Bilateral Subepithelial Connective Tissue Grafts in the Treatment of Gingival Recession: Case Report

Camila Possal de Paula¹, Nathale Cruz Batista², Diego Ribeiro Martins², Isis Andrea Venturini Pola Poiate³ & Gabriela Alessandra da Cruz Galhardo Camargo^4*

¹Student of the Dentistry Course of the Institute of Health of Nova Friburgo - ISNF, Brazil
²Student of the Postgraduate Program in Dentistry of the Institute of Health of Nova Friburgo PPGO-ISNF, Brazil
³Professor of Dentistry, Institute of Health of Nova Friburgo, Brazil
⁴Professor of Periodontontics, Institute of Health of Nova Friburgo, Brazil

Dr. Gabriela Alessandra da Cruz Galhardo Camargo, Professor of Periodontontics, Institute of Health of Nova Friburgo, Brazil.

Keywords: Periodontal Surgery; Gingival Recession; Periodontal Treatment; Gingival Graft

Abstract

Gingival recessions can present aesthetic problems, root hypersensitivity, root caries and cervical abrasion and can difficult the plaque control. It can be treated by several periodontal plastic surgery technics, such as subepithelial tissue grafts. Periodontal plastic surgery aims root coverage and can improve keratinized mucosa. Connective tissue grafts in association with coronal advanced flap is reported as the gold standard and does enhance the probability of achieving complete root coverage. However, treatment of gingival recession associated with non-caries cervical lesion presented a challenged to clinician. It may occur due to various mechanisms such as corrosion, stress forces, and friction. Gingival recessions and root abrasion can promote aesthetic problem, dentin hypersensitivity, root caries/demineralization and bacterial plaque accumulation, which are the main indications for the treatment. The objective of this study case report was to evaluate the treatment of gingival recessions associated of subepithelial connective tissue graft as a treatment of Miller’s Class II recession, located in upper right and left canines.

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