Minimally invasive free gingival graft technique prior-to orthodontic therapy: case report

Diana Cecilia Peniche Palma, Bertha Arelly Carrillo Ávila, Eduardo A. Sauri Esquivel, José Rubén Herrera Atoche, Víctor Manuel Martínez Aguilar
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Abstract

Introduction: A gingival recession (GR) is an affection in which the gingiva displaces apical to the cement-enamel junction causing exposure of the root surface. A thin gingival phenotype can be associated to GR, especially when exposed to orthodontic movements. To solve this condition, several mucogingival techniques have been proposed. Free gingival grafts taken from the palate are the gold standard; however, they are related to poor esthetical results and postoperative complications. In order to reduce those disadvantages, a «Minimally Invasive Esthetic Free Gingival Graft» (MIEFGG) technique is proposed, which involves a donor site placed on the buccal aspect of upper molars to modify the phenotype or regain attachment in the recipient site. Aim: To describe a new graft technique, used in mucogingival surgery, which is both esthetic and minimally invasive. Material and methods: A 24-year-old female patient who requested a periodontal evaluation before orthodontic treatment. Diagnosis: Cairo’s RT3 along with thin phenotype, type II mobility, and extrusion associated to teeth 4.1 and 4.2. Treatment plan: thicken the gingival phenotype surrounding teeth 4.1 and 4.2 before orthodontic therapy. Since the patient expressed esthetical concerns, the MIEFGG technique was selected. Results: Postsurgical follow-ups were performed 7, 14, 30, and 150 days. Both the width and the height of the keratinized gingiva around teeth 4.1 and 4.2 increased by 1 mm. The esthetic outcome was satisfactory, according to the patient. No complications or postoperative pain was reported. Conclusion: MIEFGG is a technique that presents good results in terms of gingival augmentation, little discomfort to the patient, and esthetic results. Concerning the clinical case presented here, those advantages were achieved. However, more research is needed in order to prove its effectiveness.
正畸治疗前微创游离牙龈移植技术1例报告
简介:牙龈退缩(GR)是一种影响,其中牙龈移位根尖到水泥-牙釉质交界处,导致根表面暴露。薄的牙龈表型可能与GR有关,特别是当暴露于正畸运动时。为了解决这种情况,已经提出了几种粘膜牙龈技术。从上颚取下的游离牙龈移植物是金标准;然而,它们与审美效果差和术后并发症有关。为了减少这些缺点,我们提出了一种“微创无美学牙龈移植”(MIEFGG)技术,该技术涉及将供体部位放置在上颌磨牙的颊侧,以改变表型或恢复受体部位的附着。目的:介绍一种既美观又微创的粘膜牙龈移植新技术。材料和方法:一位24岁的女性患者在正畸治疗前要求进行牙周评估。诊断:Cairo 's RT3伴薄表型,II型活动性和与4.1和4.2牙相关的挤压。治疗方案:在正畸治疗前将4.1、4.2牙周围的牙龈表型增厚。由于患者表达了审美方面的考虑,我们选择了MIEFGG技术。结果:术后随访7、14、30、150天。4.1和4.2牙周围角化牙龈的宽度和高度均增加了1 mm。根据患者的说法,美学结果令人满意。无并发症及术后疼痛。结论:MIEFGG是一种具有良好的牙龈隆胸效果,对患者的不适小,美观的技术。在这里的临床病例中,这些优势都得到了实现。然而,为了证明其有效性,还需要更多的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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