Abstract
Treatment of an unusual gingival recession induced by khat chewing habit. Gingival recession induced by khat chewing was confirmed by many authors. However, there is no proposal for treatment of gingival recession induced by chewing khat. A systemically healthy nonsmoking male khat chewer aged 38 years presented with class III gingival recession around the lower right incisor. The treatment approach involved a subepithelial connective tissue graft with a tunnel procedure. A full coverage of khat-induced recession was achieved by using tunnel technique utilizing subepithelial connective tissue graft at 1-year follow-up. Treatment of gingival recession, including those induced by mechanical trauma such as chewing habits is considered as an esthetic demand and it is the responsibility of the clinician to determine the proper treatment plan for the correcting esthetic and functional defects of the periodontal tissues. How to cite this article: Al-Akhali MS, Successful Management of Khat Chewing-induced Gingival Recession by Using Tunnel Technique Utilizing Subepithelial Connective Tissue Graft: A Case Report. J Contemp Dent Pract 2019;20(10):1235-1238.
Highlights
Marginal tissue recession is frequently associated with esthetic fears, root hypersensitivity, and anxiety of tooth loss
This study introduces clinically successful root coverage of Miller’s class III khat chewing-induced gingival recession using tunnel subepithelial connective tissue graft procedure which considers quick healing and less invasive periodontal surgical procedure.[14]
Khat is considered as a causative factor for gingival recession,[4,5,6,7,8,9] and it is related to mechanical pressure of the khat leaves on the gingival tissue
Summary
Marginal tissue recession is frequently associated with esthetic fears, root hypersensitivity, and anxiety of tooth loss. Numerous etiological factors that may lead to gingival recession are improper teeth brushing, mal position tooth, periodontal disease, strong attachment of frenum, trauma from occlusion, subgingival overhangs of restorations, extractions of adjacent teeth, orthodontic movement, iatrogenic factors, and bone dehiscence.[1]Habit is an essential cause in the initiation and progression of periodontal destruction. The utilization of connective tissue graft[12,13]was examined in different ways, below a lateral or a coronal repositioned flap, below a flap positioned to its initial position, below a double papilla flap, or utilizing a tunnel procedure covered by undetached interdental papilla.[14]To our knowledge, no single research has managed khat
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