Surgical treatment of the Stilman’s cleft: a case report
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/33805 |
Resumo: | Stillman's cleft (Sc) is a mucogingival defect of traumatic etiology, which if left untreated could progress to a true gingival recession with esthetic consequences, hypersensitivity, carious and non-carious lesions. The aim of this article was to describe a case report of Stillman's cleft that evolved into true gingival recessions treated surgically. A search was made for relevant articles on the subject, surgical technique used and results obtained, using inclusion and exclusion criteria. A 42-year-old woman comes for private consultation with Dr. C.C to treat V-shaped lesions that due to their clinical characteristics were compatible with Stillman's cleft, which evolved into true Cairo class II gingival recessions. The surgical procedure was performed using a modified coronally advanced tunnel technique with subepithelial connective tissue graft and approximation of the lateral edges of the recessions. The healing of both the surgical site and the graft sites progressed without complications within normal soft tissue healing patterns. A 6-month follow-up was carried out during which 100% coverage of the root surfaces was observed, an increase of adherent gingiva was evidenced in the treated areas. The modified coronally advanced tunnel technique with subepithelial connective tissue grafting and approximation of the lateral edges of recessions provides good esthetic and functional results for treating Stillman's clefts that evolved into true gingival recessions. |
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Surgical treatment of the Stilman’s cleft: a case reportTratamiento quirúrgico de la fisura de Stillman: reporte de un casoTratamento cirúrgico da fenda de Stillman: um relato de casoGingival recessionTunnelingPeriodontics. Recesión gingivalTunelizaciónPeriodoncia. Retracão gengivalTunelamentoPeriodontia.Stillman's cleft (Sc) is a mucogingival defect of traumatic etiology, which if left untreated could progress to a true gingival recession with esthetic consequences, hypersensitivity, carious and non-carious lesions. The aim of this article was to describe a case report of Stillman's cleft that evolved into true gingival recessions treated surgically. A search was made for relevant articles on the subject, surgical technique used and results obtained, using inclusion and exclusion criteria. A 42-year-old woman comes for private consultation with Dr. C.C to treat V-shaped lesions that due to their clinical characteristics were compatible with Stillman's cleft, which evolved into true Cairo class II gingival recessions. The surgical procedure was performed using a modified coronally advanced tunnel technique with subepithelial connective tissue graft and approximation of the lateral edges of the recessions. The healing of both the surgical site and the graft sites progressed without complications within normal soft tissue healing patterns. A 6-month follow-up was carried out during which 100% coverage of the root surfaces was observed, an increase of adherent gingiva was evidenced in the treated areas. The modified coronally advanced tunnel technique with subepithelial connective tissue grafting and approximation of the lateral edges of recessions provides good esthetic and functional results for treating Stillman's clefts that evolved into true gingival recessions.La fisura de Stillman (FS) es un defecto mucogingival de etiología traumática, el mismo que si no es tratado podría progresar hacia recesiones gingivales verdaderas con consecuencias estéticas, hipersensibilidad, lesiones cariosas y no cariosas. El objetivo de este trabajo fue relatar un caso de Fisura de Stillman que evolucionó a recesiones gingivales verdaderas tratadas quirúrgicamente. Se realizó la búsqueda de artículos relevantes sobre el tema, técnica quirúrgica utilizada y resultados obtenidos, utilizando criterios de inclusión y exclusión. Una mujer de 42 años acude a la consulta privada con la Dra. C.C para tratar lesiones en forma de “V” que por sus características clínicas fueron compatibles con hendidura de Stillman, las cuales evolucionaron a recesiones gingivales verdaderas clase II de Cairo. El procedimiento quirúrgico se llevó a cabo mediante técnica de túnel modificada y avanzada coronalmente con injerto de tejido conectivo subepitelial y aproximación de los bordes laterales de las recesiones. La cicatrización tanto de la zona quirúrgica como de los sitios de toma de los injertos progresó sin complicaciones dentro de los patrones normales de cicatrización de los tejidos blandos. Se realizó un seguimiento de 6 meses durante los cuales se observó una cobertura del 100% de las superficies radiculares, se evidenció aumento de encía adherida en las zonas tratadas. La técnica de túnel modificada y avanzada coronalmente con injerto de tejido conectivo subepitelial y aproximación de los bordes laterales de las recesiones brinda buenos resultados estéticos y funcionales para tratar hendiduras de Stillman que evolucionaron a recesiones gingivales verdaderas.A fenda de Stillman (Sc) é um defeito mucogingival de etiologia traumática, que se não fosse tratado poderia progredir para uma verdadeira recessão gengival com consequências estéticas, hipersensibilidade, lesões cariocas e não cariocas. O objetivo deste artigo era relatar um caso de Fenda de Stillman que evoluiu para recessões gengivais verdadeiras tratadas cirurgicamente. Foi feita uma busca de artigos relevantes sobre o assunto, técnica cirúrgica utilizada e resultados obtidos, utilizando critérios de inclusão e exclusão. Uma mulher de 42 anos vem para consulta particular com o Dr. C.C para tratar lesões em forma de V cujas características clínicas eram compatíveis com a fenda de Stillman, que evoluiu para verdadeiras recessões gengivais de classe II do Cairo. O procedimento cirúrgico foi realizado utilizando uma técnica de túnel modificada coronalmente avançada com enxerto de tecido conjuntivo subepitelial e aproximação das bordas laterais das recessões. A cicatrização tanto da área cirúrgica quanto dos locais de enxerto progrediu sem complicações dentro dos padrões normais de cicatrização dos tecidos moles. Foi realizado um acompanhamento de 6 meses durante o qual foi observada uma cobertura de 100% das superfícies radiculares, um aumento da gengiva aderente foi evidente nas áreas tratadas. A técnica de túnel coronalmente avançada modificada com enxerto de tecido conjuntivo subepitelial e aproximação das bordas laterais das recessões proporciona bons resultados estéticos e funcionais para o tratamento das fissuras de Stillman que evoluíram para verdadeiras recessões gengivais. Research, Society and Development2022-08-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3380510.33448/rsd-v11i11.33805Research, Society and Development; Vol. 11 No. 11; e462111133805Research, Society and Development; Vol. 11 Núm. 11; e462111133805Research, Society and Development; v. 11 n. 11; e4621111338052525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIspahttps://rsdjournal.org/index.php/rsd/article/view/33805/28609Copyright (c) 2022 María Belén Rosales Saltos; Paola Estefanía Tenezaca Quito; Cristina Paola Carpio Cedillohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessRosales Saltos, María Belén Tenezaca Quito, Paola EstefaníaCarpio Cedillo, Cristina Paola 2022-09-05T13:24:46Zoai:ojs.pkp.sfu.ca:article/33805Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:49:21.157256Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Surgical treatment of the Stilman’s cleft: a case report Tratamiento quirúrgico de la fisura de Stillman: reporte de un caso Tratamento cirúrgico da fenda de Stillman: um relato de caso |
title |
Surgical treatment of the Stilman’s cleft: a case report |
spellingShingle |
Surgical treatment of the Stilman’s cleft: a case report Rosales Saltos, María Belén Gingival recession Tunneling Periodontics. Recesión gingival Tunelización Periodoncia. Retracão gengival Tunelamento Periodontia. |
title_short |
Surgical treatment of the Stilman’s cleft: a case report |
title_full |
Surgical treatment of the Stilman’s cleft: a case report |
title_fullStr |
Surgical treatment of the Stilman’s cleft: a case report |
title_full_unstemmed |
Surgical treatment of the Stilman’s cleft: a case report |
title_sort |
Surgical treatment of the Stilman’s cleft: a case report |
author |
Rosales Saltos, María Belén |
author_facet |
Rosales Saltos, María Belén Tenezaca Quito, Paola Estefanía Carpio Cedillo, Cristina Paola |
author_role |
author |
author2 |
Tenezaca Quito, Paola Estefanía Carpio Cedillo, Cristina Paola |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Rosales Saltos, María Belén Tenezaca Quito, Paola Estefanía Carpio Cedillo, Cristina Paola |
dc.subject.por.fl_str_mv |
Gingival recession Tunneling Periodontics. Recesión gingival Tunelización Periodoncia. Retracão gengival Tunelamento Periodontia. |
topic |
Gingival recession Tunneling Periodontics. Recesión gingival Tunelización Periodoncia. Retracão gengival Tunelamento Periodontia. |
description |
Stillman's cleft (Sc) is a mucogingival defect of traumatic etiology, which if left untreated could progress to a true gingival recession with esthetic consequences, hypersensitivity, carious and non-carious lesions. The aim of this article was to describe a case report of Stillman's cleft that evolved into true gingival recessions treated surgically. A search was made for relevant articles on the subject, surgical technique used and results obtained, using inclusion and exclusion criteria. A 42-year-old woman comes for private consultation with Dr. C.C to treat V-shaped lesions that due to their clinical characteristics were compatible with Stillman's cleft, which evolved into true Cairo class II gingival recessions. The surgical procedure was performed using a modified coronally advanced tunnel technique with subepithelial connective tissue graft and approximation of the lateral edges of the recessions. The healing of both the surgical site and the graft sites progressed without complications within normal soft tissue healing patterns. A 6-month follow-up was carried out during which 100% coverage of the root surfaces was observed, an increase of adherent gingiva was evidenced in the treated areas. The modified coronally advanced tunnel technique with subepithelial connective tissue grafting and approximation of the lateral edges of recessions provides good esthetic and functional results for treating Stillman's clefts that evolved into true gingival recessions. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-08-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/33805 10.33448/rsd-v11i11.33805 |
url |
https://rsdjournal.org/index.php/rsd/article/view/33805 |
identifier_str_mv |
10.33448/rsd-v11i11.33805 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/33805/28609 |
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 |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 11; e462111133805 Research, Society and Development; Vol. 11 Núm. 11; e462111133805 Research, Society and Development; v. 11 n. 11; e462111133805 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052721578115072 |