The reliability of free buccal fat graft for treatment of severe gingival recessions at mandibular and maxillary exposed roots

Abstract

Introduction:The occurrence of gingival recessions (GRs) is multifactorial, mainly due to trauma induced by traumatic toothbrushing, orthodontic tooth movement, as well as anatomical factors such as bone dehiscence, teeth malposition, and muscle pull. Fat tissue in the oral cavity is widely available and easily accessed. The use of pedicled buccal fat pad (BFP) graft is well known in maxillofacial surgery and has been shown promising results, becoming safe and effective graft for several clinical applications. However the use of fat tissue harvested from the buccal fat pad as a free graft (BFFP) is less common, but recently, it has been described by the author for different intraoral clinical applications. The aim of this study is to present additional application using the BFFG for coverage of severe muco-GRs and to discuss the promising outcomes of this procedure.Patients and Methods:A technique for harvesting intraoral BFFG for the use in mucogingival surgery is presented. A total of 10 patients (age: 38.3 ± 6.8 years) with 17 teeth presenting severe GRs (4.8 ± 1.8 mm) were included in the study. Recessions treated using BFFGs were recorded at baseline and 12 months after surgery.Results:A total of 17 GRs were treated using BFFG. At 12 months, significant reduction of recession occurred. Initial recession was reduced from 4.8 ± 1.8 mm to 1.7 ± 0.9 mm. A mean of 3.1-mm reduction in GR was achieved compared to baseline.Conclusions:The new, simple, technique for treatment of severe GRs using BFFG resulted in significant reduction of GRs.

A new technique for closure of an immediate oroantral communication following tooth extraction by free buccal fat pad graft: Case report

“…It was used for gingival recessions treatment in both jaws in anterior and posterior regions with good results. 13 De Castro et al used it for Closure of an Oronasal Fistula in a Cleft Palate Patient, it was used in the treatment of the peri-implantitis, the fat graft due to the fibrous healing enhance the clinical attachment level around the implant and prevent the recurrence, the treated implants with this manner have wonderful aesthetic results. 15 To enhance soft tissue closure after bone augmentation and to increase the thickness of the gingiva, 16 the most healing characteristic of the free fat graft was fibrosis.…”

Uso de la bola adiposa de bichat como injerto para tratar la recesión gingival

“…De manera similar, Kablan et al (25) utilizaron la BAB como un injerto libre para cubrir las raíces expuestas en dientes maxilares anteriores y en los dientes mandibulares. Al recolectar injertos libres de ambas BAB, se puede proporcionar suficiente volumen para tratar múltiples recesiones gingivales y así tratar la boca completa, y que sepamos, no hay un sitio donante de tejido conectivo en la cavidad oral que pueda proporcionar la misma cantidad de injerto.…”

“…Ubicación anatómica favorable; la proximidad y accesibilidad del sitio donante a la cavidad oral; la morbilidad del sitio donante y el malestar del paciente son mínimos; la facilidad y mínima disección con la que se puede cosechar y movilizar el injerto; excelente suministro de sangre; simplicidad; versatilidad; las irregularidades superficiales del tejido queratinizado formado se pueden remodelar completa y fácilmente con gingivoplastia (12,23) ; esta puede usarse de tipo pediculado y no pediculado (injerto libre) (24) ; volumen adecuado y notable resistencia a la infección; (29) proporciona una gran cantidad de tejido (25) y una excelente combinación en el resultado del color y la textura (30) .…”

Efficacy of buccal pad fat as a new approach in the treatment of gingival recession: a systematic review

“…The introduction of the free BPF (FBPF) graft in 2011 represented a clinical innovation, with subsequent studies evaluating its reliability in various intraoral surgical reconstructions, including GR treatment [ 27 , 28 ]. The merits of FBPF include donor site accessibility to the surgeon, minimal site morbidity, and minimal patient discomfort.…”