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Introduction: Dentin hypersensitivity is an acute and fast pain and affects several patients with a multifactorial etiology and among the main causes is the use of orthodontic appliances, which is also a risk factor for gingival recession (GR), especially in patients with a thin periodontal phenotype. Objective: the present study aims to report a case of multiple RR in the latero-inferior region using autogenous graft in the area of LCNCs. Case Report: Male patient, 32 years old, non-smoker, non-alcoholic and without systemic alterations and without previous allergies, was referred to a dental clinic of a course in periodontics, in the city of Belém, northern Brazil, with the complaint main HD in the lateral-inferior region. In the clinical examination, multiple GR type 1 (RT1) were verified, in teeth 43, 44 (presence of non-carious cervical lesion) and 45, presence of thin and scalloped periodontal phenotype, without interproximal bone loss, absence of bleeding on probing, biofilm and dental calculus. The indicated treatment was root coverage using the coronal sliding technique associated with autogenous graft to improve the clinical level of insertion and increase the band of keratinized mucosa with MDA fixed with sutures. Conclusion: In view of the above, we found that the clinical results reported in this study indicated an excellent clinical result for an increase in the keratinized mucosal strip, clinical gain in insertion and HD resolution.
References
de Oliveira RP, Alencar CM, Silva FA, Magno MB, Maia LC, Silva CM. Effect of desensitizing agents on dentin hypersensitivity after non-surgical periodontal therapy: A systematic review and meta-analysis. J Dent. 2020, 103:103498.
Liu XX, Tenenbaum HC, Wilder RS, Quock R, Hewlett ER, Ren YF. Pathogenesis, diagnosis and management of dentin hypersensitivity: an evidence-based overview for dental practitioners. BMC Oral Health. 2020, 20(1):220.
Felix J, Ouanounou A. Dentin Hypersensitivity: Etiology, Diagnosis, and Management. Compend Contin Educ Dent. 2019, 40(10):653-657.
Davari A, Ataei E, Assarzadeh H. Dentin hypersensitivity: etiology, diagnosis and treatment; a literature review. J Dent (Shiraz). 2013, 14(3):136-45.
Scribante A, Gallo S, Celmare RL, D'Antò V, Grippaudo C, Gandini P, Sfondrini MF. Orthodontic debonding and tooth sensitivity of anterior and posterior teeth. Angle Orthod. 2020, 90(6):766-773.
Dumbryte I, Linkeviciene L, Linkevicius T, Malinauskas M. Does orthodontic debonding lead to tooth sensitivity? Comparison of teeth with and without visible enamel microcracks. Am J Orthod Dentofacial Orthop. 2017, 151(2):284-291.
Vatturu S, Ganugapanta VR, Teja NR, Singaraju GS, Mandava P, Priyanka JY. Comparative evaluation of the efficacy of the desensitizing and remineralizing agent in the reduction of dentin hypersensitivity after orthodontic debonding - a randomized clinical trial. Med Pharm Rep. 2021, 94(2):229-238.
Meriç P, Kılınç DD. Do different orthodontic pliers used in bracket debonding have different effects on pain and sensitivity? A prospective split-mouth study. Clin Oral Investig. 2022, 26(11):6551-6561.
Douglas de Oliveira DW, Marques DP, Aguiar-Cantuária IC, Flecha OD, Gonçalves PF. Effect of surgical defect coverage on cervical dentin hypersensitivity and quality of life. J Periodontol. 2013, 84(6):768-75.
Douglas de Oliveira DW, Oliveira-Ferreira F, Flecha OD, Gonçalves PF. Is surgical root coverage effective for the treatment of cervical dentin hypersensitivity? A systematic review. J Periodontol. 2013, 84(3):295-306.
Slutzkey S, Levin L. Gingival recession in young adults: occurrence, severity, and relationship to past orthodontic treatment and oral piercing. Am J Orthod Dentofacial Orthop. 2008, 134(5):652-6.
Douglas-de-Oliveira DW, Vitor GP, Silveira JO, Martins CC, Costa FO, Cota LOM. Effect of dentin hypersensitivity treatment on oral health related quality of life - A systematic review and meta-analysis. J Dent. 2018, 71:1-8.
Tatakis DN, Chambrone L, Allen EP, Langer B, McGuire MK, Richardson CR, Zabalegui I, et al. Periodontal soft tissue root coverage procedures: a consensus report from the AAP Regeneration Workshop. J Periodontol. 2015, 86(2 Suppl):S52-5.
Reis MBL, Mandetta CMR, Dantas CDF, Marañón-Vásquez G, Taba M Jr, de Souza SLS, Messora MR, et al. Root coverage of gingival recessions with non-carious cervical lesions: a controlled clinical trial. Clin Oral Investig. 2020, 24(12):4583-4589.
Damião ACN, Santos GF, Fonseca RRS, Machado LFA, Menezes SAF, de Oliveira PGFP. Root Coverage Associated with Acellular Dermal Matrix and L-Prf in Bilateral Unitary Gingival Recessions – Case Report. J Dent. 2020, 8(3):1-5.
Leão AAA, Nobre NMM, da Silva LCO, Lopes NMS, de Menezes SAF, Bastos GF, Fonseca RRS. Acellular dermal matrix for root coverage in unitary gingival recession: case report. Braz J Implant Health Sci. 2021, 3(9):23-40.
de Carvalho ÉBS, Ferreira R, Azuaga BO, Hissano WS, Damante CA, de Rezende MLR, et al. Impact of Subepithelial Connective Tissue for Root Coverage on Brazilian Patients' Quality of Life: A Longitudinal Clinical Study. J Int Acad Periodontol. 2021, 23(2):99-105.
Tonetti MS, Cortellini P, Pellegrini G, Nieri M, Bonaccini D, Allegri M, Bouchard P, et al. Xenogenic collagen matrix or autologous connective tissue graft as adjunct to coronally advanced flaps for coverage of multiple adjacent gingival recession: Randomized trial assessing non-inferiority in root coverage and superiority in oral health-related quality of life. J Clin Periodontol. 2018, 45(1):78-88.
Antezack A, Ohanessian R, Sadowski C, Faure-Brac M, Brincat A, Etchecopar-Etchart D, Monnet-Corti V. Effectiveness of surgical root coverage on dentin hypersensitivity: A systematic review and meta-analysis. J Clin Periodontol. 2022, 49(8):840-851.
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