Single root coverage associated with biomaterials: case report

Authors

  • Ísis Passos Ferreira Faculdade do Amazonas - IAES Author
  • Luciana Aleixo dos Santos de Melo Faculdade do Amazonas - IAES Author
  • Luã Lopes Borges Faculdade do Amazonas - IAES Author
  • Lizete Karla Filgueiras de Souza Faculdade do Amazonas - IAES Author
  • Kathleen Rebelo de Sousa Faculdade do Amazonas - IAES Author

DOI:

https://doi.org/10.70614/wtd9s037

Keywords:

Dental trauma, Gingival recession, Bone graft, Collagen membrane

Abstract

Gum recession, the loss of tissue between gums and teeth, can result in root exposure. Factors include poor tooth position and inadequate hygiene. Cairo et al. (2018) proposed a classification based on the evaluation of the phenotype, the severity of the recession and the presence of associated cervical lesions. Various therapeutic approaches, such as bone grafts and collagen membranes, are used to treat gingival recession. Patient A.B.P, 37 years old, female, came to the clinic with the main complaint “I have sensitivity in my lower tooth”. In the intraoral clinical evaluation, the presence of calculus was found and periodontal examinations were diagnosed with unitary gingival recession type 2 (RT2) in element 41. The objective of this report is to describe the sequence of a clinical case, in which the surgical technique of coverage was used. root with absorbable collagen membrane biomaterial associated with synthetic bone graft in element 41. Finally, the single coverage of the root with biomaterials was successful in terms of healing, postoperative discomfort and gain of keratinized tissue, with regeneration of the point from a clinical point of view, improving gingival retraction, exceeding professional and patient expectations.

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References

1. Rafael Junior JC, Siqueira NC, Mazorra PCH, Pfau VJM, Pfau EA. Uso de matriz de colágeno para tratamento de recessão gengival RT1. RSBO. 2021;18(1):165–72.

2. Ozsagir ZB, Saglam E, Sen Yilmaz B, Choukroun J, Tunali M. Injectable platelet-rich fibrin and microneedling for gingival augmentation in thin periodontal phenotype: A randomized controlled clinical trial. J Clin Periodontol. 2020 Apr 1;47(4):489–99.

3. Chambrone L, Salinas Ortega MA, Sukekava F, Rotundo R, Zamira K, Buti J, et al. Root coverage procedures for treating localised and multiple recession‐type defects. Cochrane Database Syst Rev. 2018 Oct 2;2018(10).

4. Vitor GP. Recessão gengival: uma revisão narrativa. Rev Bra Mult. 2019;22(2):178–85.

5. Fragkioudakis I, Tassou D, Sideri M, Vouros I. Prevalance and clinical characteristics of gingival recession in Greek young adults: A cross-sectional study. Clin Exp Dent Res. 2021;7(5):672–8.

6. Naomi R, Ardhani R, Hafiyyah OA, Fauzi MB. Current Insight of Collagen Biomatrix for Gingival Recession: An Evidence-Based Systematic Review. Polymers (Basel). 2020 Sep 1;12(9).

7. Imber JC, Kasaj A. Treatment of gingival recession: when and how? Int Dent J. 2021 Jun 1;71(3):178.

8. 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. 2018 Jul;38(7):661–6.

9. Mehta V, Kaçani G, Moaleem MMA, Almohammadi AA, Alwafi MM, Mulla AK, et al. Hyaluronic Acid: A New Approach for the Treatment of Gingival Recession—A Systematic Review. Int J Environ Res Public Health. 2022 Nov 1;19(21).

10. Cortellini P, Bissada NF. Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations. J Clin Periodontol. 2018 Jun 1;45 Suppl 20:S190–8.

11. Mythri S, Arunkumar S, Hegde S, Rajesh S, Munaz M, Ashwin D. Etiology and occurrence of gingival recession - An epidemiological study. J Indian Soc Periodontol. 2015 Nov 1;19(6):671.

12. Mansouri SS, Moghaddas O, Torabi N, Ghafari K. Vestibular incisional subperiosteal tunnel access versus coronally advanced flap with connective tissue graft for root coverage of Miller’s class I and II gingival recession: A randomized clinical trial. J Adv Periodontol Implant Dent. 2019 Aug 31;11(1):12.

13. Tomina D, Buduru S, Dinu CM, Kui A, Dee C, Cosgarea R, et al. Incidence of malocclusion among young patients with gingival recessions: a cross-sectional observational pilot study. Med. 2021;57(12):1–9.

14. Ucak Turer O, Ozcan M, Alkaya B, Surmeli S, Seydaoglu G, Haytac MC. Clinical evaluation of injectable platelet-rich fibrin with connective tissue graft for the treatment of deep gingival recession defects: A controlled randomized clinical trial. J Clin Periodontol. 2020 Jan 1;47(1):72–80.

15. Agrawal D, Jaiswal P. Injectable platelet rich fibrin (i-PRF): a gem in dentistry. Int J Cur Res Rev. 2020;12(21):25–30.

16. Patra L, Raj SC, Katti N, Mohanty D, Pradhan SS, Tabassum S, et al. Comparative evaluation of effect of injectable platelet-rich fibrin with collagen membrane compared with collagen membrane alone for gingival recession coverage. World J Exp Med. 2022 Jul 7;12(4):68.

17. Tavelli L, McGuire MK, Zucchelli G, Rasperini G, Feinberg SE, Wang HL, et al. Extracellular matrix-based scaffolding technologies for periodontal and peri-implant soft tissue regeneration. J Periodontol. 2020 Jan 1;91(1):17–25.

18. Boháč M, Danišovič Ľ, Koller J, Dragúňová J, Varga I. What happens to an acellular dermal matrix after implantation in the human body? A histological and electron microscopic study. Eur J Histochem. 2018 Jan 1;62(1):1–11.

19. Dubaj JS, Martins TM. Cirurgia plástica periodontal para tratamento de recessão gengival: acompanhamento após um ano . INPerio. 2019;4(4):774–82.

20. Mercado-García J, Rosso P, Gonzalvez-García M, Colina J, Fernández JM. Gummy smile: mercado-rosso classification system and dynamic restructuring with hyaluronic acid. Aesthetic Plast Surg. 2021;45(5):2338.

21. Esposito M, Grusovin MG, Papanikolaou N, Coulthard P, Worthington H V. Enamel matrix derivative (Emdogain®) for periodontal tissue regeneration in intrabony defects. A Cochrane systematic review. Eur J Oral Implantol. 2009;2(4):247–66.

22. Salem S, Salhi L, Seidel L, Lecloux G, Rompen E, Lambert F. Tunnel/Pouch versus Coronally Advanced Flap Combined with a Connective Tissue Graft for the Treatment of Maxillary Gingival Recessions: Four-Year Follow-Up of a Randomized Controlled Trial. J Clin Med. 2020 Aug 1;9(8):1–14.

23. Mahajan R, Khinda P, Shewale A, Ghotra K, Bhasin MT, Bhasin P. Comparative efficacy of placental membrane and HealiguideTM in treatment of gingival recession using guided tissue regeneration. J Indian Soc Periodontol. 2018 Nov 1;22(6):513.

24. Lahham C, Ta’a MA. Clinical comparison between different surgical techniques used to manage advanced gingival recession (Miller’s class III & IV). Heliyon. 2022 Aug 1;8(8):e10132.

25. Kuralt M, Gašperšič R, Fidler A. The precision of gingival recession measurements is increased by an automated curvature analysis method. BMC Oral Health. 2021 Dec 1;21(1).

26. Needleman I, Worthington H V., Giedrys-Leeper E, Tucker R. Guided tissue regeneration for periodontal infra‐bony defects. Cochrane Database Syst Rev. 2019 May 29;2019(5):CD001724.

27. Chan HL, Chun YHP, MacEachern M, Oates TW. Does gingival recession require surgical treatment? Dent Clin North Am. 2015 Oct 1;59(4):981.

28. Panda S, Khijmatgar S, Arbildo-Vega H, Das AC, Kumar M, Das M, et al. Stability of biomaterials used in adjunct to coronally advanced flap: A systematic review and network meta‐analysis. Clin Exp Dent Res. 2022 Feb 1;8(1):421.

29. Jovičić B, Matijević S, Veličković S, Stevanović M, Mišić A, Stanojević S, et al. Effectiveness of Plasma-Rich Fibrin and De-Epithelialized Free Gingival Graft in the Treatment of Gingival Recessions. Medicina (B Aires). 2023 Mar 1;59(3).tic and Investigational Dentistry, v. 6, p. 45-56, 2014.

Published

2025-06-02