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Multiple marginal tissue recession treated with a simplified lateral sliding flap technique.

Ribeiro FS, de Morais-Camillo JA, Fernandes JM, Pires JR, Zuza EP, Pontes AE - Case Rep Dent (2014)

Bottom Line: In the present case, double papilla was not performed, rendering the maneuver less complicated.After surgery on teeth #23 to #25, total root coverage, decreased dentin sensitivity, and increased keratinized tissue band and gingival thickness were achieved.In the present case, modified Nelson technique proved to be a more simple procedure for the treatment of multiple recessions in one session, resulting in adequate healing, predictable root coverage, and, more importantly, esthetic and functional success.

View Article: PubMed Central - PubMed

Affiliation: Masters of Science Program, Educational Foundation of Barretos, UNIFEB, 14783-226 Barretos, SP, Brazil.

ABSTRACT
Marginal tissue recession is a common esthetic problem that is usually accompanied by dentin sensitivity, and patients frequently report a fear of dental loss. Lateral sliding flaps have been used for localized recession, but they are rarely used for multiple recessions. The aim of this paper was to report a case of coverage of multiple marginal tissue recessions by means of a lateral sliding flap associated with a connective tissue graft. This was a modification of Nelson's technique, which was originally described as the combination of the double papilla technique, lateral sliding flap, and connective tissue graft. In the present case, double papilla was not performed, rendering the maneuver less complicated. After surgery on teeth #23 to #25, total root coverage, decreased dentin sensitivity, and increased keratinized tissue band and gingival thickness were achieved. In the present case, modified Nelson technique proved to be a more simple procedure for the treatment of multiple recessions in one session, resulting in adequate healing, predictable root coverage, and, more importantly, esthetic and functional success.

No MeSH data available.


Related in: MedlinePlus

Multiple marginal tissue recessions on teeth #23, #24, and #25 were scaled and planed prior to the surgical procedure.
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fig1: Multiple marginal tissue recessions on teeth #23, #24, and #25 were scaled and planed prior to the surgical procedure.

Mentions: On the day of the surgery, extraoral and intraoral antisepsis were performed with a 0.12% chlorhexidine digluconate solution, and local anesthesia was performed with mepivacaine 2% HCl with norepinephrine (1 : 100,000). Next, scaling and planning of the exposed roots were performed using Gracey 7-8 curettes, with the aim of removing infected cementum and preparing the roots for coverage (Figure 1).


Multiple marginal tissue recession treated with a simplified lateral sliding flap technique.

Ribeiro FS, de Morais-Camillo JA, Fernandes JM, Pires JR, Zuza EP, Pontes AE - Case Rep Dent (2014)

Multiple marginal tissue recessions on teeth #23, #24, and #25 were scaled and planed prior to the surgical procedure.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4221904&req=5

fig1: Multiple marginal tissue recessions on teeth #23, #24, and #25 were scaled and planed prior to the surgical procedure.
Mentions: On the day of the surgery, extraoral and intraoral antisepsis were performed with a 0.12% chlorhexidine digluconate solution, and local anesthesia was performed with mepivacaine 2% HCl with norepinephrine (1 : 100,000). Next, scaling and planning of the exposed roots were performed using Gracey 7-8 curettes, with the aim of removing infected cementum and preparing the roots for coverage (Figure 1).

Bottom Line: In the present case, double papilla was not performed, rendering the maneuver less complicated.After surgery on teeth #23 to #25, total root coverage, decreased dentin sensitivity, and increased keratinized tissue band and gingival thickness were achieved.In the present case, modified Nelson technique proved to be a more simple procedure for the treatment of multiple recessions in one session, resulting in adequate healing, predictable root coverage, and, more importantly, esthetic and functional success.

View Article: PubMed Central - PubMed

Affiliation: Masters of Science Program, Educational Foundation of Barretos, UNIFEB, 14783-226 Barretos, SP, Brazil.

ABSTRACT
Marginal tissue recession is a common esthetic problem that is usually accompanied by dentin sensitivity, and patients frequently report a fear of dental loss. Lateral sliding flaps have been used for localized recession, but they are rarely used for multiple recessions. The aim of this paper was to report a case of coverage of multiple marginal tissue recessions by means of a lateral sliding flap associated with a connective tissue graft. This was a modification of Nelson's technique, which was originally described as the combination of the double papilla technique, lateral sliding flap, and connective tissue graft. In the present case, double papilla was not performed, rendering the maneuver less complicated. After surgery on teeth #23 to #25, total root coverage, decreased dentin sensitivity, and increased keratinized tissue band and gingival thickness were achieved. In the present case, modified Nelson technique proved to be a more simple procedure for the treatment of multiple recessions in one session, resulting in adequate healing, predictable root coverage, and, more importantly, esthetic and functional success.

No MeSH data available.


Related in: MedlinePlus