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2016, Number 1

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Rev Esp Med Quir 2016; 21 (1)

Subepithelial connective tissue graft. Clinical case

Rojo-Botello NR, Serrano-García SA, Vargas-Casillas AP
Full text How to cite this article

Language: Spanish
References: 38
Page: 31-38
PDF size: 474.13 Kb.


Key words:

Gingival recession, root coverage, connective tissue graft, free graft, coronal sliding flap, dentin hypersensitivity.

ABSTRACT

Gingival recession is one of the most frequent alterations in the tissues supporting the teeth; two etiological factors are involved: traumatic brushing or a sign of loss in the periodontal tissues. Often dentin hypersensitivity is reported, being uncomfortable for the patient. One of the reconstructive procedures is the subepithelial connective tissue graft, which is a free gingival graft. It involves obtaining tissue commonly accomplished in the palatal mucosa and which is placed in one or several roots covering it with a flap displaced coronal In order to achieve root coverage. This technique achieves a root coverage, consequently reducing hypersensitivity and good aesthetics, which is considered the most favorable and successful in most cases surgical therapy. The present clinical case refers to a patient with gingival recession Miller Class II in maxillary canine (tooth 13) treated with this procedure eventually covering with soft tissue recession of 100% and an increase in keratinized tissue with great aesthetic is presented in the following article. In conclusion, the subepithelial connective tissue graft described in this case report represents a good treatment option for root coverage and elimination of dentin hypersensitivity.


REFERENCES

  1. Wennstrom JL, Zucchelli G, Pini Prato PG. Terapia mucogingival – cirugía plástica periodontal. Buenos Aires: México. Lindhe J, Lang NP, Karring T, 2009:958-62.

  2. Ardila MC. Recesión gingival: una revisión de su etiología, patogénesis y tratamiento. Av Periodon Implantol 2009;21(1):35-43.

  3. Zucchelli G, Amore C, Sforza NM, Montebugnoli L, De Sanctis M. Bilaminar techniques for the treatment of recession-type defects. A comparative clinical study. J Clin Periodontol 2003;30(10):862-70.

  4. Ottoni J, Borges SE, Mendes MM. Recesión del tejido marginal. Sao Paulo. Ottoni J, Fardín ML, 2007:47-66.

  5. Castillo R, Torres RG, Grados PS, Velásquez CS. Injerto de tejido conectivo subepitelial para recubrimiento radicular en recesiones gingivales Miller clase II: reporte de caso. Facultad de Odontología UNMSM: Unidad de Posgrado 2011;2(2):1-7.

  6. Hall WB. Present status of soft tissue grafting. J Periodontol 1977;48(9):587-97.

  7. Miller PD Jr. A classification of marginal tissue recession. Int J Periodontics Restorative Dent 1985;5(2):8-13.

  8. Bouchard P, Malet J, Borghetti A. Decision-making in aesthetics: root coverage revisited. Periodontol 2000 2001;27:97-20.

  9. Cavenaghi G, Caccianiga GL, Baldoni M, Lamedica M. Comparación entre técnicas bilaminares y regenerativas para cubrir las raíces. Av Periodont Implantol 2000;12(3):127- 36.

  10. Consensus report. Mucogingival Therapy. Ann Periodontol 1996;1(1):702-06.

  11. Injerto de tejido blando libre. Cobertura cosmética de la raíz y aumento gingival. Venezuela. Cohen ES, 2010:65-82 y 288-99.

  12. Camargo PM, Melnick PR, Kenney EG. The use of free gingival grafts for aesthetic purposes. Periodontol 2000 2001;27:72-96.

  13. Sullivan HC, Atkins JH. Free autogenous gingival grafts 3. Utilization of grafts in the treatment of gingival recession. Periodontics 1968:6(4);152-60.

  14. Miller PD Jr. Root coverage using the free soft tissue autograft citric acid application III. A successful and predictable procedure in areas of deep-wide recession. Int J Periodontics Restorative Dent 1985;5(2):14-37.

  15. Cirugía mucogingival. Barcelona. Echeverría GJ, Echeverría MA, Santamaría MM, 2011:141-45.

  16. Duarte CA, Castelo BF, Cabeza MA, Cabeza FL. Injerto de tejido conjuntivo subepitelial. Consideraciones sobre la técnica. Cient Dent 2007;4(1):83-92.

  17. Raetzke PB. Covering localized areas of root exposure employing the “envelope” technique. J Periodontol 1985;56(7):397-02.

  18. Sbordone L, Ramaglia L, Spagnuolo G, De Luca M. A Comparative study of free gingival and subepithelial connective tissue grafts. Periodontal Case Rep 1988;10(1):8-12.

  19. Recubrimiento de la recesión con injertos de tejido conjuntivo. España. Wolf HF, Rateitschak-Pluss ME, Rateitschak HK, 2005:419-35.

  20. Langer B, Langer L. Subepithelial connective tissue graft tecnique for root coverage. J Periodontol 1985;56(12):715-20.

  21. Bruno JF. Connective tissue graft technique assuring wide root coverage. Int J Periodontics Restorative Dent 1994;14(2):126-37.

  22. Paolantonio M, Dolci M, Esposito P. Subpedicle acelular dermal matrix graft and autogenous connective tissue graft in the treatment of gingival recessions: a comparative 1 year clinical study. J Periodontol 2002;73:1299-07.

  23. Harris RJ. A comparative study of root coverage obtained with an acellular dermal matrix versus a connective tissue graft: results of 107 recessions defect in 50 consecutively treated patients. Int J Periodontics Restorative Dent 2000;20:51-59.

  24. Hirsch A, Goldeinstein M, Goultschin J. A 2-year follow up of root coverage using subpedicle acellular dermal matrix allografts and subepitelial connective tissue autografts. J Periodontol 2005;76(8):1323-28.

  25. Harris RJ. GTR for root coverage: a long-term follow-up. Int Periodontics Restorative Dent 2002;22:55-61.

  26. Paolantonio M. Treatment of gingival recessions by combined periodontal regenerative technique, guided tissue regeneration, and subpedicle connective tissue graft. A comparative clinical study. J Periodontol 2002;73:53-62.

  27. Schiff T, Dotson M, Cohen S, De Vizio W, Volpe A. Efficacy of a dentifrice containing potassium nitrate, soluble pyrophosphate, PVM/MA copolymer, and sodium fluoride on dentinal hypersensitivity: A twelve week clinical study. J Clin Dent 1994;5:87-92.

  28. Nunn ME, Miyamoto T. Coronally advanced flaps (CAF) plus connective tissue graft (CTG) is the gold standard for treatment of Miller class I and II gingival defects.J Evid Based Dent Pract. 2013 Dec;13(4):157-9.

  29. Cortellini P, Pini Prato G. Coronally advanced flap and combination therapy for root coverage. Clinical strategies based on scientific evidence and clinical experience. Periodontol 2000. 2012;59(1):158-84

  30. Paolantonio M, Dolci M, Esposito P. Subpedicle acelular dermal matrix graft and autogenous connective tissue graft in the treatment of gingival recessions: a comparative 1 year clinical study. J Periodontol 2002;73:1299-07.

  31. Monslemi N, Mousavi Jazi M, Haghighati F, Morovati SP, Jamali R. Acellular dermal matrix allograft versus subepithelial connective tissue graft in treatment of gingival recessions: a 5-year randomized clinical study. J Clin Periodontol 2011;38(12):1122-29.

  32. Cairo F, Nieri M, Pagliaro U. Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review. J Clin Periodontol 2014;41 Suppl 15:44 -62.

  33. Gapski R, Parks CA, Wang HL. Acellular dermal matrix for mucogingival surgery: a meta-analysis. J Periodontol 2005;76(11):1814-22.

  34. Ardila Medina CM. Aplicación clínica de la matriz dérmica acelular para prevenir recesiones gingivales. Av Periodon Implantol 2009;21(1):27-34.

  35. Tinti C, Vincenzi G, Cocchetto R. Guided tissue regeneration in mucogingival surgery. J Periodontol 1993;64(11):1184- 91.

  36. Pini Prato G, Tinti C, Vincenzi G, Magnani C, Cortellini P, Clauser C. Guided tissue regeneration versus mucogingival surgery in the treatment of human buccal gingival recession. J Periodontol 1992;63(11):919-28.

  37. Sanz M, Simion M. Surgical techniques on periodontal plastic surgery and soft tissue regeneration: consensus report of Group 3 of the 10th European Workshop on Periodontology. J Clin Periodontol 2014;41(Suppl 15):S92-7.

  38. Thoma DS, Buranawat B, Hämmerle CH, Held U, Jung RE. Efficacy of soft tissue augmentation around dental implants and in partially edentulous areas: A systematic review. J Clin Periodontol 2014 Apr;41(Suppl 15):S77–S91.




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Rev Esp Med Quir. 2016;21