Pokrycie mnogich recesji dziąsłowych metodą płata przesuniętego dokoronowo z wykorzystaniem przeszczepu podnabłonkowej tkanki łącznej i kolagenowego materiału ksenogennego po wcześniejszej rekonstrukcji połączenia szkliwno-cementowego – opis przypadku

Dostęp do tego artykułu jest płatny.
Zapraszamy do zakupu!

Cena: 6.15 PLN (z VAT)

Po dokonaniu zakupu artykuł w postaci pliku PDF prześlemy bezpośrednio pod twój adres e-mail.

Kup artykuł
Coverage of multiple gingival recessions using  coronally advanced flap with subepithelial connective tissue graft and xenogenic collagenous material following previous reconstruction of cemento-enamel junction – case report

Bartłomiej Górski, Tomasz Kaczyński, Maciej Zaremba1, Edyta Ciok

Streszczenie
Złotym standardem postępowania leczniczego w przypadku recesji pojedynczych i mnogich jest technika uszypułowanego płata przesuniętego dokoronowo z przeszczepem podnabłonkowej tkanki łącznej. Istotnym, z klinicznego punktu widzenia, problemem w przypadku leczenia recesji mnogich jest ograniczona dostępność tkanki w miejscu dawczym, co nierzadko wiąże się z koniecznością postępowania wieloetapowego. Celem pracy było przedstawienie pokrycia recesji mnogich metodą dokoronowo przesuniętego płata kopertowego z wykorzystaniem podnabłonkowej tkanki łącznej i kolagenowego materiału ksenogennego.
 
Abstract
The gold standard for clinical treatment procedures, single and multiple recession is the pedicle flap graft of connective tissue moved coronally. From the clinical point of view a significant problem in cases of multiple recession is the limited availability of tissue in the donor site which, not infrequently, requires treatment in stages. The aim of the study was to describe the coverage of multiple recession using the repositioning the flap correctly and coronally making use of subepithelial connective tissue and the collagenous xenogenic material.
 
Hasła indeksowe: mnogie recesje dziąsłowe, płat przesunięty dokoronowo, przeszczep podnabłonkowej tkanki łącznej, kolagenowy materiał ksenogenny
 
Key words: multiple gingival recessions, flap moved coronally, subepithelial connective tissue graft, collagenous xenogenic material

PIŚMIENNICTWO
1. Wennstrom J.L.: Mucogingival surgery [in:] Lang N.P., Karring T., editors. Proceedings of the 1st European Workshop on Periodontology. Quintessence, London 1994, 193-209.
2. Zucchelli G., Mounssif I.: Periodontal plastic surgery. Periodontol. 2000, 2015, 68, 333-368.
3. Serino G. i wsp.: The prevalence and distribution of gingival recession in subjects with a high standard of oral hygiene. J. Clin. Periodontol., 1994, 21, 57-63.
4. Yoneyama T. i wsp.: Probing depth, attachment loss and gingival recession. J. Clin. Periodontol., 1988, 15, 581-591.
5. Sangnes G., Gjermo P.: Prevalence of oral soft and hard tissue lesions related to mechanical tooth cleansing procedures. Com. Dent. Oral Epidemiol., 1976, 41, 77-83.
6. Gillam D. i wsp.: Dentine hypersensitivity – guidelines for the management of a common oral health problem. Dentistry Update, 2013, 40, 514-516, 518-520, 523-524.
7. Zucchelli G., De Sanctis M.: Treatment of multiple recession-type defects in patients with esthetic demands. J. Periodontol., 2000, 71, 1506-1514.
8. Pini-Prato G. i wsp.: Coronally advanced flap versus connective tissue graft in the treatment of multiple gingival recessions: a split-mouth study with a 5-year follow-up. J. Clin. Periodontol., 2010, 37, 644-650.
9. Graziani F. i wsp.: Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions. J. Clin. Periodontol., 2014, 41, 15, 63-76.
10. Trombelli L. i wsp.: Guided tissue regeneration in human gingival recessions. A 10-year follow-up study. J. Clin. Periodontol., 2005, 32, 16-20.
11. Górski B., Zaremba M.: Coronally advanced flap with connective tissue graft in treatment of localized gingival recession. Stomatol. Współcz., 2014, 21, 4, 32-38.
12. Górski B., Zaremba M.: Laterally moved, coronally advanced flap with connective tissue graft in treatment of localized gingival recession. Stomatol. Współcz., 2015, 22, 2, 14-18.
13. Chambrone L., Tatakis D.N.: Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J. Periodontol., 2015, 2, 86, 2, 8-51.
14. Zucchelli G. i wsp.: Coronally advanced flap + connective tissue graft techniques for the treatment of deep gingival recession in the lower incisors. A controlled randomized clinical trial. J. Clin. Periodontol., 2014, 41, 806-813.
15. Cairo F., Pagliaro U., Nieri M.: Treatment of gingival recession with coronally advanced flap procedures: a systematic review. J. Clin. Periodontol., 2008, 35, 136-162.
16. Chambrone L. i wsp.: Root coverage procedures for the treatment of localized recession-type defects. Cochrane Database Syst. Rev., 2009, 2, 1-46.
17. Cortes Ade Q. i wsp.: Coronally positioned flap with or without acellular dermal matrix graft in the treatment of Class I gingival recessions: a randomized controlled clinical study. J. Periodontol., 2004, 75, 1137-1144.
18. Sanz M. i wsp.: Clinical evaluation of a new collagen matrix (Mucograft prototype) to enhance the width of keratinized tissue in patients with fixed prosthetic restorations: a randomized prospective clinical trial. J. Clin. Periodontol., 2009, 36, 868-876.
19. Woodyard J. i wsp.: The clinical effect of acellular dermal matrix on gingival thickness and root coverage compared to coronally positioned flap alone. J. Periodontol., 2004, 75, 44-56.
20. Langer B, Calagna L.: The subepithelial connective tissue graft. J. Prosthet. Dent., 1980, 44, 363-367.
21. Zabalegui I. i wsp.: Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: a clinical report. Int. J. Periodontics Restorative Dent., 1999, 19, 199-206.
22. Çetiner D., Bodur A., Uraz A.: Expanded mesh connective tissue graft for the treatment of multiple gingival recessions. J. Periodontol., 2004, 75, 1167-1172.
23. Dembowska E. i wsp.: Subepithelial connective tissue graft in the treatment of multiple gingival recession. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod., 2007, 104, e1-e7.
24. Modaressi M., Wang H.L.: Tunneling procedure for root coverage using acellular dermal matrix: a case series. Int. J. Periodontics Restorative Dent., 2009, 29, 395-403.
25. Aroca S., Keglevich T., Nikolidakis D.: Treatment of Class III multiple gingival recessions: a randomized-clinical trial. J. Clin. Periodontol., 2010, 37, 88-97.
26. Zucchelli G., De Sanctis M.: Long-term outcome following treatment of multiple Miller class I and II recession defects in esthetic areas of the mouth. J. Periodontol., 2005, 76, 2286-2292.
27. Zucchelli G. i wsp.: Coronally advanced flap with and without vertical releasing incisions for the treatment of multiple gingival recessions: a comparative controlled randomized clinical trial. J. Periodontol., 2009, 80, 1083-1094.
28. Skurska A. i wsp.: The assessment of the influence of vertical incisions on the aesthetic outcome of the Miller class I and II recession treatment: a split-mouth study. J. Clin. Periodontol., 2015, 42, 756-763.
29. Zucchelli G., Testori T., De Sanctis M.: Clinical and anatomical factors limiting treatment outcomes of gingival recession: a new method to predetermine the line of root coverage. J. Periodontol., 2006, 77, 714-721.
30. Wyrębek B., Górski B., Plakwicz P.: The importance of identification and reconstruction of cemento-enamel junction (CEJ) for the evaluation of predictability of gingival recession surgery treatment – a literature review. Stomatol. Współcz., 2015, 22, 5, 42-47.
31. Cairo F, Pini-Prato G.P.: A technique to identify and reconstruct the cementoenamel junction level using combined periodontal and restorative treatment of gingival recession. A prospective clinical study. Int. J. Periodontics Restorative Dent., 2010, 30, 573-581.
32. Zucchelli G. i wsp.: Patient morbidity and Periodontal plastic surgery root coverage outcome after subepithelial connective tissue and de-epithelialized grafts: a comparative randomized-controlled clinical trial. J. Clin. Periodontol., 2010, 37, 728-738.