Periosteum Transposition Technique for Coverage of Exposed Root Surface (original) (raw)
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Periosteoplasty for covering gingival recessions: Clinical results
Clinical, Cosmetic and Investigational Dentistry, 2009
This is a case series in which a new technique for the surgical treatment of periodontal recessions is presented along with the results of the fi rst clinical trial. A new technique of periodontal fl ap surgery was performed on 30 patients with severe periodontal recessions of the upper or lower front teeth. Root and soft tissue scaling was carried out with an open approach, then the periosteum was incised and mobilized at the apical part of the mucoperiosteum fl ap to cover the defect before the mucoperiosteum was reattached and fi xed by sutures. Sulcus bleeding, periodontal probing depths, attachment loss and the length of the attached gingiva of the affected teeth were recorded preoperatively and at 3, 6, and 12 months postoperatively. Every clinical parameter was improved by surgery. No sulcus bleeding was observed at any time during the postoperative follow-up. A mean reattachment of 5.5 mm was noticed 12 months postoperatively at a mean probing depth of 0.3 mm. The mean height of the attached gingiva was 0 mm before surgery, 2.3 mm at three and six months postoperatively, and 2.2 mm at 12 months. The periosteum eversion technique is suitable for the treatment of gingival recessions resulting in good gingival function and a clear improvement in aesthetics.
Journal of IMAB - Annual Proceeding (Scientific Papers), 2021
Background: Regenerative endodontic procedures have become increasingly popular in recent years. This paper reports the use of regenerative endodontics in the treatment of a large cyst-like inflammatory periapical lesion in an immature permanent tooth. Case report: A 12-year-old boy with a submucosal abscess in the upper jaw visited the Department of Pediatric Dentistry. Previous injury in the area was reported. The X-ray showed a well-defined large osteolytic lesion engaging the apical part of the root. The initial treatment plan included creation of MTA plug and apical surgery. Throughout the treatment course, the patient skipped his appointments and returned 8 months later. The initial working length couldn't be reached, and a hard barrier was present in the middle portion of the root canal. The CBCT showed that the size of the lesion had decreased significantly. Bone-like tissue with a density similar to surrounding spongiosis was observed in the root canal. There was no cha...
Correction of mucosal defects of periapical origin with periodontal surgical techniques
Oral surgery, oral medicine, and oral pathology, 1988
Periapical lesions usually heal after successful root canal therapy. Persistent apical-oral communications may be due to anatomic and pathologic features that were originally linked to the endodontic cause of the lesion. One such factor is close proximity of the root apex to the oral mucosa. These defects necessitate corrective surgical intervention similar to techniques used in periodontal surgery. Four cases involving young female patients are described. These defects occurred in teeth that did not complete their maturation before necrosis of the pulp set in.
The Effect of Periosteal Inverted Graft on Root Coverage Outcomes
International Journal of Advanced Research, 2019
Gingival recession , Periosteal inverted graft , Gingival recession depth , gingival recession width. Background: Gingival Recession defects are one of the most common defects for which patients seek periodontal treatment. Many treatment options are available for the management of gingival recession. Most of the treatments aim to treat the cause, cover the denuded root surface and produce a long term aesthetic result. The use of periosteal inverted graft is a recent innovation for the treatment of gingival recession defects and has gained much attention in a short span of time. Methods: This study was planned to evaluate the efficacy of periosteal inverted graft in Miller's class I and II single gingival recessions. This study consists of 20 cases of single gingival recession patients who came to the faculty of dentistry. The follow up includes measurement of the recession depth and width before and after 1, 3 and 6 months after the surgery. Results and conclusion : There was a statistically-significant reduction in the Gingival recession depth and gingival recession width from baseline to 6 months. The percentage of coverage after 6 months, the recession was 85.9% in class I and 82% in class II. The inverted periosteal graft can be used for the treatment of gingival recession defects successfully.
Repair of Periapical Structures in Apical Periodontitis Using Two Step Method
INTRODUCTION: Apical periodontitis is a result of infection in root canal system and manifestation of the host defense response. The aim of this study is to compare radiographically regeneration of periapical lesions in roots with infected root canals obturated with calcium hydroxide Ca(OH)2 / ApexCal -IvoclareVivadent/ as intracanal medication in two steps. Phenols and aldehydes, chloro-phenol camphor thymol and iodoform paste, formocresol and tricresol formalin are sometimes also recommended for this indication. Calcium hydroxide is an effective, biocompatible substance that has been widely studied in scientific research. It is regarded as the material of choice for temporary disinfectant dressings. METHODOLOGY: Standardized preoperative periapical radiographs were taken of 22 tooth of 22 patients / 9 fimale and 13 male /. All roots were then aseptically instrumented to ISO. 12 roots were aseptically instrumented to ISO size 45 , 6 roots were aseptically instrumented to ISO size 5...
Gingival Recession Associated with Orthodontic Treatment and Root Coverage
Many patients seek to pursue orthodontic treatment for esthetic improvement. These patients present with malalignment of the anterior teeth. There was strong correlation between the severity and extent of gingival recessions and past orthodontic treatment, it was suggested that orthodontic tooth movement may lead to gingival recession. The principal objective in the treatment of gingival recession is to cover the exposed root surfaces to improve esthetics and to reduce hypersensitivity. Different soft tissue grafting procedures have been proposed in the treatment of gingival recessions. Free gingival grafts (FGG) are a reliable method for treatment of gingival recessions: An autograft is taken from the palate as replacement for the lost keratinized gingiva. The purpose of this case report was to illustrate the relationship between orthodontic therapy and gingival recession, and to describe the successful treatment of this case. A 24-year-old girl with gingival recession and hypersensitivity in the anterior mandibulary region was admitted to periodontology clinic. Treatment consisted of oral hygiene instruction, mechanical debridement and surgical periodontal treatment. Root coverage is performed with a FGG in a one step method. The patient and clinicians were satisfied with the result. FGG can a viable alternative in the treatment of gingival recession. Surgical periodontal treatments result in esthetic improvement, elimination of sensitivity, and less risk of developing root caries.
Physiologic Midtreatment Tooth Movement as a Correction Strategy for Iatrogenic Root Exposure
Case Reports in Dentistry
In the case report showcased, we describe orthodontic treatment of a female patient with an excessive gingival display on smiling and severe dental crowding, with maxillary canines positioned excessively buccal (ectopic) to and in near transposition to the lateral incisors. The treatment involved extractions and initial use of unmitigated forces leading to excessive gingival thinning and buccal root positioning of the ectopic canines. Eventually, the root position was corrected and periodontal equilibrium was attained. On finishing the treatment, all objectives were achieved with a good esthetic outcome as well as excellent dental and occlusal relationships.