A CASE REPORT ON FREE GINGIVAL AUTOGRAFT

Gaurav Solanki

doi:10.7439/ijbar.v3i1.306

Abstract

Gingival recession is defined as Displacement of soft tissue margin apical to the cemento-enamel junction. The esthetic demand together with reduction of root sensitivity and management of root caries or cervical abrasion are the main indication for root coverage. The root coverage procedure is quite predictable and also produces patient satisfaction. This paper reports a case of 35yr old female with a root coverage procedure has been discussed below.

Highlights

Significant factor associated with the success of dental therapy is physiologic well being of the patient
Miller’s criteria for successful root coverage include: the soft tissue margin must be at the cemento-enamel junction, clinical attachment to the root, with sulcus depth of 2mm, and no bleeding on probing
Using these criteria for success, Miller treated 100 cases of marginal tissue recession with root planning, saturated citric acid burnished into the root of 5 minutes and with free gingival graft

Summary

Introduction

Significant factor associated with the success of dental therapy is physiologic well being of the patient. Gingival recession according to the glossary of Periodontic terms is defined as Displacement of the soft tissue margin apical to the cemento-enamel junction. Major causes for this condition includes plaque induced periodontal disease, mechanical force such as faulty tooth brushing, iatrogenic factors like orthodontic movements, faulty restorations and anatomic factors such as malposition, frenum pull, etc[1]. Pre-surgical therapy included scaling, root planing and plaque control instruction after 3 weeks of re-evaluation the lower incisor showed apico-coronary 3mm of recession, mesio-distally 2mm of recession. After the patient’s consent, the site was treated by Miller’s technique for free autogenous gingival grafting to achieve root coverage and increase the attached gingiva

Surgical Procedure

Discussion