TREATMENT OF ISOLATED GINGIVAL RECESSION IN THE ANTERIOR REGION OF THE MANDIBLE WITH A COMBINATION OF PINHOLE SURGICAL TECHNIQUE AND LATERAL TUNNEL TECHNIQUE: A CASE REPORT

Year 2024, Volume: 10 Issue: 3, 174 - 179, 31.12.2024

Merve Akbudak , Nihal Özçelik , Resül Çolak

https://doi.org/10.21306/dishekimligi.1438407

Abstract

Abstract
Gingival recession, the apical migration of the gingival margin, results in the exposure of the root surface. Before deciding on the treatment of gingival recession, it is important to identify the etiological factors. Although the etiology is not certain, it can consist of many factors, including the position of the tooth in the dental arch, bone loss, alveolar mucosa thickness, incorrect tooth brushing, improper flossing, orthodontic treatment, and periodontal disease. The priority in treatment planning should be to eliminate the factors that cause gingival recession. Gingival recession is not only an aesthetic complication but also causes tooth sensitivity, so multiple procedures are used in the treatment of existing gingival recession. With the introduction of minimally invasive surgery, various techniques recommended for the treatment of gingival recession aim to minimize patient morbidity, maximize surgical outcomes, and patient comfort. The case report includes the treatment of a deep and isolated gingival recession of the lower incisor tooth with a minimal invasive approach. The recession area was treated with a combination of the Lateral Tunnel Technique (LTT) and the Pinhole Surgical Technique (PST) with connective tissue graft. A 75% root coverage was achieved in the short term after the operation, and an increase in the width of attached gingival tissue was observed in the lower anterior region. The current case report emphasizes the aesthetic and periodontal success achieved by combining two minimal invasive techniques in the treatment of deep and isolated gingival recession.

Keywords

Gingival recession, Lateral tunnel tecnique, Minimally invasive surgery, Pinhole surgical tecnique

MANDİBULA ANTERİOR BÖLGEDEKİ İZOLE DİŞETİ ÇEKİLMESİNİN PINHOLE CERRAHİ TEKNİĞİ VE LATERAL TÜNEL TEKNİĞİ KOMBİNASYONUYLA TEDAVİSİ: OLGU SUNUMU

Abstract

Öz
Diş eti çekilmesi, diş eti kenarının apikal yönde migrasyonu sonucu, kök yüzeyinin açığa çıkmasına neden olur. Diş eti çekilmesi tedavisine karar vermeden önce etiyolojik faktörleri belirlemek önemlidir. Etiyolojisi kesin olmamakla beraber, çene arkı içindeki diş konumu, kemik kaybı, alveoler mukoza kalınlığı, yanlış diş fırçalama, hatalı diş ipi kullanımı, ortodontik tedavi ve periodontal hastalık dahil olmak üzere birçok faktörden oluşabilir. Tedavi planlamasındaki öncelik diş eti çekilmesine neden olan etkenleri elimine etmek olmalıdır. Diş eti çekilmesi estetik bir komplikasyon olmanın yanı sıra diş hassasiyetine de neden olduğundan birden fazla prosedür mevcut diş eti çekilmelerinin tedavisinde kullanılmaktadır. Minimal invaziv cerrahinin kullanıma sunulmasıyla birlikte, diş eti çekilmesini tedavi etmek için önerilen çeşitli teknikler hasta morbiditesini en aza indirmeyi, cerrahi sonuçları ve hasta konforunu en üst düzeye çıkarmayı amaçlamaktadır. Olgu sunumu derin ve izole diş eti çekilmesi bulunan alt keser dişin minimal invaziv yaklaşım ile tedavisini içermektedir. Çekilme bölgesi Lateral Tünel Tekniği (LTT) ve Pinhole Cerrahi Tekniği (PST) kombinasyonu bağ dokusu greftiyle birlikte tedavi edildi. Operasyon sonrası kısa dönemde % 75 oranında kök kapanması elde edilip alt anterior bölgede yapışık diş eti genişliğinde artış görüldü. Mevcut vaka raporu, derin ve izole diş eti çekilmesinin tedavisinde iki minimal invaziv tekniğin kombine edilmesiyle elde edilen estetik ve periodontal başarıyı vurgulamaktadır.

Keywords

dişetiçekilmesi, lateraltüneltekniği, minimalinvazivcerrrahi, pinholecerrahitekniği

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