Abstract

CRUZ, Ariadne Cristiane Cabral et al. Coronal positioned flaps associated with free subepitelial conective tissue graft for treatment of gingival recession: clinical case report. Acta odontol. venez [online]. 2008, vol.46, n.3, pp.337-341. ISSN 0001-6365.

Gingival recession is defined as the apical location of the gingival in relation to the cement-enamel junction, being predominant in buccal aspect. Other than causing esthetic disharmony, it can cause dentine sensitive. To treat gingival recession, the following techniques can be employed: pedicle gingival graft, free gingival graft, and guided tissue regeneration. The purpose of this study is to present a case report with generalized gingival recession. After anamneses and clinical exam, the etiology of the gingival recession was indicated as incorrect oral hygiene and occlusal trauma. The patient receive adequate oral hygiene instruction and the occlusion was adjusted. Five percent potassium nitrate was applied locally for two months, however, the patient still complained of dentine sensitivity and lack of esthetics. For root coverage, coronal positioned flaps were conduct with or without free subepithelial connective tissue. One year later the teeth presented absence of bleeding and dentine sensitive, with normal probe depth (<3mm). The results of this techniques fulfilled the patients esthetic need and eliminated the dentinal sensitivity.

Keywords : Recesión gingival; tejido conjuntivo; recubrimiento radicular; gingival recession; connective tissue; root coverage.