Clinical evaluation and biological understanding of the early step-by-step healing after periodontal microsurgery: A case report with PES analysis comparing initial and 31-day result
Microsurgery has evolved, permitting faster vascularization and healing than macro-interventions, reducing tissue trauma and obtaining precise wound closure. Therefore, this study aimed to detail the initial healing steps after the periodontal microsurgical procedure. A -26 year-old female had a loc...
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| Language: | English |
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Tabriz University of Medical Sciences
2022-12-01
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| Series: | Journal of Advanced Periodontology and Implant Dentistry |
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| Online Access: | https://japid.tbzmed.ac.ir/PDF/japid-14-141.pdf |
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| author | Sergio Kahn Larissa Zarjitsky de Oliveira Alexandra Tavares Dias Gustavo Vicentis de Oliveira Fernandes |
| author_facet | Sergio Kahn Larissa Zarjitsky de Oliveira Alexandra Tavares Dias Gustavo Vicentis de Oliveira Fernandes |
| author_sort | Sergio Kahn |
| collection | DOAJ |
| description | Microsurgery has evolved, permitting faster vascularization and healing than macro-interventions, reducing tissue trauma and obtaining precise wound closure. Therefore, this study aimed to detail the initial healing steps after the periodontal microsurgical procedure. A -26 year-old female had a localized recession (anterior lower tooth, recession type1-), with the absence of local keratinized tissue width (KTW) and adjacent gingival thickness (GT)<1 mm. After oral prophylaxis and occlusal adjustments, the pink esthetic score was performed (5 points), followed by the microsurgery procedure. Prior to inserting the subepithelial connective tissue graft (SCTG), the epithelial layer was removed, and the root surface was biomodified. Two days postoperatively, it was possible to observe a white layer from the SCTG in the gingival margin, decreasing after 4 days. In 6 days, the sutures were removed; no graft and volume loss was observed. For 9 days, the volume was the maintenance. Nevertheless, there was a reduction in tissue volume in the facial zone. After 11 and 13 days, an improved healing process was found, whereas, after 16 days, it was possible to report stable tissues, which was confirmed after 31 days, with a significant GR reduction and an increase in KTW and GT. Moreover, the final pink esthetic score (PES) was 9. Microsurgery had a faster healing and predictable outcome, suggesting reduced trauma, which may allow a quicker suture removal without jeopardizing the outcomes. |
| format | Article |
| id | doaj-art-82804b1547f4401a8f7015f7f80a44dd |
| institution | Kabale University |
| issn | 2645-5390 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Advanced Periodontology and Implant Dentistry |
| spelling | doaj-art-82804b1547f4401a8f7015f7f80a44dd2024-12-10T08:03:03ZengTabriz University of Medical SciencesJournal of Advanced Periodontology and Implant Dentistry2645-53902022-12-0114214114510.34172/japid.2022.016japid-2249Clinical evaluation and biological understanding of the early step-by-step healing after periodontal microsurgery: A case report with PES analysis comparing initial and 31-day resultSergio Kahn0Larissa Zarjitsky de Oliveira1Alexandra Tavares Dias2Gustavo Vicentis de Oliveira Fernandes3Veiga de Almeida University, Rio de Janeiro, BrazilDepartment of Prosthodontics, State University of the Rio de Janeiro (UERJ), Rio de Janeiro, BrazilVeiga de Almeida University, Rio de Janeiro, BrazilDepartment of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, USAMicrosurgery has evolved, permitting faster vascularization and healing than macro-interventions, reducing tissue trauma and obtaining precise wound closure. Therefore, this study aimed to detail the initial healing steps after the periodontal microsurgical procedure. A -26 year-old female had a localized recession (anterior lower tooth, recession type1-), with the absence of local keratinized tissue width (KTW) and adjacent gingival thickness (GT)<1 mm. After oral prophylaxis and occlusal adjustments, the pink esthetic score was performed (5 points), followed by the microsurgery procedure. Prior to inserting the subepithelial connective tissue graft (SCTG), the epithelial layer was removed, and the root surface was biomodified. Two days postoperatively, it was possible to observe a white layer from the SCTG in the gingival margin, decreasing after 4 days. In 6 days, the sutures were removed; no graft and volume loss was observed. For 9 days, the volume was the maintenance. Nevertheless, there was a reduction in tissue volume in the facial zone. After 11 and 13 days, an improved healing process was found, whereas, after 16 days, it was possible to report stable tissues, which was confirmed after 31 days, with a significant GR reduction and an increase in KTW and GT. Moreover, the final pink esthetic score (PES) was 9. Microsurgery had a faster healing and predictable outcome, suggesting reduced trauma, which may allow a quicker suture removal without jeopardizing the outcomes.https://japid.tbzmed.ac.ir/PDF/japid-14-141.pdfassessmentcase reportconnective tissuegingival recessionmicrosurgery |
| spellingShingle | Sergio Kahn Larissa Zarjitsky de Oliveira Alexandra Tavares Dias Gustavo Vicentis de Oliveira Fernandes Clinical evaluation and biological understanding of the early step-by-step healing after periodontal microsurgery: A case report with PES analysis comparing initial and 31-day result Journal of Advanced Periodontology and Implant Dentistry assessment case report connective tissue gingival recession microsurgery |
| title | Clinical evaluation and biological understanding of the early step-by-step healing after periodontal microsurgery: A case report with PES analysis comparing initial and 31-day result |
| title_full | Clinical evaluation and biological understanding of the early step-by-step healing after periodontal microsurgery: A case report with PES analysis comparing initial and 31-day result |
| title_fullStr | Clinical evaluation and biological understanding of the early step-by-step healing after periodontal microsurgery: A case report with PES analysis comparing initial and 31-day result |
| title_full_unstemmed | Clinical evaluation and biological understanding of the early step-by-step healing after periodontal microsurgery: A case report with PES analysis comparing initial and 31-day result |
| title_short | Clinical evaluation and biological understanding of the early step-by-step healing after periodontal microsurgery: A case report with PES analysis comparing initial and 31-day result |
| title_sort | clinical evaluation and biological understanding of the early step by step healing after periodontal microsurgery a case report with pes analysis comparing initial and 31 day result |
| topic | assessment case report connective tissue gingival recession microsurgery |
| url | https://japid.tbzmed.ac.ir/PDF/japid-14-141.pdf |
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