Use of Soft-Tissue and Bone Grafting to Treat Complex Recession With Root Prominence and Buccal Plate Deficiencies

Compend Contin Educ Dent. 2018 Sep;39(8):564-569.

Abstract

Beyond the traditional monotherapy of connective tissue grafting, the combination of orthodontic therapy, soft-tissue grafting, and bone grafting with biologics may provide ideal treatment for complex recession defects with root prominence, thin tissues, and buccal plate dehiscences. The authors propose the benefits of performing a preoperative evaluation of complex mucogingival defects with cone-beam computed tomography (CBCT) technology and then considering surgical management with modalities like bone grafting and orthodontics in addition to the classic soft-tissue grafting approach. Regeneration of the complete periodontium may result in better long-term soft-tissue stability and tooth retention following treatment of complex recession cases.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bone Transplantation*
  • Cone-Beam Computed Tomography
  • Connective Tissue / transplantation*
  • Female
  • Gingival Recession / diagnostic imaging
  • Gingival Recession / surgery*
  • Humans
  • Male
  • Mouth Mucosa / diagnostic imaging
  • Mouth Mucosa / surgery
  • Tooth Movement Techniques
  • Tooth Root / diagnostic imaging
  • Tooth Root / surgery*