Esthetic and Functional Treatment of Gingival Recessions in the Mandible: A Micro-Surgical and Mini-Invasive Concept Based on Tunneling Procedure and Controlled Connective Tissue Graft Exposure: Case Reports
Journal Title: Journal of Clinical & Medical Case Reports - Year 2017, Vol 4, Issue 1
Abstract
This article, via two clinical cases, describes a micro-surgical treatment protocol that combines a connective tissue graft with a supra-periosteal tunnel technique for correction of recession defects in the mandible. We propose a treatment rationale where the connective tissue graft is voluntarily exposed on the root surface using controlled exposure, resulting in predictable keratinized tissue creation. The graft is left uncovered on the whole recession height, which triggers the biomimetic target of recreating the initial muco-gingival situation. After healing, this treatment rationale can achieve both functional and esthetic outcomes: increased gingival height and thickness, stable location of the muco-gingival line, preservation of buccal vestibule depth, root coverage, and color and texture matching between the native and the newly created soft tissue. The technique may be a suitable alternative for the treatment of single and multiple Miller class I, II and III recession defects in the mandible, especially in challenging situations when the initial amount of keratinized tissue is low and/or gingival biotype is thin.
Authors and Affiliations
Vincent Ronco
Keywords
Related Articles
- EP ID EP210170
- DOI 10.13188/2332-4120.1000029
- Views 106
- Downloads 0
Acute Kidney Injury in a Child with Paroxysmal Cold Haemoglobinuria
Paroxysmal cold haemoglobinuria (PCH) is characterised by intravascular haemolysis mediated by the Donath-Landsteiner (D-L) antibody. It accounts for up to forty percent of all cases of autoimmune haemolytic anaemia in c...
A Slow Growing Mass of Hard Palate: Schwannoma-Case Report
Schwannomas or neurilemmomas are infrequent, benign, epineurium-encapsulated, slow-growing, solitary tumors of ectodermal origin derived from Schwann cells of the nerve sheath. They can arise from any cranial, peripheral...
Prenatal Diagnosis of Vesicoureteral Reflux: Role of Combined Ultrasound Study and Next Generation Sequencing in Clinical Characterization. The Application of NGS in Prenatal Diagnosis
Background: Pathophysiology and clinical prognosis of congenital anomalies of the kidney and urinary tract are known, especially in adult. Recent studies using massively sequencing approach in adult are clarifying geneti...
End-Stage Renal Disease and Early-Onset Calciphylaxis: A Case Report
We discuss the presentation of Mr. B, a 51-year-old African American male, diagnosed with End-Stage Renal Disease (ESRD) initiated on hemodialysis 6 months prior to presentation. After starting dialysis, the patient deve...
Spontaneous Perinephric Haemorrhage (Wunderlich Syndrome) Secondary to Upper Pole Renal Angiomyolipoma: A Rare Life Threatening Situation: Case Report and Discussion
Wunderlich Syndrome is a rare condition in which spontaneous renal haemorrhage occurs into the subcapsular and perirenal spaces in absence of trauma. It can present as a life threatening situation with profound shock whi...