Lokalize Dişeti Çekilmesine Multidisipliner Yaklaşım: Bir Olgu Sunumu

Year 2015, Volume: 1 Issue: 1, 35 - 40, 01.05.2015

Burcu Karaduman , Cenker Koyuncuoğlu Sevda Atalay Ece Çalışkan Nurcan Tezci Sabri Hasan Meriç

Abstract

Giriş: Günümüzde dişeti çekilmeleri için farklı tedavi seçenekleri gündeme gelmiştir. Kök yüzeyi kapatılması ve periodontal rejenerasyonun yanı sıra yara iyileşmesinin de hızlanması amacıyla trombositten zengin plazma (TZF) kullanılarak tedavi başarısı arttırılmaya çalışılmaktadır. Amaç: Bu olgu sunumunun amacı dişeti çekilmesi şikâyetiyle kliniğimize başvuran kadın hastanın operasyon süreci, endodontik ve protetik tedavi aşamaları ile tedavi sonucunun sunulmasıdır

Keywords

Dişeti çekilmesi, Trombositten zengin fibrin, Zirkonya

A Multidisciplinary Approach To Localized Gingival Recession: A Case Report

Abstract

Background: Many techniques are available for the treatment of gingival recessions. Platelet
rich fibrin (PRF) is being used for root coverage and periodontal regeneration with better wound
healing.
Objective: The purpose of this case report is to present the treatment stages and outcomes of a
female patient who referred to our clinic with the complaint of gingival recession.
Case Description: A 29-year-old patient with porcelain fused to metal (PFM) restorations on
the maxillary incisors, had Miller Class I recession on her left lateral incisor. Initially, Phase I
periodontal therapy was performed. One month later, the exposed root surface was covered with
PRF and a coronally advanced flap was done. Postoperative healing was uneventful and 2 mm
of root coverage was gained. Maxillary incisors were restored with zirconia crown prostheses.
During 6 months follow-up no further exposure occured.
Practical Implications: PRF is a preferable method enhancing success rates of the operation for
recession coverage.

Keywords

Gingival recession, Platelet rich fibrin, Zirconia

References

• [1] Dominiak M, Gedrange T. New perspectives in the diagnostic of gingival recession. Adv Clin Exp Med. 2014;23:857-63.
• [2] Miller PD Jr: A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985;5:8–13.
• [3] Sanz M, Simion M. Working Group 3 of the European Workshop on Periodontology. Surgical techniques on periodontal plastic surgery and soft tissue regeneration: consensus report of Group 3 of the 10th European Workshop on Periodontology. J Clin Periodontol. 2014;41 Suppl 15:92-7.
• [4] Aleksić Z, Janković S, Dimitrijević B, Divnić-Resnik T, Milinković I, Leković V. The use of platelet-rich fibrin membrane in gingival recession treatment. Srp Arh Celok Lek. 2010;138:11-8.
• [5] Jankovic S, Aleksic Z, Klokkevold P, Lekovic V, Dimitrijevic B, Kenney EB, Camargo P. Use of platelet-rich fibrin membrane following treatment of gingival recession: a randomized clinical trial. Int J Periodontics Restorative Dent. 2012;32:41-50.
• [6] Zarone F, Russo S, Sorrentino R. From porcelain-fused-to-metal to zirconia: Clinical and experimental considerations. Dent Mater. 2011;27:83–96.
• [7] Amir Rad FA, Succaria FG, Morgano SM. Fracture resistance of porcelain veneered zirconia crowns with exposed lingual zirconia for anterior teeth after thermal cycling: An in vitro study. Saudi Dent J. 2015;27: 63–9.
• [8] Manicone PF, Iommetti PR, Raffaelli L. An overview of zirconia ceramics: Basic properties and clinical applications. J Dent. 2007;35:819–26.
• [9] Choukroun J, Adda F, Schoeffler C, Vervelle A. An opportunity in perio-implantology: The PRF (in French) Implantodontie. 2001;42:55–62.
• [10] Ghanaati S, Booms P, Orlowska A, Kubesch A, Lorenz J, Rutkowski J, Landes C, Sader R, Kirkpatrick C, Choukroun J. Advanced platelet-rich fibrin: a new concept for cell-based tissue engineering by means of inflammatory cells. J Oral Implantol. 2014;40:679-89.