Association of coronally advanced flap, protein derived from the enamel matrix and subepithelial connective tissue graft as a treatment for multiple gingival recessions: Case report
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/13190 |
Resumo: | Periodontal plastic surgery is a reconstructive therapy defined as surgical procedures performed to correct or eliminate anatomical, developmental or traumatic deformities of the gingiva or alveolar mucosa and is indicated for the treatment of isolated or multiple gingival recessions. Gingival recession is characterized as a mucogingival defect and occurs by apical migration of the gingiva and alveolar mucosa resulting in the exposure of the root portion of the dental element. The main complaints of this condition are dentin hypersensitivity and aesthetic dissatisfaction, which elect the choice of this treatment. The coronary repositioned flap associated with the use of subepithelial connective tissue graft is considered the gold standard among root covering techniques for its predictability and stability. The literature shows that the use of proteins enamel matrix derivative can potentiate periodontal regeneration, leading to favorable results. The present case report is related to a 43-year-old, female patient, with dentin hypersensitivity and multiple gingival recessions type 1 (RT1) and type 2 (RT2) in the upper central and lateral incisors. After the initial adjustments of the oral environment, the treatment chosen was the root coverage with coronary advanced flap technique associated with the subepithelial connective tissue graft and the use of the protein derivative from enamel matrix in the upper anterior teeth. The follow-up of the case in one year revealed success in root coverage by the technique and use of biomaterial, being effective for the treatment of multiple recessions type 1 (RT1) and type 2 (RT2). |
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Association of coronally advanced flap, protein derived from the enamel matrix and subepithelial connective tissue graft as a treatment for multiple gingival recessions: Case reportAsociación de colgajo reposicionado coronario, proteína derivada de la matriz del esmalte y injerto de tejido conectivo subepitelial como tratamiento de múltiples recesiones gingivales: Reporte de casoAssociação de retalho reposicionado coronário, proteína derivada da matriz do esmalte e enxerto de tecido conjuntivo subepitelial como tratamento de recessões gengivais múltiplas: Relato de casoPeriodonticsDental enamel proteinsGingival recessionConnective tissue.PeriodonciaProteínas del esmalte dentalRetracción gingivalTejido conectivo.PeriodontiaProteínas do esmalte dentárioRetração gengivalTecido conjuntivo.Periodontal plastic surgery is a reconstructive therapy defined as surgical procedures performed to correct or eliminate anatomical, developmental or traumatic deformities of the gingiva or alveolar mucosa and is indicated for the treatment of isolated or multiple gingival recessions. Gingival recession is characterized as a mucogingival defect and occurs by apical migration of the gingiva and alveolar mucosa resulting in the exposure of the root portion of the dental element. The main complaints of this condition are dentin hypersensitivity and aesthetic dissatisfaction, which elect the choice of this treatment. The coronary repositioned flap associated with the use of subepithelial connective tissue graft is considered the gold standard among root covering techniques for its predictability and stability. The literature shows that the use of proteins enamel matrix derivative can potentiate periodontal regeneration, leading to favorable results. The present case report is related to a 43-year-old, female patient, with dentin hypersensitivity and multiple gingival recessions type 1 (RT1) and type 2 (RT2) in the upper central and lateral incisors. After the initial adjustments of the oral environment, the treatment chosen was the root coverage with coronary advanced flap technique associated with the subepithelial connective tissue graft and the use of the protein derivative from enamel matrix in the upper anterior teeth. The follow-up of the case in one year revealed success in root coverage by the technique and use of biomaterial, being effective for the treatment of multiple recessions type 1 (RT1) and type 2 (RT2).La cirugía plástica periodontal es una terapia reconstructiva definida como procedimientos quirúrgicos realizados para corregir o eliminar deformidades anatómicas, del desarrollo o traumáticas de la encía o mucosa alveolar y está indicada para el tratamiento de recesiones gingivales aisladas o múltiples. La recesión gingival se caracteriza como un defecto mucogingival que se produce a través de la migración apical de la encía y la mucosa alveolar que da como resultado la exposición de la porción de la raíz del elemento dental. Las principales quejas de esta patología son hipersensibilidad dentinaria y insatisfacción estética, que eligen la elección de este tratamiento. El colgajo coronario reposicionado asociado con el uso de injerto de tejido conectivo subepitelial se considera el estándar de oro entre las técnicas de recubrimiento radicular por su predictibilidad y estabilidad. La literatura muestra que el uso de proteínas derivadas de la matriz del esmalte puede potenciar regeneración periodontal, conduciendo a resultados favorables. El presente caso clínico se relaciona con una paciente de 43 años, género femenino, con hipersensibilidad dentinaria y múltiples recesiones gingivales tipo 1 (RT1) y tipo 2 (RT2) en los incisivos centrales y laterales superiores. Tras los ajustes iniciales del ambiente bucal, el tratamiento elegido fue la cobertura radicular mediante la técnica del colgajo coronario reposicionado asociado al injerto de tejido conectivo subepitelial y el uso de la proteína derivada de la matriz del esmalte en los dientes anteriores superiores. El seguimiento del caso en un año reveló éxito en el recubrimiento radicular mediante la técnica y uso de biomaterial, siendo eficaz para el tratamiento de recesiones múltiples tipo 1 (RT1) y tipo 2 (RT2).A cirurgia plástica periodontal é uma terapia reconstrutiva definida como procedimentos cirúrgicos realizados para corrigir ou eliminar deformidades anatômicas, de desenvolvimento ou traumáticas da gengiva ou mucosa alveolar e está indicada para o tratamento de recessões gengivais isoladas ou múltiplas. A recessão gengival é caracterizada como um defeito mucogengival que ocorre pela migração apical da gengiva e mucosa alveolar tendo como consequência a exposição da porção radicular do elemento dentário. As principais queixas dessa condição são hipersensibilidade dentinária e insatisfação estética. O retalho reposicionado coronário associado ao uso do enxerto de tecido conjuntivo subepitelial é considerado o padrão ouro dentre as técnicas de recobrimento radicular por sua previsibilidade e estabilidade. A literatura mostra que o uso da proteína derivada da matriz do esmalte pode potencializar a regeneração periodontal, levando a resultados favoráveis. O presente relato de caso é relacionado a paciente de 43 anos, gênero feminino, com queixa de hipersensibilidade dentinária e recessões gengivais múltiplas do tipo 1 (RT1) e tipo 2 (RT2) nos incisivos centrais e laterais superiores. Após as adequações iniciais do meio bucal, o tratamento eleito foi o recobrimento radicular pela técnica do retalho reposicionado coronário associado ao enxerto de tecido conjuntivo subepitelial e a utilização da proteína derivada da matriz do esmalte nos dentes anteriores superiores. O acompanhamento do caso em um ano revelou sucesso no recobrimento radicular pela técnica e uso do biomaterial selecionados, sendo efetivos para o tratamento de recessões múltiplas tipo 1 (RT1) e tipo 2 (RT2).Research, Society and Development2021-03-11info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1319010.33448/rsd-v10i3.13190Research, Society and Development; Vol. 10 No. 3; e17510313190Research, Society and Development; Vol. 10 Núm. 3; e17510313190Research, Society and Development; v. 10 n. 3; e175103131902525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/13190/11864Copyright (c) 2021 Tuane Consalter de Mello Fernandes; Karine Rodrigues Sega; Priscila Paganini Costa; Fernanda Akemi Nakanishi Ito; Luciana Prado Maia; Maria Beatriz Bergonse Pereira Pedrialihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFernandes, Tuane Consalter de Mello Sega, Karine Rodrigues Costa, Priscila Paganini Ito, Fernanda Akemi Nakanishi Maia, Luciana Prado Pedriali, Maria Beatriz Bergonse Pereira 2021-03-28T12:03:35Zoai:ojs.pkp.sfu.ca:article/13190Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:34:35.577135Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Association of coronally advanced flap, protein derived from the enamel matrix and subepithelial connective tissue graft as a treatment for multiple gingival recessions: Case report Asociación de colgajo reposicionado coronario, proteína derivada de la matriz del esmalte y injerto de tejido conectivo subepitelial como tratamiento de múltiples recesiones gingivales: Reporte de caso Associação de retalho reposicionado coronário, proteína derivada da matriz do esmalte e enxerto de tecido conjuntivo subepitelial como tratamento de recessões gengivais múltiplas: Relato de caso |
title |
Association of coronally advanced flap, protein derived from the enamel matrix and subepithelial connective tissue graft as a treatment for multiple gingival recessions: Case report |
spellingShingle |
Association of coronally advanced flap, protein derived from the enamel matrix and subepithelial connective tissue graft as a treatment for multiple gingival recessions: Case report Fernandes, Tuane Consalter de Mello Periodontics Dental enamel proteins Gingival recession Connective tissue. Periodoncia Proteínas del esmalte dental Retracción gingival Tejido conectivo. Periodontia Proteínas do esmalte dentário Retração gengival Tecido conjuntivo. |
title_short |
Association of coronally advanced flap, protein derived from the enamel matrix and subepithelial connective tissue graft as a treatment for multiple gingival recessions: Case report |
title_full |
Association of coronally advanced flap, protein derived from the enamel matrix and subepithelial connective tissue graft as a treatment for multiple gingival recessions: Case report |
title_fullStr |
Association of coronally advanced flap, protein derived from the enamel matrix and subepithelial connective tissue graft as a treatment for multiple gingival recessions: Case report |
title_full_unstemmed |
Association of coronally advanced flap, protein derived from the enamel matrix and subepithelial connective tissue graft as a treatment for multiple gingival recessions: Case report |
title_sort |
Association of coronally advanced flap, protein derived from the enamel matrix and subepithelial connective tissue graft as a treatment for multiple gingival recessions: Case report |
author |
Fernandes, Tuane Consalter de Mello |
author_facet |
Fernandes, Tuane Consalter de Mello Sega, Karine Rodrigues Costa, Priscila Paganini Ito, Fernanda Akemi Nakanishi Maia, Luciana Prado Pedriali, Maria Beatriz Bergonse Pereira |
author_role |
author |
author2 |
Sega, Karine Rodrigues Costa, Priscila Paganini Ito, Fernanda Akemi Nakanishi Maia, Luciana Prado Pedriali, Maria Beatriz Bergonse Pereira |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Fernandes, Tuane Consalter de Mello Sega, Karine Rodrigues Costa, Priscila Paganini Ito, Fernanda Akemi Nakanishi Maia, Luciana Prado Pedriali, Maria Beatriz Bergonse Pereira |
dc.subject.por.fl_str_mv |
Periodontics Dental enamel proteins Gingival recession Connective tissue. Periodoncia Proteínas del esmalte dental Retracción gingival Tejido conectivo. Periodontia Proteínas do esmalte dentário Retração gengival Tecido conjuntivo. |
topic |
Periodontics Dental enamel proteins Gingival recession Connective tissue. Periodoncia Proteínas del esmalte dental Retracción gingival Tejido conectivo. Periodontia Proteínas do esmalte dentário Retração gengival Tecido conjuntivo. |
description |
Periodontal plastic surgery is a reconstructive therapy defined as surgical procedures performed to correct or eliminate anatomical, developmental or traumatic deformities of the gingiva or alveolar mucosa and is indicated for the treatment of isolated or multiple gingival recessions. Gingival recession is characterized as a mucogingival defect and occurs by apical migration of the gingiva and alveolar mucosa resulting in the exposure of the root portion of the dental element. The main complaints of this condition are dentin hypersensitivity and aesthetic dissatisfaction, which elect the choice of this treatment. The coronary repositioned flap associated with the use of subepithelial connective tissue graft is considered the gold standard among root covering techniques for its predictability and stability. The literature shows that the use of proteins enamel matrix derivative can potentiate periodontal regeneration, leading to favorable results. The present case report is related to a 43-year-old, female patient, with dentin hypersensitivity and multiple gingival recessions type 1 (RT1) and type 2 (RT2) in the upper central and lateral incisors. After the initial adjustments of the oral environment, the treatment chosen was the root coverage with coronary advanced flap technique associated with the subepithelial connective tissue graft and the use of the protein derivative from enamel matrix in the upper anterior teeth. The follow-up of the case in one year revealed success in root coverage by the technique and use of biomaterial, being effective for the treatment of multiple recessions type 1 (RT1) and type 2 (RT2). |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-03-11 |
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/13190 10.33448/rsd-v10i3.13190 |
url |
https://rsdjournal.org/index.php/rsd/article/view/13190 |
identifier_str_mv |
10.33448/rsd-v10i3.13190 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/13190/11864 |
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. 10 No. 3; e17510313190 Research, Society and Development; Vol. 10 Núm. 3; e17510313190 Research, Society and Development; v. 10 n. 3; e17510313190 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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1797052671791726592 |