Acellular dermal matrix for root coverage in unitary gingival recession: case report

Detalhes bibliográficos
Autor(a) principal: Leão, Antônio Allan Almeida
Data de Publicação: 2021
Outros Autores: Nobre, Neidilena Maria Menezes, Da Silva, Lorena Cassia Oliveira Athaide, Lopes, Natácya Menezes de Souza, de Menezes, Silvio Augusto Fernandes, Bastos, Gabriel Figueiredo, Fonseca, Ricardo
Tipo de documento: Artigo
Idioma: por
Título da fonte: Brazilian Journal of Implantology and Health Sciences
Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/188
Resumo: Introduction: Gingival recession (GR) is defined as the apical migration of the gingival margin, resulting in root exposure in the oral environment, it is known that among its multifactorial etiology the use of orthodontic appliance is cited as a risk factor for GR in patients with a thin periodontal phenotype. Objective: This paper aims to report a case of single root coverage using acellular dermal matrix (MDA) graft. Case Report: Female patient, 24 years old, non-smoker and without systemic alterations, attended the dental clinic of a college in northern Brazil with the main complaint of dentin hypersensitivity in the posterosuperior region. The clinical examination showed stage I type 1 recession in tooth 25 associated with orthodontic movement in the buccolingual direction, the GR of tooth 15 had 2mm (cervico-apical direction) and 1mm (mesiodistal direction), it was also observed Thin scalloped phenotype, no interproximal bone loss, no bleeding on probing and dental biofilm. The indicated treatment was root coverage using the coronal slip technique with MDA fixed with sutures. Conclusion: Given the above, we verified that the clinical results reported in this study indicated a great clinical result with excellent predictability of success, increased keratinized mucosal band and clinical insertion gain.
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spelling Acellular dermal matrix for root coverage in unitary gingival recession: case report Matriz dérmica acelular para cobertura radicular en recesión gingival unitaria: reporte de casoMatriz dérmica acelular para recobrimento radicular em recessão gengival unitária: relato de casoRetração gengival, Enxerto de tecido conjuntivo, Recobrimento radicular, Periodontia.Gingival retraction, Connective tissue graft, Root coverage, Periodontics.Retracción gingival, Injerto de tejido conectivo, Cobertura radicular, Periodoncia.Introduction: Gingival recession (GR) is defined as the apical migration of the gingival margin, resulting in root exposure in the oral environment, it is known that among its multifactorial etiology the use of orthodontic appliance is cited as a risk factor for GR in patients with a thin periodontal phenotype. Objective: This paper aims to report a case of single root coverage using acellular dermal matrix (MDA) graft. Case Report: Female patient, 24 years old, non-smoker and without systemic alterations, attended the dental clinic of a college in northern Brazil with the main complaint of dentin hypersensitivity in the posterosuperior region. The clinical examination showed stage I type 1 recession in tooth 25 associated with orthodontic movement in the buccolingual direction, the GR of tooth 15 had 2mm (cervico-apical direction) and 1mm (mesiodistal direction), it was also observed Thin scalloped phenotype, no interproximal bone loss, no bleeding on probing and dental biofilm. The indicated treatment was root coverage using the coronal slip technique with MDA fixed with sutures. Conclusion: Given the above, we verified that the clinical results reported in this study indicated a great clinical result with excellent predictability of success, increased keratinized mucosal band and clinical insertion gain.Introducción: La recesión gingival (RG) se define como la migración apical del margen gingival, resultando en exposición radicular en el ambiente oral, se sabe que entre su etiología multifactorial se cita el uso de aparato de ortodoncia como factor de riesgo para RG en pacientes con un fenotipo periodontal delgado. Objetivo: Este artículo tiene como objetivo reportar un caso de cobertura radicular única utilizando injerto de matriz dérmica acelular (MDA). Caso clínico: Paciente mujer, 24 años, no fumadora y sin alteraciones sistémicas, acudió a la consulta odontológica de una facultad del norte de Brasil con el principal síntoma de hipersensibilidad dentinaria en la región posterosuperior. El examen clínico mostró recesión en estadio I tipo 1 en el diente 25 asociado a movimiento ortodóncico en dirección vestibulolingual, el GR del diente 15 tenía 2 mm (dirección cérvico-apical) y 1 mm (dirección mesio-distal). Fenotipo festoneado fino, sin hueso interproximal pérdida, sin sangrado al sondaje y biofilm dental. El tratamiento indicado fue la cobertura radicular mediante la técnica de deslizamiento coronal con MDA fijado con suturas. Conclusión: Dado lo anterior, verificamos que los resultados clínicos reportados en este estudio indicaron un gran resultado clínico con excelente predictibilidad de éxito, aumento de la banda mucosa queratinizada y ganancia de inserción clínica.Introdução: A recessão gengival (RG) é definida como a migração apical da margem gengival, resultando na exposição radicular no meio bucal, sabe-se que dentre a sua etiologia multifatorial cita-se o uso de aparelho ortodôntico como um fator de risco para RG em pacientes com fenótipo periodontal delgado. Objetivo: O presente trabalho tem como objetivo relatar um caso de recobrimento radicular unitário utilizando enxerto de matriz dérmica acelular (MDA). Relato de Caso: Paciente sexo feminino, 24 anos, não fumante e sem alterações sistêmicas, compareceu a clínica odontológica de uma faculdade no norte do Brasil com a queixa principal de hipersensibilidade dentinária na região pôstero-superior. No exame clínico verificou-se estágio I recessão tipo 1 no dente 25 associada a movimentação ortodôntica no sentido vestíbulo-lingual, a RG do dente 15 apresentava 2mm (sentido cérvico-apical) e 1mm (sentido mésio-distal), observou-se ainda fenótipo fino festonado, sem perdas ósseas interproximais, ausência de sangramento a sondagem e biofilme dentário. O tratamento indicado foi o recobrimento radicular pela técnica de deslize coronal com MDA fixada com suturas. Conclusão: Diante do exposto, verificamos que os resultados clínicos relatados neste trabalho indicaram um ótimo resultado clínico e com ótima previsibilidade de sucesso, aumento da faixa de mucosa queratinizada e ganho clínico de inserção.Specialized Dentistry Group2021-10-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/18810.36557/2674-8169.2021v3n9p23-40Brazilian Journal of Implantology and Health Sciences ; Vol. 3 No. 9 (2021): September 2021; 23-40Brazilian Journal of Implantology and Health Sciences ; Vol. 3 Núm. 9 (2021): Setembro de 2021; 23-40Brazilian Journal of Implantology and Health Sciences ; v. 3 n. 9 (2021): Setembro de 2021; 23-402674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/188/262Copyright (c) 2021 Antônio Allan Almeida Leão, Neidilena Maria Menezes Nobre, Lorena Cassia Oliveira Athaide Da Silva, Natácya Menezes de Souza Lopes, Silvio Augusto Fernandes de Menezes, Gabriel Figueiredo Bastos, Ricardo Fonsecahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessLeão, Antônio Allan AlmeidaNobre, Neidilena Maria MenezesDa Silva, Lorena Cassia Oliveira Athaide Lopes, Natácya Menezes de Souzade Menezes, Silvio Augusto Fernandes Bastos, Gabriel FigueiredoFonseca, Ricardo2023-03-03T16:36:30Zoai:ojs.bjihs.emnuvens.com.br:article/188Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2023-03-03T16:36:30Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false
dc.title.none.fl_str_mv Acellular dermal matrix for root coverage in unitary gingival recession: case report
Matriz dérmica acelular para cobertura radicular en recesión gingival unitaria: reporte de caso
Matriz dérmica acelular para recobrimento radicular em recessão gengival unitária: relato de caso
title Acellular dermal matrix for root coverage in unitary gingival recession: case report
spellingShingle Acellular dermal matrix for root coverage in unitary gingival recession: case report
Leão, Antônio Allan Almeida
Retração gengival, Enxerto de tecido conjuntivo, Recobrimento radicular, Periodontia.
Gingival retraction, Connective tissue graft, Root coverage, Periodontics.
Retracción gingival, Injerto de tejido conectivo, Cobertura radicular, Periodoncia.
title_short Acellular dermal matrix for root coverage in unitary gingival recession: case report
title_full Acellular dermal matrix for root coverage in unitary gingival recession: case report
title_fullStr Acellular dermal matrix for root coverage in unitary gingival recession: case report
title_full_unstemmed Acellular dermal matrix for root coverage in unitary gingival recession: case report
title_sort Acellular dermal matrix for root coverage in unitary gingival recession: case report
author Leão, Antônio Allan Almeida
author_facet Leão, Antônio Allan Almeida
Nobre, Neidilena Maria Menezes
Da Silva, Lorena Cassia Oliveira Athaide
Lopes, Natácya Menezes de Souza
de Menezes, Silvio Augusto Fernandes
Bastos, Gabriel Figueiredo
Fonseca, Ricardo
author_role author
author2 Nobre, Neidilena Maria Menezes
Da Silva, Lorena Cassia Oliveira Athaide
Lopes, Natácya Menezes de Souza
de Menezes, Silvio Augusto Fernandes
Bastos, Gabriel Figueiredo
Fonseca, Ricardo
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Leão, Antônio Allan Almeida
Nobre, Neidilena Maria Menezes
Da Silva, Lorena Cassia Oliveira Athaide
Lopes, Natácya Menezes de Souza
de Menezes, Silvio Augusto Fernandes
Bastos, Gabriel Figueiredo
Fonseca, Ricardo
dc.subject.por.fl_str_mv Retração gengival, Enxerto de tecido conjuntivo, Recobrimento radicular, Periodontia.
Gingival retraction, Connective tissue graft, Root coverage, Periodontics.
Retracción gingival, Injerto de tejido conectivo, Cobertura radicular, Periodoncia.
topic Retração gengival, Enxerto de tecido conjuntivo, Recobrimento radicular, Periodontia.
Gingival retraction, Connective tissue graft, Root coverage, Periodontics.
Retracción gingival, Injerto de tejido conectivo, Cobertura radicular, Periodoncia.
description Introduction: Gingival recession (GR) is defined as the apical migration of the gingival margin, resulting in root exposure in the oral environment, it is known that among its multifactorial etiology the use of orthodontic appliance is cited as a risk factor for GR in patients with a thin periodontal phenotype. Objective: This paper aims to report a case of single root coverage using acellular dermal matrix (MDA) graft. Case Report: Female patient, 24 years old, non-smoker and without systemic alterations, attended the dental clinic of a college in northern Brazil with the main complaint of dentin hypersensitivity in the posterosuperior region. The clinical examination showed stage I type 1 recession in tooth 25 associated with orthodontic movement in the buccolingual direction, the GR of tooth 15 had 2mm (cervico-apical direction) and 1mm (mesiodistal direction), it was also observed Thin scalloped phenotype, no interproximal bone loss, no bleeding on probing and dental biofilm. The indicated treatment was root coverage using the coronal slip technique with MDA fixed with sutures. Conclusion: Given the above, we verified that the clinical results reported in this study indicated a great clinical result with excellent predictability of success, increased keratinized mucosal band and clinical insertion gain.
publishDate 2021
dc.date.none.fl_str_mv 2021-10-02
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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10.36557/2674-8169.2021v3n9p23-40
url https://bjihs.emnuvens.com.br/bjihs/article/view/188
identifier_str_mv 10.36557/2674-8169.2021v3n9p23-40
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://bjihs.emnuvens.com.br/bjihs/article/view/188/262
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Specialized Dentistry Group
publisher.none.fl_str_mv Specialized Dentistry Group
dc.source.none.fl_str_mv Brazilian Journal of Implantology and Health Sciences ; Vol. 3 No. 9 (2021): September 2021; 23-40
Brazilian Journal of Implantology and Health Sciences ; Vol. 3 Núm. 9 (2021): Setembro de 2021; 23-40
Brazilian Journal of Implantology and Health Sciences ; v. 3 n. 9 (2021): Setembro de 2021; 23-40
2674-8169
reponame:Brazilian Journal of Implantology and Health Sciences
instname:Grupo de Odontologia Especializada (GOE)
instacron:GOE
instname_str Grupo de Odontologia Especializada (GOE)
instacron_str GOE
institution GOE
reponame_str Brazilian Journal of Implantology and Health Sciences
collection Brazilian Journal of Implantology and Health Sciences
repository.name.fl_str_mv Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)
repository.mail.fl_str_mv journal.bjihs@periodicosbrasil.com.br
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