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Bone-added periodontal plastic surgery: a new approach in esthetic dentistry.

Gholami GA, Gholami H, Amid R, Kadkhodazadeh M, Mehdizadeh AR, Youssefi N - Ann Surg Innov Res (2015)

Bottom Line: A 23 year-old female was referred to our private clinic with a severe class II Miller recession and lack of attached gingiva.The grafted area healed well and full coverage was achieved at 12-month follow-up visit.Bone-added periodontal plastic surgery can be considered as a practical procedure for management of deep gingival recession without buccal bone plate.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Dental School, Shahid Beheshti University of Medical Sciences, Evin, Tehran, Iran.

ABSTRACT
This article proposes a combined technique including bone grafting, connective tissue graft, and coronally advanced flap to create some space for simultaneous bone regrowth and root coverage. A 23 year-old female was referred to our private clinic with a severe class II Miller recession and lack of attached gingiva. The suggested treatment plan comprised of root coverage combined with xenograft bone particles. The grafted area healed well and full coverage was achieved at 12-month follow-up visit. Bone-added periodontal plastic surgery can be considered as a practical procedure for management of deep gingival recession without buccal bone plate.

No MeSH data available.


Related in: MedlinePlus

Surgical procedure: bed preparation, root surface preparation, covering bone dehiscence with xenograft bone particles mixed with blood, stabilization of connective tissue graft over bone graft, double papilla and coronally positioned flap.
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Fig2: Surgical procedure: bed preparation, root surface preparation, covering bone dehiscence with xenograft bone particles mixed with blood, stabilization of connective tissue graft over bone graft, double papilla and coronally positioned flap.

Mentions: The design of CPF was similar to that described previously by Langer and Langer [12]. After local anesthesia of the recipient site using 2% articainewithepinephrine1:100 000 (Septanest®, Septodont, Spain), an intra crevicular incision was made from right to left mandibular canines. Two verticalreleasing incisions were made along neighboring teeth. A partial thickness flap was elevated with a No.15c surgical blade beyond the mucogingival junction. Thus, it was extended until it could be passively positioned coronally over the defect without tension (Figure 2). The exposedroot surface was debrided completely with a curette (3/4 Gracey curette, Hu-Friedy Mfg. Inc, Chicago, IL, USA) and conditioned with tetracycline powder. Pedicle flaps were sutured to make a single flap. The connective tissue was harvested from palate by trap door technique. In the palate, the distance between the horizontal incision and gingival margin had to be more than 2 mm. By using no.15 scalpel, the epithelium was elevated and then a 1.5- 2.0 mm thickness connective tissue graft was obtained [13]. The epithelium was laid back and sutured with sutures (Silk 4-0, SUPA Co, Tehran, Iran).Figure 2


Bone-added periodontal plastic surgery: a new approach in esthetic dentistry.

Gholami GA, Gholami H, Amid R, Kadkhodazadeh M, Mehdizadeh AR, Youssefi N - Ann Surg Innov Res (2015)

Surgical procedure: bed preparation, root surface preparation, covering bone dehiscence with xenograft bone particles mixed with blood, stabilization of connective tissue graft over bone graft, double papilla and coronally positioned flap.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4355546&req=5

Fig2: Surgical procedure: bed preparation, root surface preparation, covering bone dehiscence with xenograft bone particles mixed with blood, stabilization of connective tissue graft over bone graft, double papilla and coronally positioned flap.
Mentions: The design of CPF was similar to that described previously by Langer and Langer [12]. After local anesthesia of the recipient site using 2% articainewithepinephrine1:100 000 (Septanest®, Septodont, Spain), an intra crevicular incision was made from right to left mandibular canines. Two verticalreleasing incisions were made along neighboring teeth. A partial thickness flap was elevated with a No.15c surgical blade beyond the mucogingival junction. Thus, it was extended until it could be passively positioned coronally over the defect without tension (Figure 2). The exposedroot surface was debrided completely with a curette (3/4 Gracey curette, Hu-Friedy Mfg. Inc, Chicago, IL, USA) and conditioned with tetracycline powder. Pedicle flaps were sutured to make a single flap. The connective tissue was harvested from palate by trap door technique. In the palate, the distance between the horizontal incision and gingival margin had to be more than 2 mm. By using no.15 scalpel, the epithelium was elevated and then a 1.5- 2.0 mm thickness connective tissue graft was obtained [13]. The epithelium was laid back and sutured with sutures (Silk 4-0, SUPA Co, Tehran, Iran).Figure 2

Bottom Line: A 23 year-old female was referred to our private clinic with a severe class II Miller recession and lack of attached gingiva.The grafted area healed well and full coverage was achieved at 12-month follow-up visit.Bone-added periodontal plastic surgery can be considered as a practical procedure for management of deep gingival recession without buccal bone plate.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Dental School, Shahid Beheshti University of Medical Sciences, Evin, Tehran, Iran.

ABSTRACT
This article proposes a combined technique including bone grafting, connective tissue graft, and coronally advanced flap to create some space for simultaneous bone regrowth and root coverage. A 23 year-old female was referred to our private clinic with a severe class II Miller recession and lack of attached gingiva. The suggested treatment plan comprised of root coverage combined with xenograft bone particles. The grafted area healed well and full coverage was achieved at 12-month follow-up visit. Bone-added periodontal plastic surgery can be considered as a practical procedure for management of deep gingival recession without buccal bone plate.

No MeSH data available.


Related in: MedlinePlus