Abstract

Intraoral De-Epithelialized Gingival Graft in the Treatment of Multiple Adjacent Gingival Recessions: Case Report with a 1-Year Follow-Up

Highlights

  • Gingival recessions, is defined as shift of gingival margin to apical aspect with exposure of root surface, is a pivotal problem that, affects the majority of adults in populations [1]

  • Gingival Recessions (GR) may result in tooth sensitivity, cause root surface caries, aesthetic deficiency and clinical attachment loss

  • Complete root coverage and aesthetic integrity are aimed to the treatment of localized and multiple GRs using different methods [2]

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Summary

Introduction

Gingival recessions, is defined as shift of gingival margin to apical aspect with exposure of root surface, is a pivotal problem that, affects the majority of adults in populations [1]. GRs may result in tooth sensitivity, cause root surface caries, aesthetic deficiency and clinical attachment loss. Complete root coverage and aesthetic integrity are aimed to the treatment of localized and multiple GRs using different methods [2]. Several methods of GRs treatment exist: Pedicle Grafts ( Pedicle Flaps), Laterally Sliding Flap [4], Double Papilla Flap Technique [5], Oblique Rotated Flap [6]. Free Gingival Graft ( FGG ) ( Bjorn 1963): Single stage ( FGG ) [9], Double stage ( FGG + CAF) [7]. This article depicts a clinical case with 1 year follow-up in which de-epithelialized gingival graft (DGG) was used with the tunnel technique to treat multiple gingival recessions (GRs), and describes a technique used to intraoral de-epithelialization with diamond burr

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