Resumen
The root coverage procedure to treat gingival recessions is the best line of treatment, being the most used the coronal advanced flap. There have been multiple clinical and aesthetic results that cast doubt on whether this procedure by adding a connective tissue graft will be a more predictable and more aesthetic regarding defect removal. In this case report a patient 24-year-old male refers hypersensitivity and aesthetic discomfort in the area of gingival recession. An autologous graft with a coronal flap advancement of connective tissue will be used. After six months of healing the patient reports improvements in: sensitivity, plaque control and aesthetics.
Citas
American Academy of Periodontology (1996) Consensus report on mucogingival therapy. Proceedings of the World Workshop in Periodontics. Annals of Periodontology 1, 702–706.
Baldi, C., Pini-Prato, G., Pagliaro, U., Nieri, M., Saletta, D., Muzzi, L., Cortellini, P. (1999) Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19-case series. J Periontol. 70: 1077-1084.
Cairo, F., Nieri, M., Cincinelli, S., Mervelt, J., Pagliaro, U.,(2011). The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliabilty study. J ClinPeriodontol. 38: 661-666.
Godoy Gonzalez, C., Villalobos Rodriguez L., Jiménez Bolaños F., Gonzalez Gálvez C., López Valenzuela C. (2013) Biotipos periodontales un resumen actualizado. Claves odontol; 20 (71): 47-54.
Medina, A. (2009). Recesión gingival: una revisión de su etiología, patogénesis y tratamiento. Av Periodom implantol. 21, 2: 35-43.
MilIer P. D. Jr. (1985). A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 5:8-13.
Pini-Prato, G., Pagliaro, U.,Baldi, C., Nieri, M., Saletta, D., Cairo, F., Cortellini, P. (2000). Coronally advanced flap procedure for root coverage. Flap with tensión versus flap without tensión: A randomized controlled clinical study. J Periontol. 71 (2): 188-201.
Pini-Prato, G., Rotundo, R.,Fanceschi, D., Cairo, F., Cortenilli, P., Nieri, M. (2011). Fourteen-year outcomes of coronally advanced flap for coverage: follow-up a randomized trial. J Clin Periodontol. 38: 715-720.
Rani, L., Boyapati, R., M, Srinivas.,Swamy, N., Swarna, C.,Putcha, M. (2014). Comparison of coronally advanced and semilunar coronally repositioned flap for the treatment of gingival recession. Journal of Clinical and diagnostic research 8 (6) 1-8.
Salhi, L., Lecloux, G., Rompen, E., Lambert, F., (2014) Coronally advanced flap versus the pouch technique combined with a connective tissue graft to treat Miller´s class I gingival recession: a randomized controlled trial. J Clin Periodontol. 41: 387-395.
Santana R. B., Mattos C. M. L., Dibart S (2010). A clinical comparison of two flap designs for coronal advancement of the gingival margin: semilunar versus coronally advanced flap. Journal of Clinical Periodontology.; 37: 651–8.
Zucchelli, G., Mounssif, I. (2015). Periodontal plastic surgery. Periodontology 2000. 68: 333-368.
Zucchelli, G., Mounssif, I., Mazzotti, C., Stefanini, M., Marzadori, M., Petracci, E.,Montebugnoli, L. (2014). Coronally advanced flap with and without connective tissue graft for the treatment of multiple gingival recessions: a comparative short and long term controlled randomized clinical trial. J Clin Periodontol. 41: 396-403.