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Reconstruction of pink esthetics: The periodontal way.

Balasubramanian K, Arshad LM, Priya BD - Contemp Clin Dent (2015 Jan-Mar)

Bottom Line: Three months later, a connective tissue graft (CTG)was performed to obtain root coverage.The results indicated that the FGG allows for a gain in the keratinized tissue level and the CTG allows for root coverage with decreased recession level after 6 months.Therefore, for this type of specific gingival recession, the combined use of FGG and CTG still serves as a Gold Standard in predictable root coverage.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, SRM Kattankulathur Dental College, Ramapuram, Chennai, Tamil Nadu, India.

ABSTRACT
Cosmetic procedures involving gingival reconstruction have become an integral part of current periodontal practice. The ability to cover unsightly exposed, sensitive roots and recontour soft tissue recessions have added an esthetic angle to the traditional concept of biological and functional periodontal health. The recession of the gingiva, either localized or generalized, may be associated with one or more surfaces, resulting in attachment loss and root exposure, which can lead to clinical problems such as diminished cosmetic appeal and aesthetic concern. Marginal gingival recession, therefore, can cause major functional and aesthetic problems and should not be viewed as merely a soft tissue defect, but rather as the destruction of both the soft and hard tissue. Treatment proposals for this type of defect have evolved based on the knowledge for healing the gingiva and the attachment system. This case report describes a clinical case of severe Miller Class II gingival recession treated by two stages of surgery that combined a free gingival graft and connective tissue grafting. First, a free gingival graft (FGG) was performed to obtain an adequate keratinized tissue level. Three months later, a connective tissue graft (CTG)was performed to obtain root coverage. The results indicated that the FGG allows for a gain in the keratinized tissue level and the CTG allows for root coverage with decreased recession level after 6 months. Therefore, for this type of specific gingival recession, the combined use of FGG and CTG still serves as a Gold Standard in predictable root coverage.

No MeSH data available.


Related in: MedlinePlus

Harvesting of connective tissue graft
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Figure 5: Harvesting of connective tissue graft

Mentions: Under local anesthesia 2% lignocaine and 1:80,000 adrenaline, a recipient bed was prepared by two horizontal incisions which were given on both mesial and distal sides of defect followed by two vertical incisions were made perpendicular to the initial incisions on either side which were extending well into the alveolar mucosa. Partial thickness pedicles were reflected for CAF. CTG was harvested from the first quadrant of palatal region and placed the recipient bed stabilized with 4–0 vicryl placed. Coranally advance the pedicle graft over CTG, sutures are placed followed by periodontal dressing [Figures 5-7].


Reconstruction of pink esthetics: The periodontal way.

Balasubramanian K, Arshad LM, Priya BD - Contemp Clin Dent (2015 Jan-Mar)

Harvesting of connective tissue graft
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4319352&req=5

Figure 5: Harvesting of connective tissue graft
Mentions: Under local anesthesia 2% lignocaine and 1:80,000 adrenaline, a recipient bed was prepared by two horizontal incisions which were given on both mesial and distal sides of defect followed by two vertical incisions were made perpendicular to the initial incisions on either side which were extending well into the alveolar mucosa. Partial thickness pedicles were reflected for CAF. CTG was harvested from the first quadrant of palatal region and placed the recipient bed stabilized with 4–0 vicryl placed. Coranally advance the pedicle graft over CTG, sutures are placed followed by periodontal dressing [Figures 5-7].

Bottom Line: Three months later, a connective tissue graft (CTG)was performed to obtain root coverage.The results indicated that the FGG allows for a gain in the keratinized tissue level and the CTG allows for root coverage with decreased recession level after 6 months.Therefore, for this type of specific gingival recession, the combined use of FGG and CTG still serves as a Gold Standard in predictable root coverage.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, SRM Kattankulathur Dental College, Ramapuram, Chennai, Tamil Nadu, India.

ABSTRACT
Cosmetic procedures involving gingival reconstruction have become an integral part of current periodontal practice. The ability to cover unsightly exposed, sensitive roots and recontour soft tissue recessions have added an esthetic angle to the traditional concept of biological and functional periodontal health. The recession of the gingiva, either localized or generalized, may be associated with one or more surfaces, resulting in attachment loss and root exposure, which can lead to clinical problems such as diminished cosmetic appeal and aesthetic concern. Marginal gingival recession, therefore, can cause major functional and aesthetic problems and should not be viewed as merely a soft tissue defect, but rather as the destruction of both the soft and hard tissue. Treatment proposals for this type of defect have evolved based on the knowledge for healing the gingiva and the attachment system. This case report describes a clinical case of severe Miller Class II gingival recession treated by two stages of surgery that combined a free gingival graft and connective tissue grafting. First, a free gingival graft (FGG) was performed to obtain an adequate keratinized tissue level. Three months later, a connective tissue graft (CTG)was performed to obtain root coverage. The results indicated that the FGG allows for a gain in the keratinized tissue level and the CTG allows for root coverage with decreased recession level after 6 months. Therefore, for this type of specific gingival recession, the combined use of FGG and CTG still serves as a Gold Standard in predictable root coverage.

No MeSH data available.


Related in: MedlinePlus