Palatal Harvesting Technique Modification for Better Control of the Connective Tissue Graft Dimensions
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Dental Journal |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402013000600565 |
Resumo: | Subepithelial connective tissue graft (SCTG) has been extensively used for a variety of clinical applications. However, the surgical procedure may not allow control of graft thickness. The purpose of this case series is to illustrate a modification to the single incision palatal harvesting technique in order to control the SCTG thickness without increasing patient discomfort. Fifty cases from thirty systemically and periodontally healthy patients with at least one multiple gingival recession were treated with coronally advanced flaps combined with a SCTG. The palatal area served as the donor site, from where a single perpendicular incision was made to obtain a full thickness flap. Next, 1-2 mm of the flap was elevated and dissected to obtain a partial thickness flap. The graft remained attached to the full-partial thickness flap. After determining the desired SCTG thickness, the graft was harvested from the palatal flap. The patients healed uneventfully at 7 days postoperatively and primary closure was obtained for all palatal donor sites. The SCTG length and width varied depending on the needs of each case, but the SCTG thickness was well controlled with only 0.24 mm standard deviation. The suggested modification granted control of the SCTG dimensions and achieved complete wound closure within a week. |
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Palatal Harvesting Technique Modification for Better Control of the Connective Tissue Graft Dimensionsconnective tissuegraftssurgerySubepithelial connective tissue graft (SCTG) has been extensively used for a variety of clinical applications. However, the surgical procedure may not allow control of graft thickness. The purpose of this case series is to illustrate a modification to the single incision palatal harvesting technique in order to control the SCTG thickness without increasing patient discomfort. Fifty cases from thirty systemically and periodontally healthy patients with at least one multiple gingival recession were treated with coronally advanced flaps combined with a SCTG. The palatal area served as the donor site, from where a single perpendicular incision was made to obtain a full thickness flap. Next, 1-2 mm of the flap was elevated and dissected to obtain a partial thickness flap. The graft remained attached to the full-partial thickness flap. After determining the desired SCTG thickness, the graft was harvested from the palatal flap. The patients healed uneventfully at 7 days postoperatively and primary closure was obtained for all palatal donor sites. The SCTG length and width varied depending on the needs of each case, but the SCTG thickness was well controlled with only 0.24 mm standard deviation. The suggested modification granted control of the SCTG dimensions and achieved complete wound closure within a week.Fundação Odontológica de Ribeirão Preto2013-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402013000600565Brazilian Dental Journal v.24 n.6 2013reponame:Brazilian Dental Journalinstname:Fundação Odontológica de Ribeirão Preto (FUNORP)instacron:FUNORP10.1590/0103-6440201302343info:eu-repo/semantics/openAccessReino,Danilo MaedaNovaes Jr.,Arthur BelemGrisi,Marcio Fernando de MoraesMaia,Luciana PradoSouza,Sergio Luis Scombatti deeng2014-01-14T00:00:00Zoai:scielo:S0103-64402013000600565Revistahttps://www.scielo.br/j/bdj/https://old.scielo.br/oai/scielo-oai.phpbdj@forp.usp.br||sergio@fosjc.unesp.br1806-47600103-6440opendoar:2014-01-14T00:00Brazilian Dental Journal - Fundação Odontológica de Ribeirão Preto (FUNORP)false |
dc.title.none.fl_str_mv |
Palatal Harvesting Technique Modification for Better Control of the Connective Tissue Graft Dimensions |
title |
Palatal Harvesting Technique Modification for Better Control of the Connective Tissue Graft Dimensions |
spellingShingle |
Palatal Harvesting Technique Modification for Better Control of the Connective Tissue Graft Dimensions Reino,Danilo Maeda connective tissue grafts surgery |
title_short |
Palatal Harvesting Technique Modification for Better Control of the Connective Tissue Graft Dimensions |
title_full |
Palatal Harvesting Technique Modification for Better Control of the Connective Tissue Graft Dimensions |
title_fullStr |
Palatal Harvesting Technique Modification for Better Control of the Connective Tissue Graft Dimensions |
title_full_unstemmed |
Palatal Harvesting Technique Modification for Better Control of the Connective Tissue Graft Dimensions |
title_sort |
Palatal Harvesting Technique Modification for Better Control of the Connective Tissue Graft Dimensions |
author |
Reino,Danilo Maeda |
author_facet |
Reino,Danilo Maeda Novaes Jr.,Arthur Belem Grisi,Marcio Fernando de Moraes Maia,Luciana Prado Souza,Sergio Luis Scombatti de |
author_role |
author |
author2 |
Novaes Jr.,Arthur Belem Grisi,Marcio Fernando de Moraes Maia,Luciana Prado Souza,Sergio Luis Scombatti de |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Reino,Danilo Maeda Novaes Jr.,Arthur Belem Grisi,Marcio Fernando de Moraes Maia,Luciana Prado Souza,Sergio Luis Scombatti de |
dc.subject.por.fl_str_mv |
connective tissue grafts surgery |
topic |
connective tissue grafts surgery |
description |
Subepithelial connective tissue graft (SCTG) has been extensively used for a variety of clinical applications. However, the surgical procedure may not allow control of graft thickness. The purpose of this case series is to illustrate a modification to the single incision palatal harvesting technique in order to control the SCTG thickness without increasing patient discomfort. Fifty cases from thirty systemically and periodontally healthy patients with at least one multiple gingival recession were treated with coronally advanced flaps combined with a SCTG. The palatal area served as the donor site, from where a single perpendicular incision was made to obtain a full thickness flap. Next, 1-2 mm of the flap was elevated and dissected to obtain a partial thickness flap. The graft remained attached to the full-partial thickness flap. After determining the desired SCTG thickness, the graft was harvested from the palatal flap. The patients healed uneventfully at 7 days postoperatively and primary closure was obtained for all palatal donor sites. The SCTG length and width varied depending on the needs of each case, but the SCTG thickness was well controlled with only 0.24 mm standard deviation. The suggested modification granted control of the SCTG dimensions and achieved complete wound closure within a week. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402013000600565 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402013000600565 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0103-6440201302343 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Fundação Odontológica de Ribeirão Preto |
publisher.none.fl_str_mv |
Fundação Odontológica de Ribeirão Preto |
dc.source.none.fl_str_mv |
Brazilian Dental Journal v.24 n.6 2013 reponame:Brazilian Dental Journal instname:Fundação Odontológica de Ribeirão Preto (FUNORP) instacron:FUNORP |
instname_str |
Fundação Odontológica de Ribeirão Preto (FUNORP) |
instacron_str |
FUNORP |
institution |
FUNORP |
reponame_str |
Brazilian Dental Journal |
collection |
Brazilian Dental Journal |
repository.name.fl_str_mv |
Brazilian Dental Journal - Fundação Odontológica de Ribeirão Preto (FUNORP) |
repository.mail.fl_str_mv |
bdj@forp.usp.br||sergio@fosjc.unesp.br |
_version_ |
1754204092994945024 |