Tratamiento de múltiples recesiones gingivales con diferentes técnicas quirúrgicas: descripción de un caso clínico.
DOI:
https://doi.org/10.22235/ao.v7i1.1075Palabras clave:
recesión gingival/cirugía, colgajos, injertosResumen
Resumen .Las recesiones gingivales constituyen una alteración del periodonto con alta prevalencia, siendo un motivo de consulta recurrente de los pacientes, tanto por su implicancia estética como por la hipersensibilidad dentinaria. Tan importante como su prevención, es el diagnóstico precoz y la evaluación de las posibilidades terapéuticas. El objetivo principal de la cirugía plástica periodontal es conseguir el recubrimiento radicular y conjuntamente lograr una óptima apariencia
estética. En este reporte de un caso clínico, se describirá el tratamiento de recesiones múltiples mediante diferentes procedimientos
quirúrgicos mucogingivales.
Descargas
Citas
Agudio G, Pini-Prato GP, Cortellini P, Parma Benfenatti S. (1987) Gingival lesions caused by improper oral
higiene measures. Int J Perio & Rest Dent;1:53-65.
Allen EP, Miller PD. (1989) Coronal positioning of existing gingival. Short term results in the treatment of shallow
marginal tissue recession. J Periodontol;60:316-319.
Bittencourt S, Del Peloso E, Sallum E, Sallum A, Nociti F, Casati M. (2009) Semilunar coronally positioned flap or
subepithelial connective tissue graft for the treatment of gingival recession. A 30-month follow up study. J
Periodontol;80:1076-1082.
Bruno JF. (1994) Connective tissue graft technique assuring wide root coverage. Int J Perio & Rest Dent; 14(2):126-137.
Cairo F, Pagliaro U, Nieri M. (2008) Treatment of gingival recession with coronally advanced flap procedures: A
systematic review. J Clin Periodontol; 35(Suppl. 8):136-162.
Carvalho da Silva R, Joly JC, Martorelli de lima A, Tatakis D. (2004) Root coverage using the coronally positioned
flap with or without a subepitelial connective tissue graft. J Periodontol;75:413-419.
Cohen D, Ross S. (1968) The double papillae flap in periodontal therapy. J Periodontol;39:65-70.
Freedman A, Salkin l, Stein M, Green K. (1992) A 10-year longitudinal study of untreated mucogingival defects.
J Periodontol;63:71-72.
Glossary of periodontal terms. (2001) American Academy of Periodontology, 4th edition :44.
Grupe J, Warren R. (1956) Repair of gingival defects by a sliding flap operation. J. Periodontol;27:290-295.
Guinard EA, Caffesse RG. (1978) Treatment of localized gingival recessions. III. Comparison on results obtained
with lateral sliding and coronally repositioned flaps. J Periodontol;49:457-461.
Hürzeler MB , Weng D. (1999) A single incision technique to harvest subepithelial connective tissue grafts from
the palate. Int J Perio & Rest Dent;19 (3):279-287.
Kennedy J, Bird W, Palcanis K, Dorfman H. (1985) A Longitudinal evaluation of varying widths of attached
gingival. J Clin Periodontol;12:667-675.
Khocht A, Simon G, Person P, Denepitiya JL. (1993) Gingival recession in relation to history of hard toothbrush use. J Periodontol;64:900-905
Kirsch J, Badersten A, Egelberg J. (1986) Longitudinal observation of unattached mobile gingival areas. J Clin
Periodontol;13:131-134.
Langer B, Langer L. (1985) Subepithelial connective tissue graft technique for root coverage. J Periodontol; 56:715-720.
Löe H, Anerud A, Boysen H. (1992) The natural history of periodontal disease in man: Prevalence, severity, extent
of gingival recession. J Periodontol;63:489-495.
Löst C. (1984) Depth of alveolar bone dehiscences in relation to gingival recessions. J Clin Periodontol;11:583-589.
Moses O, Artzi Z, Sculean A, Tal H, Kozlovsky A, Romanos G, Nemcovsky C. (2006) Comparative study of two root coverage procedures: A 24-month follow up multicenter study. J Periodontol;77:195-202.
Novaes AB, Ruben MP,Kon S, Goldman HM,Novaes AB jr. (1975) The development of the periodontal cleft. A
Clinical and histopathological study. J Periodontol; 46:701-709.
Miller PD. (1985) A classification of marginal tissue recession. Int J Perio & Rest Dent;5:9-13.
Pennel BM, Higgison JD, Towner TD, King KO, Fritz BD, Salder JF. (1965) Oblique rotated flap. J Periodontol; 36:305-309.
Pini-Prato GP, Pagliaro U, Baldi C, Nieri M, Saletta D, Cairo F, Cortellini P. (2000) Coronally advanced flap
procedure for root coverage. Flap with tension versus flap without tension: A randomized controlled clinical study.
J Periodontol;71:188-201.
Raetzke PB. (1985) Covering localized areas of root exposure employing the envelope technique. J
Periodontol;56:397-402.
Reiser GM, Bruno JF. (1996) The subepithelial connective tissue graft palatal donor site: Anatomical considerations
for surgeons. Int J Perio & Rest Dent;16;130-137.
Sullivan HC, Atkins JH. (1968) Free autogenous gingival grafts.III. Utilization of grafts in the treatment of gingival recession. Periodontics;6:152-160.
Tarnow DP. (1986) Semilunar coronally repositioned flap. J Clin Periodontol;13:182-185.
Wennström J. (1987) Lack of association between width of attached gingival and development of soft tissue
recession. A 5-year longitudinal study. J Clin Periodontol; 14:181-184.
Wennström J. (1996) Mucogingival therapy. Proceedings of the world workshop on periodontics. Annals of
Periodontology;1:671-701.
Zucchelli G, Amore C, Montebugnoli L, De Sanctis M. (2003) Bilaminar techniques for the treatment of recession type defects. A comparative clinical study. J Clin Periodontol;30:862-870.
Zucchelli G, Testori T, De Sanctis M. (2006) Clinical and anatomical factors limiting treatment outcomes of gingival recession: A new method to predetermine the line of root coverage. J Periodontol;77:714-721.