Reposicionamento coronal do retalho para recobrimento de recessões gengivais múltiplas utilizando matriz de colágeno tridimensional associada às proteínas derivadas da matriz do esmalte – série de casos

Abstract

Gingival recession is the generic term that means exposure of the teeth root surface. It can cause aesthetic problems, dentin hypersensitivity or even favor the appearance of root caries. Depending on the patients complaint, it can be treated in different ways, such as through direct resin restorations, root desensitization or even surgical root coverage. The latter can be obtained through coronal/lateral repositioning of the flap with or without a connective tissue graft. Currently, the removal of subepithelial connective tissue graft from the patients palate be replaced by 3D collagen matrices, generating satisfactory aesthetic results. The aim of this case series was to evaluate the evolution of root coverage treatment using the protocol for covering multiple gingival recessions with the association of soft tissue substitute and enamel matrix-derivative proteins. Seven systemic healthy adult patients complaining of root exposure sought at our clinic. Coronal flap repositioning associated with soft tissue substitute and enamel matrix-derivative proteins was proposed. All patients were treated with the same surgical technique. At the end of 30 months postoperatively, the patients self-reported satisfactory results, with root coverage close to 85% and total coverage in 50% of the treated teeth, with no complaints of pain, considerable edema and/or hemorrhage in the immediate postoperative period. This protocol used seems to obtain satisfactory results regarding aesthetic complaints or dentin hypersensitivity reported by patients at the beginning of treatment.