Oral Biol Res.  2021 Dec;45(4):223-230. 10.21851/obr.45.04.202112.223.

Periodontal regenerative treatment with connective tissue grafts in deep intrabony defect and gingival recession in the maxillary canine: a case report with 3-year follow-up

Affiliations
  • 1Postgraduate Student, Department of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry, Daejeon, Republic of Korea
  • 2Professor, Department of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry, Daejeon, Republic of Korea
  • 3Associate Professor, Department of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry, Daejeon, Republic of Korea

Abstract

Periodontitis is a progressive and chronic inflammatory disease affecting the hard and soft tissue structures, which support the teeth. Periodontal disease that occurs particularly in the maxillary anterior region is accompanied by alveolar bone loss and gingival recession and causes both functional and esthetic gingival issues. Regenerative surgery is widely used as one of the most predictive treatment modalities for intrabony periodontal defects, and coronally advanced flaps with connective tissue grafts can be used to resolve gingival recession. In this case report, we describe the results of periodontal regenerative surgery using bone grafts and enamel matrix derivative combined with connective tissue grafts performed on two maxillary canines with intrabony defects and gingival recession. Within the limitations of this study, in deep intrabony defects and gingival recession in the maxillary canine, periodontal regenerative treatment with connective tissue grafts showed stable and clinically acceptable long-term outcomes.

Keyword

Alveolar bone loss; Connective tissue; Gingival recession; Periodontal disease
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