Association of coronally advanced flap, protein derived from the enamel matrix and subepithelial connective tissue graft as a treatment for multiple gingival recessions: Case report
Keywords:Periodontics; Dental enamel proteins; Gingival recession; Connective tissue.
Periodontal plastic surgery is a reconstructive therapy defined as surgical procedures performed to correct or eliminate anatomical, developmental or traumatic deformities of the gingiva or alveolar mucosa and is indicated for the treatment of isolated or multiple gingival recessions. Gingival recession is characterized as a mucogingival defect and occurs by apical migration of the gingiva and alveolar mucosa resulting in the exposure of the root portion of the dental element. The main complaints of this condition are dentin hypersensitivity and aesthetic dissatisfaction, which elect the choice of this treatment. The coronary repositioned flap associated with the use of subepithelial connective tissue graft is considered the gold standard among root covering techniques for its predictability and stability. The literature shows that the use of proteins enamel matrix derivative can potentiate periodontal regeneration, leading to favorable results. The present case report is related to a 43-year-old, female patient, with dentin hypersensitivity and multiple gingival recessions type 1 (RT1) and type 2 (RT2) in the upper central and lateral incisors. After the initial adjustments of the oral environment, the treatment chosen was the root coverage with coronary advanced flap technique associated with the subepithelial connective tissue graft and the use of the protein derivative from enamel matrix in the upper anterior teeth. The follow-up of the case in one year revealed success in root coverage by the technique and use of biomaterial, being effective for the treatment of multiple recessions type 1 (RT1) and type 2 (RT2).
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