Surgical Root Coverage of Miller’s Class III Using Free Gingival Autograft (A Case Report)
##plugins.themes.bootstrap3.article.main##
Background: Gingival recession is a condition where the root surface of the tooth is exposed due to migration of the gingival margin and junctional epithelium in an apical direction. The problem that patients often complain about due to gingival recession is an aesthetic problem, especially if the recession occurs in the upper anterior teeth. In addition, gingival recession can also cause dentine hypersensitivity due to the exposure of the root surface that was previously covered by the gingiva. One of the treatment options for patients with gingival recession is free gingival autograft surgery.
Purpose: The goal of this article is to explain how to manage gingival recession therapy with free gingival autograft surgery in patients with Miller Class III recession.
Case: A 29-year-old female patient came to RSGM Airlangga University with complaints of hypersensitivity in the front teeth at the lower jaw. The last scaling took place about 6 months ago. The patient does not have a history of systemic diseases, such as hypertension and diabetes, and the patient does not have allergies to either drugs or food.
Case Management: Based on the examination that has been carried out, the treatment option for Miller's class III gingival recession in the tooth region 41 is agreed to be a free gingival autograft.
Conclusion: One of the root coverage treatment options is free gingival autograft, where this procedure can also increase the width of the attached gingiva.
References
-
Krismariono A. Prinsip Dasar Perawatan Resesi Gingiva: Basic principle in the treatment of gingival recession. Dentika: Dental Journal. 2014 Jul 3;18(1):96-100.
Google Scholar
1
-
Etriyani N, Thahir H. Periodontal estetik: perawatan resesi gingiva (tinjauan pustaka) [Aesthetic periodontal: treatment of gingival recession (literature review)]. B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah. 2021 Dec 11;8(2):131-7. Indonesian.
Google Scholar
2
-
Anggara R, Zubardiah L. Manajemen resesi gingiva Miller kelas III dengan connective tissue graft dan teknik tunneling [Management of Miller class III gingival recession with connective tissue graft and tunneling techniques]. MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM. 2019;5(3):88-93. Indonesian.
Google Scholar
3
-
Imber JC, Kasaj A. Treatment of gingival recession: when and how? International Dental Journal. 2021 Jun 1;71(3):178-87.
Google Scholar
4
-
Chambrone L, Ortega MAS, Sukekava F, et al. Root coverage procedures for treating single and multiple recession-type defects: an updated Cochrane systematic review. J Periodontol. 2019;90:1399–422.
Google Scholar
5
-
Krismariono A. Triangular frenotomy: A novel technique for gummy smile correction. Journal of International Dental and Medical Research. 2020, 13.4: 1565-8.
Google Scholar
6
-
Rana TK, Phogat M, Sharma T, Prasad N, Singh S. Management of gingival recession associated with orthodontic treatment: a case report. Journal of Clinical and Diagnostic Research: JCDR. 2014 Jul;8(7):ZD05.
Google Scholar
7
-
Krismariono A. Less invasive vestibule access tunneling with platelet-rich fibrin membrane for the treatment of gingival recession. The Journal of Contemporary Dental Practice. 2019, 20.9: 1024-1028.
Google Scholar
8
-
Ronco V, Dard M. Esthetic and functional treatment of gingival recessions in the mandible: A micro-surgical and mini-invasive concept based on tunneling procedure and controlled connective tissue graft exposure: case reports. J Clin Med Case Rep. 2017 Mar;4(1):01–07.
Google Scholar
9
-
Prajna M, Aldilla M, Nunung R, Heni P. Tunneling connective tissue graft sebagai prosedur perawatan resesi gusi kelas I Miller Tunnelling connective tissue graft as a treatment procedure for Miller Class I gingival recession. Jurnal Kedokteran Gigi Universitas Padjadjaran, 2020, 32.2: 9-16.
Google Scholar
10
-
Tavelli L, Ravidà A, Lin GH, Del Amo FS, Tattan M, Wang HL. Comparison between Subepithelial Connective Tissue Graft and De-epithelialized Gingival Graft: A systematic review and a meta-analysis. J Int Acad Periodontol. 2019; 1;21(2): 82-96.
Google Scholar
11
-
Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. I. Rationale and technique. International Journal of Periodontics & Restorative Dentistry. 1994 Jun 1;14(3).
Google Scholar
12
-
Newman MG, Takei HH, et al. Carranza’s clinical periodontology, 12th ed. Philadelphia: WB Saunders; 2015. pp. 21–22.
Google Scholar
13
-
Menceva Z, Dimitrovski O, Popovska M, Spasovski S, Spirov V, Petrushevska G. Free gingival graft versus mucograft: Histological evaluation. Open access Macedonian journal of medical sciences. 2018 Apr 15;6(4):675.
Google Scholar
14
-
Shkreta M, Atanasovska-Stojanovska A, Dollaku B, Belazelkoska Z. Exploring the gingival recession surgical treatment modalities: A literature review. Open access Macedonian journal of medical sciences. 2018 Apr 15;6(4):698.
Google Scholar
15
-
Wennström JL. Mucogingival therapy. Annals of periodontology. 1996 Nov;1(1):671-701.
Google Scholar
16
-
Pini-Prato O, Magnani C, Zaheer F, Buti J, Rotundo R. Critical Evaluation of Complete Root Coverage as a Successful Endpoint of Treatment for Gingival Recessions. International Journal of Periodontics & Restorative Dentistry. 2015 Sep 1;35(5).
Google Scholar
17
-
Dani S, Dhage A, Gundannavar G. The pouch and tunnel technique for management of multiple gusil recession defects. J Indian Soc Periodontol. 2014;18:774. DOI: 10.4103/0972- 124X.147431.
Google Scholar
18
-
Srinivas BV, Rupa N, Kumari KH, Rajender A, Reddy MN. Treatment of gingival recession using free gingival graft with fibrin fibronectin sealing system: A novel approach. Journal of Pharmacy & Bioallied Sciences. 2015 Aug;7(Suppl 2):S734.
Google Scholar
19
-
Marin DO, Leite AR, Nícoli LG, Marcantonio C, Compagnoni MA, Marcantonio E. Free gingival graft to increase keratinized mucosa after placing of mandibular fixed implant-supported prosthesis. Case reports in dentistry. 2017 Feb 15;2017.
Google Scholar
20