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Asociación Mexicana de Periodontología, Colegio de Periodoncistas A.C

2016, Number 3

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Rev Mex Periodontol 2016; 7 (3)

Gingival obtained by graft tissue engineering for coverage gingival recession. Report of a case

Dávila BL, Sosa JL, Padrón DK, Arteaga AS, Olavez CD, Salmen HS, Solórzano NE

Language: Spanish
References: 19
Page: 97-103
PDF size: 677.47 Kb.


ABSTRACT

In the treatment of gingival recession, the connective tissue graft from fibroblast cell culture offers an alternative that reduces the limitations of using the conventional technique. Objective: To evaluate the clinical behavior of a graft of autologous connective tissue, developed from gingival fibroblasts, cultivated and seeded in collagen membranes. Methodology: The case of female patient 35 years respirator oral clinical examination showed thin biotype III, class II gingival recession Miller in the 13, 1 mm of periodontal probing, tooth malposition and O’Leary rate of 30% is reported. The treatment plan included initial phase-inflammatory, a week after the hygienic phase, obtaining a sample of gingival tissue to a culture of autologous gingival fibroblasts incubated for eight weeks and planted in a scafolld bovine collagen is planned. Later theroot coverage of 13 was carried out, making a coronal displaced flap to cover the grafted tissue. Results: At 15 days after surgery root coverage of 90% was achieved, with a gain of clinical attachment 3mm, complete healing, with no obvious immune rejection evaluated to 1 year. Discussion: We agree with some authors that grafts with cultured autologous tissue can be successfully applied without rejection. Conclusion: This study showed that the longevity of gingival grafts from analogous connective tissue, developed by culture of fibroblasts and collagen scaffold, produces favorable, predictable and aesthetic results.


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