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

Annals of Surgical Innovation and Research

Gholam Ali Gholami¹  Hadi Gholami³  Reza Amid¹  Mahdi Kadkhodazadeh¹  Amir Reza Mehdizadeh²  Navid Youssefi² 

[1] Department of Periodontics, Dental School, Shahid Beheshti University of Medical Sciences, Evin, Tehran, Iran

[2] Dental Research Center, Shahid Beheshti University of Medical Sciences, Evin, Tehran, Iran

[3] Department of Prosthodontics, Faculty of Dental Medicine, University of Bern, Bern, Switzerland

关键词: Bone graft;    Periodontal regeneration;    Root coverage;    Plastic surgery;   

Others  :  1145138
DOI  :  10.1186/s13022-015-0010-5

 received in 2014-06-06, accepted in 2015-01-21,  发布年份 2015

【 摘 要 】

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.

【 授权许可】

   
2015 Gholami et al.; licensee BioMed Central.

【 图 表 】

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【 参考文献 】

• [1]Roccuzzo M, Bunino M, Needleman I, Sanz M. Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review. J Clin Periodontol. 2002; 3(29Suppl):178-94.
• [2]Oates TW, Robinson M, Gunsolley JC. Surgical therapies for the treatment of gingival recession. A systematic review. Ann Periodontol. 2003; 8(1):303-20.
• [3]Sedon CL, Breult LG, Covington LL, Bishop BG. The subepithelial connective tissue graft: Part II. Histologic healing and clinical root coverage. J Contemp Dent Pract. 2005; 6(2):139-50.
• [4]Chambrone L, Chambrone D, Pustiglioni FE, Chambrone LA, Lima LA. Can subepithelial connective tissue grafts be considered the gold standard procedure in the treatment of Miller Class I and II recession-type defects? J Dent. 2008; 36(9):659-71.
• [5]Chambrone L, Sukekava F, Araujo MG, Pustiglioni FE, Chambrone LA, Lima LA. Root-coverage procedures for the treatment of localized recession-type defects. Cochrane Database Syst Rev. 2009; 15(2): Article ID CD007161
• [6]Goldstein M, Boyan BD, Cochran DL, Schwartz Z. Human histology of a new attachment after root coverage using subepithelial connective tissue graft. J Clin Periodontol. 2001; 28(7):657-62.
• [7]Paolantonio M. Treatment of gingival recessions by combined periodontal regenerative technique, guided tissue regeneration, and subpedicle connective tissue graft. A comparative clinical study. J Periodontol. 2002; 73(1):53-62.
• [8]Rasperini G, Silvestri M, Schenk RK, Nevins ML. Clinical and histologic evaluation of human gingival recession treated with a subepithelial connective tissue graft and enamel matrix derivative (Emdogain): a case report. Int J Periodontics Restorative Dent. 2000; 20(3):269-75.
• [9]Harris RJ. Human histologic evaluation of root coverage obtained with a connective tissue with partial thickness double pedicle graft. A case report. J Periodontol. 1999; 70(7):813-21.
• [10]McGuire MK, Cochran DL. Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue. Part 2: Histological evaluation. J Periodontol. 2003; 74(8):1126-35.
• [11]O’leary TJ, Drake RB, Nayor JE. The plaque control record. J Periodontol. 1972; 43(1):38.
• [12]Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol. 1985; 56(12):715-20.
• [13]Nemcovsky CE, Artzi Z, Tal H, Kozlovsky A, Moses O. A multicenter comparative study of two root coverage procedures: coronally advanced flap with addition of enamel matrix proteins and subpedicle connective tissue graft. J Periodontol. 2004; 75(4):600-7.
• [14]Harris RJ. Connective tissue grafts combined with either double pedicle grafts or coronally positioned pedicle grafts: results of 266 consecutively treated defects in 200 patients. Int J Periodontics Restorative Dent. 2002; 22(5):663-71.
• [15]Greenstein G, Greenstein B, Cavallaro J, Elian N, Tarnow D. Flap advancement: practical techniques to attain tension-free primary closure. J Periodontol. 2009; 80(1):4-15.
• [16]Sugarman EF. A clinical and histological study of the attachment of grafted tissue to bone and teeth. J Periodontol. 1969; 40(7):381-7.
• [17]Rosetti EP, Marcantonio RA, Rossa C, Chaves ES, Goissis G, Marcantonio E. Treatment of gingival recession: comparative study between subepithelial connective tissue graft and guided tissue regeneration. J Periodontol. 2000; 71(9):1441-7.
• [18]McGuire MK, Scheyer ET, Schupbach P. Growth factor-mediated treatment of recession defects: a randomized controlled trial and histologic and microcomputed tomography examination. J Periodontol. 2009; 80(4):550-64.
• [19]Maurer S, Leone CW. Use of a serially layered, double connective tissue graft approach to enhance maxillary anterior esthetics. Int J Periodontics Restorative Dent. 2001; 21(5):497-503.
• [20]Nozawa T, Sugiyama T, Satoh T, Tanaka K, Enomoto H, Ito K. Connective tissue-bone onlay graft with enamel matrix derivative for treatment of gingival recession: a case report. Int J Periodontics Restorative Dent. 2002; 22(6):559-65.
• [21]Majzoub Z, Landi L, Grusovin MG, Cordioli G. Histology of connective tissue graft. A case report. J Periodontol. 2001; 72(11):1607-15.
• [22]Pasquinelli KL. The histology of new attachment utilizing a thick autogenous soft tissue graft in an area of deep recession: a case report. Int J Periodontics Restorative Dent. 1995; 15(3):248-57.
• [23]Carnio J, Camargo PM, Kenney EB, Schenk RK. Histological evaluation of 4 cases of root coverage following a connective tissue graft combined with an enamel matrix derivative preparation. J Periodontol. 2002; 73(12):1534-43.
• [24]Cummings LC, Kaldahl WB, Allen EP. Histologic evaluation of autogenous connective tissue and acellular dermal matrix grafts in humans. J Periodontol. 2005; 76(2):178-86.
• [25]Roman A, Câmpian R, Domşa I, Soancă A, Gocan H. Subepithelial connective tissue graft for root coverage: clinical case reports and histologic evaluation. Rom J Morphol Embryol. 2010; 51(4):793-7.