Treatment of Advanced Gingival Recession Secondary to Surgical Failure with Large Size Deepithelized Gingival Graft Associated with a Modified Tunnel Flap.

Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI:10.1155/2023/8954257

Lingzhou Zhao, Yuan Gao, Yihan Xiao, Xinwei Tan, Xiaochen Li, Tianzheng Deng

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Abstract

Objective: To describe the use of a large size deepithelized gingival graft (DGG) associated with full-split tunnel technique in a clinical case of advanced gingival recession secondary to surgical failure (GRSF). Clinical Considerations. The presented case report helped to achieve satisfactory root coverage, ideal keratinized tissue gain, improvement in soft tissue quality and esthetics, scar deformity correction, and vestibular depth deepening with a one-step procedure of large size DGG associated with full-split tunnel technique for a condition of deep gingival recessions of 7-11 mm caused by a failed bone implantation surgery.

Conclusions: The large size DGG associated with full-split tunnel technique provided a versatile one-step procedure to obtain ideal results for advanced GRSF. Clinical Significance. GRSF that is generally associated with inadequate keratinized tissue and scar formation could be rather difficult to deal with. The large size DGG associated with full-split tunnel technique, as a one-step procedure, provided a predictable and practical treatment modality.

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大尺寸深层牙龈移植物联合改良隧道皮瓣治疗手术失败后的晚期牙龈凹陷。

目的：介绍一种大尺寸深层牙龈移植物（DGG）联合全裂隧道技术在外科手术失败后晚期牙龈退缩（GRSF）的临床应用。临床注意事项。本病例报告有助于实现令人满意的牙根覆盖、理想的角质化组织获得、软组织质量和美观的改善、疤痕畸形矫正和前庭深度加深，采用大尺寸DGG一步手术结合全裂隧道技术治疗7-11岁的牙龈深陷 mm。结论：大尺寸DGG结合全裂隧道技术为晚期GRSF提供了一种多功能的一步手术方法，可获得理想的结果。临床意义。GRSF通常与角质化组织不足和疤痕形成有关，可能很难处理。大尺寸DGG结合全裂隧道技术，作为一种一步手术，提供了一种可预测和实用的治疗模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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