Lokalize dişeti çekilmesinin koronale kaydırılan flep ve bağ doku grefti ile tedavisi: Olgu sunumu
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Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dicle Üniversitesi, Diş Hekimliği Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışmanın amacı, maksiller kanin dişini etkileyen dişeti çekilmesinin koronale kaydırılan flep ve bağ doku grefti kombinasyonuyla
tedavi etmektir. Sistemik olarak sağlıklı 23 yaşında kadın hasta kliniğimize diş etindeki çekilmeden estetik olarak rahatsız olduğu
şikayeti ile başvurdu. Hastanın maksiller sağ kanin dişinde Miller sınıf-1 diş eti çekilmesi mevcuttu. Dişeti çekilmesinin tedavisi için
önce tam kalınlık mukoperiostal flep kaldırıldıktan sonra mukogingival birleşimden itibaren yarım kalınlık flep kaldırıldı. Kök yüzeyi
düzleştirmesi işlemi yapıldıktan sonra papil bölgesi deepitelize edildi ve bağ doku grefti süture edildi. Flep koronale kaydırılarak
kapatıldı. Operasyon bölgesine nemli bir spanç konuldu. Hastaya antienflamatuar, antibiyotik ve klorheksidin içeren bir gargara
reçete edildi. Operasyon sonrası süturlar alınana kadar her hangi bir komplikasyon gelişmedi. Süturlar 10 gün sonra alındı. 1 ay
sonraki kapama miktarı öngörülen düzeydeydi. Hastanın 6 ay sonraki durumunda %100’e yakın bir kök yüzeyi kapaması sağlandığı
görüldü. 6 aylık takibin sonucunda hasta estetik olarak sonuçtan memnundu, kök yüzeyinde ilk duruma göre neredeyse %100’lük bir
kapanma sağlandı. Keratinize doku ve diş eti kalınlığında bir miktar artış görüldü.
The aim of this study is to treat gingival recession affecting the maxillary canine with a combination of coronally shifted flap and connective tissue graft. Systemically healthy 23-year-old female patient applied to our clinic with the complaint of aesthetic discomfort due to gingival recession. The patient had Miller class-1 gingival recession in the maxillary right canine. For the treatment of gingival recession, first the full-thickness mucoperiosteal flap was lifted, and then the half-thickness flap was lifted beyond the mucogingival junction. The papilla area was deepitelized after root surface debridement and the connective tissue graft was sutured. The flap was closed by sliding to the coronale. A moist sponge was placed on the operation area. The patient was prescribed an antiinflammatory, antibiotic and a mouthwash with chlorhexidine. No complications developed until the sutures were removed after the operation. Sutures were removed after 10 days. The amount of closure after 1 month was at the predicted level. In the patient's condition 6 months later, it was observed that almost 100% root surface coverage was achieved. At the end of the 6-month follow-up, the patient was aesthetically satisfied with the result, almost 100% closure was achieved on the root surface compared to the initial situation. A slight increase in keratinized tissue and gingival thickness was observed.
The aim of this study is to treat gingival recession affecting the maxillary canine with a combination of coronally shifted flap and connective tissue graft. Systemically healthy 23-year-old female patient applied to our clinic with the complaint of aesthetic discomfort due to gingival recession. The patient had Miller class-1 gingival recession in the maxillary right canine. For the treatment of gingival recession, first the full-thickness mucoperiosteal flap was lifted, and then the half-thickness flap was lifted beyond the mucogingival junction. The papilla area was deepitelized after root surface debridement and the connective tissue graft was sutured. The flap was closed by sliding to the coronale. A moist sponge was placed on the operation area. The patient was prescribed an antiinflammatory, antibiotic and a mouthwash with chlorhexidine. No complications developed until the sutures were removed after the operation. Sutures were removed after 10 days. The amount of closure after 1 month was at the predicted level. In the patient's condition 6 months later, it was observed that almost 100% root surface coverage was achieved. At the end of the 6-month follow-up, the patient was aesthetically satisfied with the result, almost 100% closure was achieved on the root surface compared to the initial situation. A slight increase in keratinized tissue and gingival thickness was observed.
Açıklama
Anahtar Kelimeler
Estetik, Koronale kaydırılan flep + bağ dokusu grefti, Kök yüzeyi kapatma, Aesthetics, Coronally advanced flap + connective tissue graft, Root coverage
Kaynak
Dicle Dişhekimliği Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
22
Sayı
2
Künye
Güneş, Y. ve Doğru, A. G.(2021). Lokalize dişeti çekilmesinin koronale kaydırılan flep ve bağ doku grefti ile tedavisi: Olgu sunumu. Dicle Dişhekimliği Dergisi, 22(2), 40-43.
