Surgical Management of Gingival Recession Using Free Gingival Autograft: A Case Report

Asmita Dawadi,Mahima Subba,Manisha Neupane,Manoj Humagain,Simant Lamichhane

doi:10.3126/jnspoi.v3i2.30890

Asmita Dawadi, Mahima Subba + Show 3 more

Open Access

https://doi.org/10.3126/jnspoi.v3i2.30890

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Abstract

Gingival recession leads to dentinal hypersensitivity, aesthetic problems, root caries, cervical abrasion and difficulty in oral hygiene maintenance. Managing gingival recession often is a great challenge for practitioners. Different surgical techniques have been advocated for root coverage like free soft tissue graft procedures free gingival graft and sub-epithelial connective tissue graft, pedicle soft tissue graft rotational flap and flap advancement, pouch and tunnel technique and guided tissue regeneration. This case report displays use of free gingival graft for management of patient of age 22 years with Miller’s Class I recession defect in lower left mandibular central incisor.

Highlights

Around 50 % of individuals suffers from gingival recession[1] and in Nepal about 65%.2 Prevalence increases with age and is common in mandibular teeth than maxillary with thicker and wider keratinised tissues.[2]
Obtaining the graft from donor site: The graft was planned to be retrieved from distal to anterior palatine rugae area with respect to tooth number 24, 25, and 26
Gingival recession is displacement of gingival margin apical to cemento-enamel junction leading to exposure of root surface and posing various deformities like dentinal hypersensitivity, root caries and aesthetic compromise

Summary

INTRODUCTION

Around 50 % of individuals suffers from gingival recession[1] and in Nepal about 65%.2 Prevalence increases with age and is common in mandibular teeth than maxillary with thicker and wider keratinised tissues.[2]. On the visit after one month, written consent was taken and the surgical procedure was carried out as follows: Preparation of recipient bed: The area was anaesthesized by use of local infiltration technique with 2% Lignocaine HCl + 1:2,00,0000 epinephrine. Surgical Management of Gingival Recession using Free Gingival Autograft: A Case Report. Neupane et al : Surgical Management of Gingival Recession Using Free Gingival Autograft: A Case Report. Obtaining the graft from donor site: The graft was planned to be retrieved from distal to anterior palatine rugae area with respect to tooth number 24, 25, and 26. At the one month follow-up, both recipient site and donor site were completely healed & desired results were obtained (Figure 10)

DISCUSSION

Findings

SUMMARY