Tratamiento de recesión gingival con injerto conectivo subepitelial y colgajo desplazado coronal

Carmen Julia Rovira Ortiz; Lesbia Rosa Tirado Amador; Carlos Jesús Camargo Moreno

doi:10.16925/od.v13i25.1707

Treatment of gingival recession with subepithelial connective tissue graft and coronally positioned flap

Case Report

https://doi.org/10.16925/od.v13i25.1707

Carmen Julia Rovira Ortiz Ver Biografía

Universidad del Sinú

Lesbia Rosa Tirado Amador Ver Biografía

Universidad del Sinú

Carlos Jesús Camargo Moreno Ver Biografía

Universidad del Sinú

Introduction: Gingival recession is a clinical finding after the apical displacement of the gingival margin; it can be localized or generalized and be associated with one or several dental surfaces, causing both aesthetic and functional compromise according to its extension. Aim: To describe Miller’s Class I gingival recession treatment using subepithelial connective tissue graft and coronally positioned flap. Materials and methods: Descriptive clinical case report of a male patient who consulted for an aesthetic issue in the upper jaw area. The appropriate anamnesis procedures were performed, in which no relevant syste- mic history was identified. Then clinical examination with a diagnosis, planning and administration of the treatment, and postsurgical controls were carried out. Results: Based on a diagnosis of Miller’s Class I recession located in dental organs 13 and 14, we decided to implement the technique of subepithelial connective tissue graft and coronally positionedflap, with which complete radicular covering, favorable tissue response, and the patient’s aesthetic satisfaction were achieved. Conclusions: The connective tissue graft, in combination with the coronally positioned flap, is viable at the level of radicular covering in gingival recessions in multiple teeth with an inadequate amount of keratinized gingiva. This shows that it is a predictable technique that satisfies the aesthetic needs of the patient.

Keywords: surgical flaps, gingiva, tissue grafts, gingival recession

García-Rubio A, Bujaldón-Daza AL, Rodríguez-Archilla A. Recesión gingival. Diagnóstico y tratamiento. AvPeriodonImplantol. 2015;27(1):19-24. http://dx.doi.org/10.4321/S1699-65852015000100003

Miller PD. A classification of marginal tissue recession.Int J Periodontics Restorative Dent. 1985;5:9-13.

GradosPomarino S, Salas Martínez M, Maetahara Rubio DM, Flores Calderón SG, Guzmán Vera YS, TelloBarbarán J, et al. Recubrimiento de la superficie radicular expuesta I. Definiciónde recesión gingival, epidemiología, etiopatogenia, clasificación y opciones de tratamiento. GacDental [internet]. 2011[citado 5 nov. 2013]; 221:[aprox. 6 p.]. Disponibleen: http://dialnet.unirioja.es/servlet/articulo?codigo=3427098

Richman C. Is gingival recession a consequence of an orthodontic tooth size and/or tooth position discrepancy? “A paradigm shift”. CompendContinEduc Dent. 2011;32:62-9.

Harris RJ. The connective tissue and partial thickness double pedicle graft: A predictable method of obtaining root coverage. J Periodontol 1992; 63: 477 – 486. doi:10.1902/jop.1992.63.5.477

Castro R, Vargas A. Tratamiento de recesionesgingivalesmediantecolgajodesplazado coronal modificadomásinjerto de tejidoconectivosubepitelial. Serie de casos. Revista Mexicana de Periodontología. 2012;3(1):15-23.

Matas F, Sentis J, Mendieta C. Ten-year longitudinal study of gingival recession in dentists. J ClinPeriodontol. 2011;38:1091-8. DOI: 10.1111/j.1600-051X.2011.01799.x

Sasha J, Zoran A, Bozidar D. The coronally advanced flap in combination with platelet- rich fibrin and enamel matrix derivative in the treatment of gingival recession: A comparative study. European J Esthetic Dentistry. 2010;5(3):261-73.

Bhusari P, Agrawal N, Upadhyay S, Verma S, Jain A, Jaroli S. Classification & prevalence of dental surface defects in areas of gingival recession- a clinical studyJClinDiagn Res. 2014 Jul;8(7):ZF01-4. doi:

7860/JCDR/2014/8499.4577.

Da Silva RC, Joly JC, de Lima AF, Tatakis DN. Root coverage using the coronally positioned flap with or without a subepithelial connective tissue graft. J Periodontol. 2004;75(3):413-9. DOI 10.1902/jop.2004.75.3.413

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 Jun;59(1):158-84. doi: 10.1111/j.1600-0757.2011.00434.x.

Pini Prato GP, Cairo F, Nieri M, Francheschi D, Rotundo R, Cortellini P. Coronally advanced flap versus connective tissue graft in the treatment of multiple gingival recessions; a Split-mouth study with a five-year follow-up. J ClinPeriodontol.2010; 37: 644-50. DOI: 10.1111/j.1600-051X.2010.01559.x

Kuis D, Sciran I, Lajnert V, Snjaric D, Prpic J, Pezelj-Ribaric S, Bosnjak A. Coronally advanced flap alone or with connective tissue graft in the treatment of single gingival recession defects: a long-term randomized clinical trial. J Periodontol. 2013 Nov;84(11):1576-85. doi:10.1902/jop.2013.120451

Zucchelli G, Mounssif I, Mazzotti C, Stefanini M, Marzadori M, Petracci E, et al. Coronally advanced flap with and without connective tissue graft for the treatment of multiple gingival recessions: a comparative short- and long-term controlled randomized clinical trial. J ClinPeriodontol. 2014 Apr;41(4):396-403. DOI: 10.1111/jcpe.12224

Beltrán V, de la Roza M, Wilckens M, Fuentes R, Padilla M, Aillapan E, et al. Effects of Manual Toothbrushing on Gingival Recession in an Adult Population Sample in South of Chile. Int. J. Odontostomat. 2014;8(3):461-467. http://dx.doi.org/10.4067/S0718-381X2014000300022

O´Leary TJ, Drake RB, Crump PP, Allen MF. The incidence of recession in young males: a further study. J Periodontol. 1971;42:264-7. doi:10.1902/jop.1971.42.5.264. doi:10.1902/jop.1971.42.5.264

Treatment of gingival recession with subepithelial connective tissue graft and coronally positioned flap. (2017). Revista Nacional De Odontología, 13(25). https://doi.org/10.16925/od.v13i25.1707

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Vol. 13 No. 25 (2017)

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2017-06-13

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