Periodontal plastic surgery in dentoalveolar trauma

Authors

DOI:

https://doi.org/10.35954/SM2021.40.2.6.e501

Keywords:

Surgery Oral; Gingival Recession; Dentistry; Tooth Injuries

Abstract

The clinical case is presented of an 18 year old female patient who was seen at the Dentistry Department of the Central Hospital of the Armed Forces, due to a dentoalveolar traumatism, as a consequence of which she presented a complete coronary fracture at cervical level of tooth 12, intrusion and fracture of the vestibular table leaving as sequel, the loss of the crown and an important gingival defect. 

A multidisciplinary treatment plan was elaborated achieving very satisfactory results both from the functional and esthetic point of view. After the endodontic treatment and the fabrication of a temporary crown, the patient is referred to the Periodontics Service for the resolution of the gingival defect. This is the most challenging stage due to the type of recession at the site and the low predictability of root coverage to be expected in such a situation.

Subepithelial connective tissue is used using the periodontal plastic surgery techniques of Zabalegui tunneling combined with Hurzeler.

 

Received for review: April 2021
Accepted for publication: October 2021
Correspondence: Batallón “Ituzaingó” de Infantería Nº 7. Av. Viera s/n. Salto, Uruguay. Tel.: (+598) 4733 5297 – 4733 2193. 

Contact e-mail: nataliapanissa77@gmail.com

                            

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References

(1) Turkistani J, Hanno A. Recent trends in the management of dentoalveolar traumatic injuries to primary and young permanent teeth. Dent Traumatol 2011; 27(1):46-54. doi: 10.1111/j.1600-9657.2010.00950.x

(2) Lam R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Aust Dent J 2016; 61 Suppl 1:4-20. doi: 10.1111/adj.12395

(3) Andreasen JO, Andreasen FM, Mejàre I, Cvek M. Healing of 400 intraalveolar root fractures. Effect of pre-injury and injury factors such as sex, age, stage of root development fracture type, location of fracture and severity of dislocation. Dental Traumatol 2004; 20(4):192-202. doi: 10.1111/j.1600-9657.2004.00279.x

(4) Zucchelli G, Sharma P, Mounssif I. Esthetics in periodontics and implantology. Periodontol 2000. 2018; 77(1):7-18. doi: 10.1111/prd.12207

(5) Henostroza G. Estética en odontología restauradora. 1º ed. Madrid: Editorial Ripano, 2006.

(6) Hochman MN, Chu SJ, Tarnow DP. Maxillary anterior papilla display during smiling: a clinical study of the interdental smile line. Int J Periodontics Restorative Dent 2012; 32(4):375-83.

(7) Belser UC, Grütter L, Vailati F, Bornstein MM, Weber HP, Buser D. Outcome evaluation of early placed maxillary anterior single-tooth implants using objective esthetic criteria: a cross-sectional, retrospective study in 45 patients with a 2- to 4-year follow-up using pink and white esthetic scores. J Periodontol 2009; 80(1):140-51. doi: 10.1902/jop.2009.080435

(8) Tarnow DP, Magner AW, Fletcher P. The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol 1992; 63(12):995-6. doi: 10.1902/jop.1992.63.12.995

(9) Miller PD Jr. A classification of marginal tissue recession. Int J Periodontics Restorative Dent 1985; 5(2):8-13. PMID: 3858267.

(10) Jepsen S, Caton JG, Albandar JM, Bissada NF, Bouchard P, Cortellini P, 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 Periodontol 2018; 89 Suppl 1:S237-S248. doi: 10.1002/JPER.17-0733

(11) 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. doi: 10.1111/j.1600-051X.2011.01732.x.

(12) Zabalegui I, Sicilia A, Cambra J, Gil J, Sanz M. Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: a clinical case. Int J Periodont Restorative Dent 1999; 19(2):199-206. PMID: 10635186.

(13) Hürzeler MB, Weng D. A single-incision technique to harvest subepithelial connective tissue grafts from the palate. Int J Periodontics Restorative Dent 1999; 19(3):279-87. PMID: 10635174.

(14) Cairo F, Nieri M, Pagliaro U. Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review. J Clin Periodontol 2014; 41 Suppl 15:S44-62. doi: 10.1111/jcpe.12182

(15) Sallum A, Cicareli A, Querido M, Bastos Neto F .Periodoncia e Implantología. Soluciones estéticas y recursos Clínicos. Venezuela : Amolca, 2014.

(16) Zuhr O, Rebele SF, Cheung SL, Hürzeler MB. Surgery without papilla incision: tunneling flap procedures in plastic periodontal and implant surgery. Periodont 2000. 2018; 77(1):123-149. doi: 10.1111/prd.12214

(17) Chambrone L, Tatakis D. Periodontal soft tissue root coverage procedures: a systematic review from AAP Regeneration Workshop. J Periodontol 2015; 86(2 Suppl):S8-51. doi: 10.1902/jop.2015.130674

Published

2021-12-31

How to Cite

1.
Berra F, Foglino V, Panissa N. Periodontal plastic surgery in dentoalveolar trauma. Salud Mil [Internet]. 2021 Dec. 31 [cited 2026 Apr. 28];40(2):e501. Available from: https://www.revistasaludmilitar.uy/ojs/index.php/Rsm/article/view/221

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