Keywords
How to Cite
Abstract
Introduction: Gingival recession (GR) is defined as the apical migration of the gingival margin, resulting in root exposure in the oral environment, it is known that among its multifactorial etiology the use of orthodontic appliance is cited as a risk factor for GR in patients with a thin periodontal phenotype. Objective: This paper aims to report a case of single root coverage using acellular dermal matrix (MDA) graft. Case Report: Female patient, 24 years old, non-smoker and without systemic alterations, attended the dental clinic of a college in northern Brazil with the main complaint of dentin hypersensitivity in the posterosuperior region. The clinical examination showed stage I type 1 recession in tooth 25 associated with orthodontic movement in the buccolingual direction, the GR of tooth 15 had 2mm (cervico-apical direction) and 1mm (mesiodistal direction), it was also observed Thin scalloped phenotype, no interproximal bone loss, no bleeding on probing and dental biofilm. The indicated treatment was root coverage using the coronal slip technique with MDA fixed with sutures. Conclusion: Given the above, we verified that the clinical results reported in this study indicated a great clinical result with excellent predictability of success, increased keratinized mucosal band and clinical insertion gain.
References
- Cortellini P, Bissada NF. Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations. J Periodontol. 2018; 89 Suppl 1:S204-S213.
- Pini Prato G. Mucogingival deformities. Ann Periodontol. 1999; 4(1):98-101.
- Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, Demirel K, et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol. 2018; 45 Suppl 20:S219-S229.
- Pickron RN. Etiology of gingival recession. Am J Orthod Dentofacial Orthop. 2014; 146(6):693-4.
- Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003; 134(2):220-5.
- Gallagher SI, Matthews DC. Acellular dermal matrix and subepithelial connective tissue grafts for root coverage: A systematic review. J Indian Soc Periodontol. 2017; 21(6):439-448.
- Chambrone L, Salinas Ortega MA, Sukekava F, Rotundo R, Kalemaj Z, Buti J, Pini Prato GP. Root coverage procedures for treating localised and multiple recession-type defects. Cochrane Database Syst Rev. 2018, 2; 10(10):CD007161.
- Kim DM, Bassir SH, Nguyen TT. Effect of gingival phenotype on the maintenance of periodontal health: An American Academy of Periodontology best evidence review. J Periodontol. 2020; 91(3):311-338.
- Ji JJ, Li XD, Fan Q, Liu XJ, Yao S, Zhou Z, Yang S, et al. Prevalence of gingival recession after orthodontic treatment of infraversion and open bite. J Orofac Orthop. 2019; 80(1):1-8.
- Finkleman SA, Bayirli B. Prevalence of gingival recession after orthodontic tooth movements. Am J Orthod Dentofacial Orthop. 2018; 153(5):614.
- Morris JW, Campbell PM, Tadlock LP, Boley J, Buschang PH. Prevalence of gingival recession after orthodontic tooth movements. Am J Orthod Dentofacial Orthop. 2017; 151(5):851-859.
- Susin C, Haas AN, Oppermann RV, Haugejorden O, Albandar JM. Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. J Periodontol. 2004; 75(10):1377-86.
- Romandini M, Soldini MC, Montero E, Sanz M. Epidemiology of mid-buccal gingival recessions in NHANES according to the 2018 World Workshop Classification System. J Clin Periodontol. 2020; 47(10):1180-1190.
- Caton JG, Armitage G, Berglundh T, Chapple ILC, Jepsen S, Kornman KS, Mealey BL, et al. A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. J Clin Periodontol. 2018; 45 Suppl
:S1-S8.
- Damião ACN, dos Santos GF, Fonseca RRS, Machado LFA. Root Coverage Associated with Acellular Dermal Matrix and L-Prf in Bilateral Unitary Gingival Recessions – Case Report. J Dent. 2020; 8: 6-10.
- Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol. 1985; 56(12):715-20.
- Karthikeyan BV, Khanna D, Chowdhary KY, Prabhuji ML. The versatile subepithelial connective tissue graft: a literature update. Gen Dent. 2016; 64(6):e28-e33.
- Changi KK, Greenstein G, Tarnow D, Royzman D, Kang P. Creeping Clinical Attachment After Acellular Dermal Matrix Augmentation to Attain Root Coverage. Clin Adv Periodontics. 2020; 10(2):75-80.
- Suzuki KT, de Jesus Hernandez Martinez C, Suemi MI, Palioto DB, Messora MR, de Souza SLS, Novaes AB Jr, et al. Root coverage using coronally advanced flap with porcine-derived acellular dermal matrix or subepithelial connective tissue graft: a randomized controlled clinical trial. Clin Oral Investig. 2020; 24(11):4077-4087.
- Barootchi S, Tavelli L, Gianfilippo RD, Eber R, Stefanini M, Zucchelli G, Wang HL. Acellular dermal matrix for root coverage procedures: 9-year assessment of treated isolated gingival recessions and their adjacent untreated sites. J Periodontol. 2021; 92(2):254-262.
- Cairo F, Nieri M, Cincinelli S, Mervelt J, Pagliaro U. The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study. J Clin Periodontol. 2011; 38(7):661-6.
- Chambrone L, Tatakis DN. Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol. 2015; 86(2 Suppl):S8-51.
- Chambrone L, Salinas Ortega MA, Sukekava F, Rotundo R, Kalemaj Z, Buti J, Pini Prato GP. Root coverage procedures for treating localised and multiple recession-type defects. Cochrane Database Syst Rev. 2018, 2;10(10):CD007161.
- Balderrama ÍF, Ferreira R, Rezende DRB, Nogueira ALRN, Greghi SLA, Zangrando MSR. Root coverage stability with acellular dermal matrix in multiple gingival recessions in esthetic zone: A clinical case report with 12-year follow-up. J Indian Soc Periodontol. 2019; 23(6):584-588.
- Zucchelli G, Mounssif I. Periodontal plastic surgery. Periodontol 2000. 2015; 68(1):333-68.
- Zucchelli G, De Sanctis M. Treatment of multiple recession-type defects in patients with esthetic demands. J Periodontol. 2000; 71(9):1506-14.
- Tal H, Moses O, Zohar R, Meir H, Nemcovsky C. Root coverage of advanced gingival recession: a comparative study between acellular dermal matrix allograft and subepithelial connective tissue grafts. J Periodontol. 2002; 73(12):1405-11.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2021 Antônio Allan Almeida Leão, Neidilena Maria Menezes Nobre, Lorena Cassia Oliveira Athaide Da Silva, Natácya Menezes de Souza Lopes, Silvio Augusto Fernandes de Menezes, Gabriel Figueiredo Bastos, Ricardo Fonseca