Palabras clave
recesión gingival, cirugía plástica periodontal, terapia post-ortodóntica.
Cómo citar
Cirugía Plástica Periodontal:: reporte de un caso clínico. (2016). Odontoestomatología, 18(27), 49-54. https://odon.edu.uy/ojs/index.php/ode/article/view/103
Resumen
El abordaje terapéutico de las recesiones gingivales requiere un plan de tratamiento que involucre terapia básica, la cual tendrá como objetivo la resolución de la/las etiologías de la/las mismas y una terapia de cirugía plástica periodontal adecuada al caso específico.
Los procedimientos quirúrgicos con injertos de tejido conjuntivo tomados principalmente del paladar son el gold standard en el tratamiento de las recesiones gingivales. El objetivo de este trabajo es exponer paso a paso el tratamiento de una recesión gingival post- terapia de ortodoncia y su evaluación a largo plazo.
Referencias
1. Chambrone, L. Rationale for the Surgical Treatment of Single and Multiple Recession-Type Defects, In: Chambrone, L. Evidence Based Periodontal and Peri Implant Plastic Surgery, 1er Ed, Springer, 2015: 45-146.
2. Wennström JL, Zucchelli G. Increased gingival dimensions. A significant factor for successful outcome of root coverage procedures? A 2-year prospective clinical study. J Clin Periodontol, 1996; 23: 770-777.
3. Bueno, L; Chambrone, L. Management of multiple recessions type defects after Orthodontic Therapy: A clinical case report based of Scientific Evidence, Clinical Advanced of Periodontology; 2015; 10: 1- 14.
4. Chambrone L, Sukekava F, Ara.jo MG, Pustiglioni FE, Chambrone LA, Lima LA. Root coverage procedures for the treatment of localized recession-type defects: a Cochrane systematic review. J Periodontol 2010;81:452–78.
5. Chambrone L, Tatakis DN. Periodontal soft tissue root coverage procedures: A systematic review from the AAP Regeneration Workshop. J Periodontol 2015, 86 (2 Supplement):S8-S51.
6. Richardson CR, Allen EP, Chambrone L, Langer B, McGuire MK, Zabalegui I, Zadeh HH, Tatakis DN. Periodontal soft tissue root coverage procedures: Practical applications from the AAP Regeneration Workshop. Clin Adv Periodontics 2015; 5:2-10.
7. Miller, PD. A classification of marginal tissue recession. Int J Periodontol Rest Dent, 1985; 5: 9-13.
8. Bueno, L; Ferrari, R; Shibli, J. Tratamiento de recesiones y defectos mucogingivales mediante injertos de tejido conjuntivo en piezas dentarias e implantes. Odontoestomatología, 2015; 17 (25): 35-46.
9. Chambrone L, Pannuti CM, Tu YK, Chambrone LA. Evidence- based periodontal plastic surgery. II. An individual data meta-analysis for evaluating factors in achieving complete root coverage. J Periodontol 2012; 83: 477-490.
10. Zuchelli, G. Casos Clínicos Complejo En: Zuchelli, G. Cirugía Estética Mucogingival, 1era. Ed, España, Quintessence, 2014: 693-747.
11. Hurzeler, M; Weng, D. A single incision technique to haverst subepithelial connective tissue grafts from the palate. Int. J. Periodontics Restorative Dent, 1999, 19, 279-287.
12. Harris, R; Miller, R; Harris, L. Complications with Surgical Procedures Utilizing Connective Tissue Grafts: A Follow up of 500 Consecutively Treated Cases. Int. J. Periodontics Rest. Dent. 2005; 25: 449-459.
13. Tatakis DN, Chambrone L, Allen EP, Langer B, McGuire MK, Richardson CR, Zabalegui I, Zadeh HH. Periodontal soft tissue root coverage procedures: A consensus report from the AAP Regeneration Workshop. J Periodontol 2015; 86 (2 Supplement): S52-S55.
14. Chambrone L, Chambrone D, Pustiglioni FE, Chambrone LA, Lima LA. Can subepithelial connective tissue grafts be considered the gold standard procedure in the treatment of Miller Class I and II recession-type defects? J Dent 2008;36:659–71.
15. Langer, B; Langer; L. Subepithelial connective tissue grafts technique for root coverage. J. Periodontol; 1985; 56: 715-720.
16. Raetzke, P. Covering localized areas of root exposure employing the “envelope” technique. J. Periodontol, 1985; 56: 397-401.
17. Allen, A. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. II. Clinical results. Int J Periodontics Restorative Dent 1994; 14: 303-315.
18. Nelson, S. The subpedicle connective tissue graft. A bilaminar reconstructive procedure for the coverage of denuded root surfaces. J. Periodontol, 1987; 58: 95-102.
19. Wennstrom, J; Zuchelli, G. Increase gingival dimensions. A significant factor for successful outcome of root coverage procedures? A 2 year prospective clinical study. J. Clinical Periodontol, 1996; 23: 770-777.
20. Bruno, J. Connective tissue graft technique assuring wide root coverage. Int J Periodontics Restorative Dent 1994; 14: 127-137.
21. Harris, R. The connectivetissue and partial thickness doublé pedicle graft: a predictable method of obtaining root coverage. J. Periodontol, 1992; 63: 477-486.
22. Chambrone L, Chambrone D, Pustiglioni FE, Chambrone LA, Lima LA. Can subepithelial connective tissue grafts be considered the gold standard procedure in the treatment of Miller Class I and II recession-type defects? J Dent 2008; 36: 659-671.
23. Wilderman MN, Wentz FM. Repair of a dentogingival de- fect with a pedicle flap. J Periodontol 1965;36: 218–231.
24. Caffesse RG, Kon S, Castelli WA, Nasjleti CE. Revascu- larization following the lateral sliding flap procedure. J Periodontol 1984; 55:352–358.
25. Pasquinelli, K. Histología de la nueva inserción al utilizar un injerto autógeno de tejido blando grueso en un área de profunda recesión: Reporte de un caso. Int J Periodontics Restorative Dent 1995; 15:248-257.
2. Wennström JL, Zucchelli G. Increased gingival dimensions. A significant factor for successful outcome of root coverage procedures? A 2-year prospective clinical study. J Clin Periodontol, 1996; 23: 770-777.
3. Bueno, L; Chambrone, L. Management of multiple recessions type defects after Orthodontic Therapy: A clinical case report based of Scientific Evidence, Clinical Advanced of Periodontology; 2015; 10: 1- 14.
4. Chambrone L, Sukekava F, Ara.jo MG, Pustiglioni FE, Chambrone LA, Lima LA. Root coverage procedures for the treatment of localized recession-type defects: a Cochrane systematic review. J Periodontol 2010;81:452–78.
5. Chambrone L, Tatakis DN. Periodontal soft tissue root coverage procedures: A systematic review from the AAP Regeneration Workshop. J Periodontol 2015, 86 (2 Supplement):S8-S51.
6. Richardson CR, Allen EP, Chambrone L, Langer B, McGuire MK, Zabalegui I, Zadeh HH, Tatakis DN. Periodontal soft tissue root coverage procedures: Practical applications from the AAP Regeneration Workshop. Clin Adv Periodontics 2015; 5:2-10.
7. Miller, PD. A classification of marginal tissue recession. Int J Periodontol Rest Dent, 1985; 5: 9-13.
8. Bueno, L; Ferrari, R; Shibli, J. Tratamiento de recesiones y defectos mucogingivales mediante injertos de tejido conjuntivo en piezas dentarias e implantes. Odontoestomatología, 2015; 17 (25): 35-46.
9. Chambrone L, Pannuti CM, Tu YK, Chambrone LA. Evidence- based periodontal plastic surgery. II. An individual data meta-analysis for evaluating factors in achieving complete root coverage. J Periodontol 2012; 83: 477-490.
10. Zuchelli, G. Casos Clínicos Complejo En: Zuchelli, G. Cirugía Estética Mucogingival, 1era. Ed, España, Quintessence, 2014: 693-747.
11. Hurzeler, M; Weng, D. A single incision technique to haverst subepithelial connective tissue grafts from the palate. Int. J. Periodontics Restorative Dent, 1999, 19, 279-287.
12. Harris, R; Miller, R; Harris, L. Complications with Surgical Procedures Utilizing Connective Tissue Grafts: A Follow up of 500 Consecutively Treated Cases. Int. J. Periodontics Rest. Dent. 2005; 25: 449-459.
13. Tatakis DN, Chambrone L, Allen EP, Langer B, McGuire MK, Richardson CR, Zabalegui I, Zadeh HH. Periodontal soft tissue root coverage procedures: A consensus report from the AAP Regeneration Workshop. J Periodontol 2015; 86 (2 Supplement): S52-S55.
14. Chambrone L, Chambrone D, Pustiglioni FE, Chambrone LA, Lima LA. Can subepithelial connective tissue grafts be considered the gold standard procedure in the treatment of Miller Class I and II recession-type defects? J Dent 2008;36:659–71.
15. Langer, B; Langer; L. Subepithelial connective tissue grafts technique for root coverage. J. Periodontol; 1985; 56: 715-720.
16. Raetzke, P. Covering localized areas of root exposure employing the “envelope” technique. J. Periodontol, 1985; 56: 397-401.
17. Allen, A. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. II. Clinical results. Int J Periodontics Restorative Dent 1994; 14: 303-315.
18. Nelson, S. The subpedicle connective tissue graft. A bilaminar reconstructive procedure for the coverage of denuded root surfaces. J. Periodontol, 1987; 58: 95-102.
19. Wennstrom, J; Zuchelli, G. Increase gingival dimensions. A significant factor for successful outcome of root coverage procedures? A 2 year prospective clinical study. J. Clinical Periodontol, 1996; 23: 770-777.
20. Bruno, J. Connective tissue graft technique assuring wide root coverage. Int J Periodontics Restorative Dent 1994; 14: 127-137.
21. Harris, R. The connectivetissue and partial thickness doublé pedicle graft: a predictable method of obtaining root coverage. J. Periodontol, 1992; 63: 477-486.
22. Chambrone L, Chambrone D, Pustiglioni FE, Chambrone LA, Lima LA. Can subepithelial connective tissue grafts be considered the gold standard procedure in the treatment of Miller Class I and II recession-type defects? J Dent 2008; 36: 659-671.
23. Wilderman MN, Wentz FM. Repair of a dentogingival de- fect with a pedicle flap. J Periodontol 1965;36: 218–231.
24. Caffesse RG, Kon S, Castelli WA, Nasjleti CE. Revascu- larization following the lateral sliding flap procedure. J Periodontol 1984; 55:352–358.
25. Pasquinelli, K. Histología de la nueva inserción al utilizar un injerto autógeno de tejido blando grueso en un área de profunda recesión: Reporte de un caso. Int J Periodontics Restorative Dent 1995; 15:248-257.