Cirurgia plástica periodontal para recobrimento de recessão gengival : estudo de caso.

Abstract

Gingival recessions are the exposure of the tooth root, where the marginal periodontal tissue is located apically to the cement-enamel junction, affecting mainly adults. These injuries are common in people with a good level of oral hygiene, as well as in those with poor personal hygiene. The cause is considered multifactorial as biofilm accumulation on tooth surface, traumatogenic brushing, occlusal trauma and poor positioning of teeth. The treatment of these recessions is done in two ways: with resin restores to improve sensitivity and coating through periodontal plastic surgery to solve the aesthetics issue. The objective of this study was to verify if the periodontal plastic surgery through coronally positioned flap technique associated to connective tissue graft is effective when performed for gingival recession coating. In this case study, a periodontal plastic surgery was performed in the maxillary right canine tooth of a female patient, who had as main complaint the aesthetic issue resulting from a gingival recession. The result achieved after the periodontal surgery was positive, there was not 100% of coating, but the gingival recession present before was partially covered and the patient became satisfied. It is concluded that the coronally positioned flap technique associated to connective tissue graft is effective and, according to the literature it is the best technique, overlaying the exposed area of the tooth and presenting a better postoperative period.