Key Techniques Involved in Recovering Gingival Recessions: Literature Review

da Silva Lemos Lrl, de Macedo Silva A, Dale Gg, Paiva Dff, Pinheiro Jc, Leite Rb
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Abstract

Key Techniques Involved in Recovering Gingival Recessions: Abstract Introduction: Gingival recession can be defined as the apical dislocation of the gingival margin in relation to the amelio-cementary junction, or in relation to its original site, which provides a progressive exposure of the root surface. Its etiology is multifactorial, being more related to mechanical trauma, periodontal diseases and predisposing factors. Objective: To analyze the main techniques involved in root coverage of gingival recessions as well as to evaluate tissue response, according to different prognoses. Methodology: A bibliographic survey was conducted from 2006 to 2019 in the databases Lilacs, PubMed and Scielo. The search strategy used was “recession” and “gingival” and “gingival” and “recession” and “treatment”. Articles that did not elucidately portray root coverage methods or evaded the study objective were excluded. Results: The most frequently used techniques were “coronary repositioning flap” and “subepithelial connective tissue graft” because they had more satisfactory results. Conclusion: The literature points to the subepithelial connective tissue graft as the “gold standard”, which, being removed from the patient’s own organism, expresses better results in root coverage and also shows positive results in the Acellular Dermal Matrix (MDA), as it is a Allogeneic graft taken from tissue bank donors, minimizing patient discomfort.
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恢复牙龈衰退的关键技术:文献综述
摘要简介:牙龈退缩可以定义为牙龈边缘的根尖脱位,相对于改良-补根交界处,或相对于其原始位置,它提供了根表面的渐进暴露。其病因是多因素的,多与机械创伤、牙周病及易感因素有关。目的:根据不同的预后情况,分析牙龈退化根管覆盖的主要技术,并评价组织的反应。方法:2006年至2019年在Lilacs、PubMed和Scielo数据库中进行了书目调查。使用的搜索策略是“衰退”和“牙龈”以及“牙龈”和“衰退”和“治疗”。没有明确描述根覆盖方法或回避研究目标的文章被排除。结果:“冠状动脉再定位皮瓣”和“上皮下结缔组织移植物”是最常用的方法,效果较好。结论:文献指出上皮下结缔组织移植物是“金标准”,它从患者自身的机体中取出,在根部覆盖方面表现出更好的效果,在脱细胞真皮基质(MDA)方面也显示出积极的结果,因为它是取自组织库供体的异体移植物,最大限度地减少了患者的不适。
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