An: 2014, Nr.4, Articol Nr. 19
PALATAL CONNECTIVE TISSUE GRAFTING THROUGH TUNNEL TECHNIQUE IN ANTERIOR MANDIBLE: A CASE REPORT
Mihaela Mitrea - “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, Discipline of Anatomy
Anca Rusu - Private Dental Office “dr. Anca Rusu”, Bucharest, Dento-Alveolar Surgery and Implantology
Dorelia Lucia Călin - “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, Discipline of Cariology and Restorative Odontotherapy
PALATAL CONNECTIVE TISSUE GRAFTING THROUGH TUNNEL TECHNIQUE IN ANTERIOR MANDIBLE: A CASE REPORT (Abstract): Gingival recession in esthetic zone can be successfully treated using a modified tunnel technique and autogenous palatal connective tissue graft. The purpose of this case report is to present the clinical and aesthetic results of minimally invasive techniques of tunneling modified in a patient of 50 years who presents Miller Class II gingival recession at the level buccal surfaces of inferior mandibular incisors. This technique uses tissue graft harvested from the palate. The monitoring of the patient revealed at 10 days after the surgical intervention the first signs of graft acceptance. At clinical examinations performed at 1, 2, 3, 6 months after surgery were found the gradual morphological and chromatic adaptation of graft to surrounding tissues, significant improvement of aesthetics and roots coverage with the tissue graft, the absence of scarring due to suture. Tunnel technique used in the treatment of multiple gingival recessions is beneficial, satisfying the aesthetic and functional desires of patients, it is more quickly accepted by patients, ensuring their satisfaction. The advantage of harvested graft from the palate is the dual blood supply from both the above marginal gingiva and palatal connective tissue, which thus increases the rate of graft survival.
Key words: GINGIVAL RECESSION, PALATAL DONOR AREA, TUNNEL TECHNIQUE