Subepithelial connective tissue graft for the coverage of denuded root surfaces: A clinical report
Published on:
Sunday, 3 January 2010, 0:22
Europe/London (GMT) +0000 UTC
Female patient, 47 years, with complaints of aesthetic and sensitivity in teeth 21 and 22.
After consultation with diagnosis, it was found that the patient had a gingival recession on teeth 21 and 22. The gum is healthy and exposed roots show defects of abrasion, which indicates the trauma of brushing as a causal factor for the development of recessions. In terms of Miller for gingival recession, this is a class III, ie, the gingival margin is displaced apically to or beyond the mucogingival line and bone loss or interdental soft tissue is apical in relation to the cemento-enamel junction (CEJ). As can be seen in the photographs of detail and RX peri-apical, this clinical case represents a very slight class III of Miller.
Inicial photo case
© 2010 Ricardo Miguel Panelas Correia Moutinho
A partial-thickness flap is prepared, carefully removing the tissue to prevent a perforation
© 2010 Ricardo Miguel Panelas Correia Moutinho
Repositioning of the flap covering the graft. Suture
© 2010 Ricardo Miguel Panelas Correia Moutinho
Final photo after 6 months
© 2010 Ricardo Miguel Panelas Correia Moutinho
After studying the case, we opted for covering the tooth root 21 and 22 with a sub-epithelial connective tissue graft, by the modified technique of Langer and Langer.
The use of connetive tissue grafts in the root coverege techniques were introduced by Langer and Langer. This technique has several advantages:
High predictability The graft receives blood supply abundant, both the inner surface of the flap to the periosteum and the underlying connective tissue Closure of the primary donor site of the graft, with a healing and hemostasis facilitated. There is less pain and discomfort during the healing The graft is placed between the connective tissue of the receptor, achieving an aesthetically pleasing result Applicable in gingival recession several teeth
recession Subepithelial connective tissue graft
