Periodontal Plastic Surgeries Performed in an Outpatient Dental School Setting: A Case Report
DOI:
https://doi.org/10.5335/rfo.v31i1.18178Keywords:
Gingival recession, dental aesthetics, connective tissue, gingivaAbstract
Gingival recession is a multifactorial condition characterized by the apical migration of the gingival margin, leading to root exposure, aesthetic concerns, and dentin hypersensitivity. This study aimed to evaluate therapeutic approaches for the treatment of gingival recession in an undergraduate clinical setting, with emphasis on the subepithelial connective tissue graft associated with a coronally advanced flap. This study reports a clinical case of a 44-year-old systemically healthy female patient presenting multiple gingival recessions and complaints of dentin hypersensitivity. Initially, oral environment conditioning was performed, including scaling and root planing, oral hygiene instructions, and sensitivity control with weekly application of desensitizing gel for one month. Subsequently, students were previously trained on simulation models, followed by the surgical procedure for root coverage using a subepithelial connective tissue graft associated with a coronally advanced flap performed through oblique incisions and a split-full-split thickness flap design. Clinical follow-up demonstrated proper healing, increased keratinized tissue, aesthetic improvement, and a significant reduction in sensitivity. After 12 months, stable and satisfactory root coverage was observed. The results suggest that the employed technique is highly predictable and effective, highlighting the importance of individualized planning and control of etiological factors for successful periodontal therapy.
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