search
Back
Connective tissue graft for root coverage in anterior mandible using a tunneling technique: Case rep
Edition: 61 | Number: 1 | Year: 2020

Connective tissue graft for root coverage in anterior mandible using a tunneling technique: Case rep


Summary

Gingival retractions are multifactorial in etiology, but we can highlight brushing trauma, orthodontic history and sequelae as the main causal factors. The aim of the present study is to demonstrate a case of root covering on tooth 41, which presented a gingival recession Class II of Miller (recession type 1 of Cairo), using subepithelial connective tissue, by a technique considered to be noninvasive due to the non-opening of the flap (tunneling technique), aided by a micro-blade. Furthermore, it was assessed the post-operate management. After incision in the gingival margin to the alveolar mucosa, to release the gingival joint, the connective tissue was inserted and stabilized with the aid of sutures. Incision bases were sutured to provide flap stability. After the procedure, root coverage was observed around 80% of the root of the dental element. The clinical case has a follow-up of one year postoperatively. It was concluded that the tunneling technique, when well-indicated, may be used for unitary root coverage.


Click here to continue reading

About Article
Edition 61 | Volume 16 | Number 1
Janeiro / Março | 2020
Giana da Silveira Lima
Leonardo Stephan Caporossi
Pedro Paulo de Almeida Dantas
Maximiliano Sérgio Cenci
Francisco Wilker Mustafa Gomes Muniz
Facebook
gianalima@gmail.com
Share
Image Gallery
Figura 1: Presença de recessão gengival unitária, classe II de Miller, no elemento 41.
Figura 2: Imagem radiográfica panorâmica mostrando presença de tecido ósseo nas regiões interproximais ao elemento 41.
Figura 3: Incisão intrassulcular realizada por microlâmina nos sentidos mesial, distal e apical ao dente, envolvendo a base das papilas proximais para permitir elasticidade para o nível coronal.