Application of an active oxygen (blue®m) with free connective graft technique for root coverage – a case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i5.15468

Keywords:

Gingival recession; Oral surgery; Oxygen therapies.

Abstract

Gingival recession occurs due to the migration of the gingiva in the apical direction, leading to compromising local aesthetics and root hypersensitivity. Connective tissue graft is the gold standard treatment in these cases improving both functional and aesthetics aspects.The purpose of this case is to report root coverage using the free connective tissue graftingtechnique (CTG) associated with topical application of active oxygen oral gel and mouthwash (blue®m). A 27-year-old female sought care with the main complaint of root hypersensitivity and the presence of gingival recession in the anterior region of the mandible. Clinical examination revealed the presence of type 1 gingival recession in the left mandibular central incisor. The treatment of choice was a modified graft (free connective graft). The graft and recipient bed received applications of blue®m oral gel. The patient was instructed to use blue®m mouthwash and blue®m oral gel after the surgery for 10 days. At 60 days, the patient showed satisfactory healing in the area of the free CTG, with gain of keratinized tissue and partial covering of the gingival recession. Free CTG with the support of the gel and the mouthwash with active oxygen release makes the technique viable, preventing graft necrosis and achieving root coverage and keratinized tissue.

References

Araujo, N. J. de, Franco, L. B. R., Delanora, L. A., Barra, R. H. D., & Almeida, J. M. de. (2021). Utilização da Técnica de Enxerto Gengival Livre para reconstrução de tecido mole após excisão de um Fibroma Ossificante Periférico. RSD 10(2):e36710212622. https://rsdjournal.org/index.php/rsd/article/view/126224

Cairo, F. (2017). Periodontal plastic surgery ofgingival recessions at single and multiple teeth. Periodontol 2000, 75(1), 296-316

Cortellini, P., & Bissada, N. F. (2018). Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations. J Periodontol.; 89 1:204-213. 10.1002/JPER.16-0671

Eisenbud, D. E. (2012) Oxygen in wound healing: nutrient, antibiotic, signaling molecule, and therapeutic agent. Clin Plast Surg. 39(3):293-310. 10.1016/j.cps.2012.05.001

Fernandes, T. C. de M., Sega, K. R., Costa, P. P., Ito, F. A. N., Maia, L. P., & Pedriali, M. B. B. P. (2021) Associação de retalho reposicionado coronário, proteína derivada da matriz do esmalte e enxerto de tecido conjuntivo subepitelial como tratamento de recessões gengivais múltiplas: Relato de caso. RSD 10(3):e17510313190. https://rsdjournal.org/index.php/rsd/article/view/13190

Han, J. S., John, V., Blanchard, S. B., Kowolik, M. J., & Eckert, G. J. (2008). Changes in gingival dimensions following connective tissue grafts for root coverage: comparison of two procedures. J Periodontol, 79(8), 1346-1354.

Henriques, P. S. G., Pelegrine, A. A., Nogueira, A. A., & Borghi, M. M. (2010). Application of subepithelial connective tissue graft with or without enamel matrix derivative for root coverage: a split-mouth randomized study.J Oral Sci, 52(3), 463-471

Imano, M. H., Chaves, L. H., Storrer, C. L. M., Amaral, C. F., Candido, B. F., & Deliberador, T. M. (2019). Uso do Gel de Oxigênio como Otimizador da Cicatrização Tecidual em Áreas Doadoras e Receptoras na Técnica de Enxerto Gengival Livre. IMPLANT NEWS PERIO; 1: 1.

Lafzi, A., Kadkhodazadeh, M., Mojahedi, S. M., Amid, R., Shidfar, S., & Baghani, M. T. (2019). The Clinical Evaluation of the Effect sof Low-Level Laser Therapy on the Donorand Recipient Sites of the Free Gingival Graft: A Case Series. J Lasers MedSci; 10(4):355-360. 10.15171/jlms.2019.58

Mattos, P. M., Papalexiou, V., Tramontina, V. A., Kim, S. H., Luczyszyn, S. M., Bettega, P. V. C. et al. (2019). Evaluation of 2 techniques of epithelial removal in subepithelial connective tissue graft surgery: a comparative histological study. J Periodontal Implant Sci. 50(1):2-13. 10.5051/jpis.2020.50.1.2

Montanari, T. (2016). Histologia: texto, atlas e roteiro de aulas práticas. (3a ed.), Ed. da autora. 229. http://www.ufrgs.br/livrodehisto ISBN: 978-85-915646-3-7

Rasperini, G., Roccuzzo, M., Francetti, L., Acunzo, R., Consonni, D., & Silvestri, M. (2011). Subepithelial connective tissue graft for treatment of gingival recessions with and without enamel matrix derivative: a multicenter, randomized controlled clinical trail. Int J Periodontics Restorative Dent, 31(2), 133-139.

Sculean, A., Cosgarea, R., Stahli, A., Katsaro, C., Arweiler, N. B., Brecx, M., & Deppe, H. (2014). The modified coronally advanced tunnel combined with an enamel matrix derivative and subepithelial connective tissue graft for the treatment of a isolated mandibular Miller Class I and II gingival recession: a reporto f 16 cases. Quintessence Int, 45(10),829-835

Storrer, C. L. M., Muller, L. L., Pissaia, J. F., Andrade, C. F., Trevisani, C. R. T., & Deliberador, T. M. (2019) Treatmentof Miller Class I Gingival Recession with Using Non pedicle Adipose Tissue after Bichectomy Surgical Technique: A Case Report. Case Rep Dent: 1049453. 10.1155/2019/1049453

Thoma, D. S., Gasser, T. J. W., Jung, R. E., & Hämmerle, C. H. F. (2020) Randomized controlled clinical trial comparing implant sites augmented with a volume-stable collagen matrix or an autogenous connective tissue graft: 3-year data after insertion of reconstructions. J Clin Periodontol. 47(5):630-639. 10.1111/jcpe.13271

Yadav, A. P., Kulloli, A., Shetty, S., Ligade, S. S., Martande, S. S., & Gholkar, M. J. (2018). Sub-epithelial connective tissue graft for the management of Miller'sclass I and class II isolated gingival recession defect: A systematic review of the factors influencing the out come. J Investig Clin Dent. 9(3):e12325. 10.1002/JPER.16-0671

Yoshino, H., Hasuike, A., Sanjo, N., Daisuke, S., Tatesuya, K., Hidekazu, N., et al. (2020). CO2 Laser De-epithelizationTechnique for Subepithelial Connective Tissue Graft: A Study of 21 Recessions. In Vivo. 34(2):869-875. 10.21873/invivo.11851

Zucchelli, G., & De Sanctis, M. (2000). Treatment of multiple recession-type defects in patients with esthetic demands. J Periodontol. 71(9), 1506-1514.

Zucchelli, G., Gori, G., Mele, M., Stefanini, M., Mazzotti, C., Marzadori, M., Montebugnoli, L., & De Sanctis, M. (2011). Non-carious cervical lesions associated with gingival recessions: a decision-making progress. J Periodontol. 82(12), 1713-1724

Zucchelli, G., & Mounssif, I. (2015). Periodontal plastic surgery.Periodontol 2000, 68(1), 333-368.

Zucchelli, G., Testori, T., & De Sanctis, M. (2006). Clinical and anatomical factors limiting treatment outcomes of gingival recession: a new method to predetermine the line of root coverage. J Periodontol. 77(4), 714-721.

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Published

17/05/2021

How to Cite

STROPARO, J. L. de O.; WEISS , S. G. .; STORRER, C. L. M. .; DELIBERADOR, T. M. . Application of an active oxygen (blue®m) with free connective graft technique for root coverage – a case report. Research, Society and Development, [S. l.], v. 10, n. 5, p. e57510515468, 2021. DOI: 10.33448/rsd-v10i5.15468. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/15468. Acesso em: 22 nov. 2024.

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Section

Health Sciences