermal matrix allograft, and pedicle flap approaches. This case demonstrates the first documented use of a dehydrated amnion-chorion membrane (dHACM) to treat GF. Case Presentation: A surgical approach involving a double pedicle flap and dHACM with 15 months follow-up is described. Following gentle cleansing of the defect and careful split-thickness elevation of a double pedicle flap, the area of exposure fenestration was covered with dHACM. The overlying flap was then closed carefully to completely cover the dHACM. The case presented shows a successful clinical outcome as characterized by successful closure of the fenestration defect with nice tissue maturation. Conclusion: The technique described in this case report demonstrates that GFs can be successfully treated with a periodontal plastic surgical approach using dHACM with minimal patient discomfort.

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Resolution of Abfraction-Associated Gingival Fenestration Utilizing Connective Tissue Grafting

Cited by 4 publications

References 10 publications

Gingival fenestration defect treated with gingivectomy and gingivoplasty: A case report with an 8‐year follow‐up

Gingival fenestration defect treated with gingivectomy and gingivoplasty: A case report with an 8‐year follow‐up

Abfraction: Etiopathogenesis, clinical aspect, diagnosis and treatment, a review literature

Treatment of Gingival Fenestration With a Double Pedicle Flap Approach and Dehydrated Amnion–Chorion Membrane: A Case Report

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