Free Gingival-Bone Graft in the Anterior Maxilla: A Clinical Case Report.
Alveolar bone grafting
Fixed partial denture
Gingival graft
Piezo surgery
Pontic
Tooth extraction Tooth socket.
Journal
The journal of contemporary dental practice
ISSN: 1526-3711
Titre abrégé: J Contemp Dent Pract
Pays: India
ID NLM: 101090552
Informations de publication
Date de publication:
01 May 2021
01 May 2021
Historique:
entrez:
28
7
2021
pubmed:
29
7
2021
medline:
30
7
2021
Statut:
epublish
Résumé
To present the healing, development, and long-term clinical results after a combined gingival-bone graft as an alternative treatment for the management of critical extraction sites in the esthetic zone. To enhance the knowledge of Autogenous grafts of gingival and bone tissue were placed in a 56-year-old female patient, where a hopeless upper left central incisor with an evident loss of both the buccal and the palatal bony plates and with endodontic problems was due for extraction. In order to obtain enough autogenous tissue for filling the defect, a cylindrical free gingival and bone graft was retrieved from the retromolar area with a trephine drill, to obtain hard and soft tissues for grafting the postextraction defect. After 6 months, following soft tissue maturation and once esthetic and natural gingival contours were achieved, the surgical site was prosthetically restored with a porcelain fused to a metal bridge and scheduled for regular follow-up. No complications were observed either from the donor site or from the recipient site. The post-treatment result was esthetically pleasing, based upon successful architectural stability of both hard and soft tissues. Although more studies are needed to confirm the beneficial use of this approach, the procedure can be considered a viable option in the management of soft and hard tissue remodeling in esthetically compromised cases. The gingival-bone graft may be considered as an alternative treatment for the management of critical extraction sites in the esthetic area. How to cite this article: Signore A, Stepanov M, Angelis ND,
Sections du résumé
AIM
OBJECTIVE
To present the healing, development, and long-term clinical results after a combined gingival-bone graft as an alternative treatment for the management of critical extraction sites in the esthetic zone.
BACKGROUND
BACKGROUND
To enhance the knowledge of
CASE DESCRIPTION
METHODS
Autogenous grafts of gingival and bone tissue were placed in a 56-year-old female patient, where a hopeless upper left central incisor with an evident loss of both the buccal and the palatal bony plates and with endodontic problems was due for extraction. In order to obtain enough autogenous tissue for filling the defect, a cylindrical free gingival and bone graft was retrieved from the retromolar area with a trephine drill, to obtain hard and soft tissues for grafting the postextraction defect. After 6 months, following soft tissue maturation and once esthetic and natural gingival contours were achieved, the surgical site was prosthetically restored with a porcelain fused to a metal bridge and scheduled for regular follow-up.
CONCLUSION
CONCLUSIONS
No complications were observed either from the donor site or from the recipient site. The post-treatment result was esthetically pleasing, based upon successful architectural stability of both hard and soft tissues. Although more studies are needed to confirm the beneficial use of this approach, the procedure can be considered a viable option in the management of soft and hard tissue remodeling in esthetically compromised cases.
CLINICAL SIGNIFICANCE
CONCLUSIONS
The gingival-bone graft may be considered as an alternative treatment for the management of critical extraction sites in the esthetic area. How to cite this article: Signore A, Stepanov M, Angelis ND,
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM