engleski

Coverage of gingival recession after the orthodontic treatment

Aim: After fixed orthodontic treatment a Miller class II gingival recession appeared on tooth 35. A thin biotype of the gingiva and probably inadequate orthodontic treatment have contributed to the loss of the attached gingiva on tooth 35 and to the emergence of the gingival recession. Material and Methods: The patient came to the Department of Periodontology, Dental Polyclinic Zagreb, because of the gingival recession on tooth 35. She was unsatisfied with the result of orthodontic treatment and was interested in possibilities of cosmetic correction of the gingival recession. Periodontal indices were measured and proper oral hygiene instructions were explained to the patient. Prior to surgery, removal of supragingival soft plaque was performed. We opted for the two-stage surgery. In the first stage, a free gingival graft was positioned to increase the amount of attached gingiva, and then 4 months later in the second stage a coronally advanced flap with connective tissue graft was performed to cover the gingival recession on tooth 35. Aggravating factor was the bone defect at the site of tooth 34 extracted for orthodontic reasons. Results: Twelve months post- surgically we observed an adequate width of the attached gingiva, measuring 5 mm after the treatment, and the gingival recession was completely covered. Conclusion: The two-stage treatment of the gingival recession, including free gingival graft in the first, and coronally advanced flap with connective tissue graft in the second stage, proved to be a reliable and a predictable procedure which resolved all the aesthetic and functional problems of the patient in presented case.

gingival recession ; recession coverage ; orthodontic treatment

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