Acellular dermal matrix for the treatment of multiple gingival recession defects associated with carious and previously restored cervical lesions: A case report with 10 years of follow-up

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical Advances in Periodontics Pub Date : 2023-04-28 DOI:10.1002/cap.10245

Sorin Boeriu, Larissa Steigmann, Riccardo Di Gianfilippo

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引用次数: 0

Abstract

Background

Limited evidence exists on the outcome of the modified coronally advanced tunnel (MCAT) with acellular dermal matrix (ADM) for the treatment of gingival recession defects (GRD) especially when complicated by restored cervical lesions. Therefore, the aim of this case report was to assess the short- and long-term clinical outcomes of maxillary Type 1 recession defects (RT1) associated with restored cervical lesions treated with MCAT with ADM.

Methods and Results

A 43-year-old female patient, presented with multiple adjacent RT1 recessions in the left maxilla, previously treated with overhanging cervical resin restorations. The case was approached with a careful evaluation of the diagnostic determinants of root coverage, removal of the aberrant resin restorations, treatment with MCAT with ADM, and periodical evaluation over a follow-up of 10 years.

The treatment was followed by complete root coverage, improvement of gingival phenotype, and perfect root coverage esthetic score. Outcomes were periodically assessed and were maintained over 10 years of follow-up.

Conclusion

MCAT with ADM is an effective technique for the treatment of multiple GRD complicated by cervical restorations. Complete root coverage and excellent esthetic outcomes were obtained and maintained in the long term.

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细胞真皮基质用于治疗与龋齿和以前修复过的牙颈部病变相关的多发性牙龈退缩缺损：随访 10 年的病例报告。

背景：关于改良冠状前移隧道（MCAT）联合非细胞真皮基质（ADM）治疗牙龈退缩缺损（GRD）的疗效，尤其是与修复的牙颈部病变并发时的疗效，目前证据有限。因此，本病例报告旨在评估上颌1型牙龈退缩缺损（RT1）与修复的牙颈部病变相关的短期和长期临床疗效：一名 43 岁的女性患者左侧上颌有多个相邻的 RT1 退缩，之前曾用悬吊式颈部树脂修复体进行过治疗。在处理该病例时，对牙根覆盖的诊断决定因素进行了仔细评估，拆除了异常树脂修复体，使用 MCAT 和 ADM 进行了治疗，并在 10 年的随访中进行了定期评估。治疗后，牙根完全覆盖，牙龈表型得到改善，牙根覆盖美学评分达到满分。结果定期评估，并在 10 年的随访中保持不变：结论：使用 ADM 的 MCAT 是治疗多发性牙龈萎缩并发牙颈部修复的有效技术。结论：采用 ADM 的 MCAT 是治疗多发性牙根缺损（GRD）并发颈椎修复体的有效技术，可以获得完全的牙根覆盖和良好的美学效果，并能长期保持。

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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来源期刊

Clinical Advances in Periodontics DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.60

自引率

0.00%

发文量