KnE Medicine
ISSN: 2519-125X
The latest conference proceedings on all fields of medicine.
Parallelling Technique for Frenectomy to Prevent Black Triangle in Pre-Orthodontic Patients: A Case Report
Published date: Apr 25 2022
Journal Title: KnE Medicine
Issue title: The International Online Seminar Series on Periodontology in conjunction with Scientific Seminar
Pages: 252-259
Authors:
Abstract:
Background: Gingival recession can cause esthetic problems, especially if it occurs in the maxillary anterior region. Gingival recession accompanied by endodontic complications requires a multidisciplinary approach to achieve successful therapy.
Objective: To report the treatment of Miller’s class-III gingival recession using laterally stretched flap + connective tissue graft with frenotomy and apicoectomy in one visit.
Case Report: A healthy 24-year-old man presented with chief complaints of open and painful gums on his left upper front tooth. After objective and radiographic examinations, the diagnosis of tooth 21 was Miller’s class-III gingival recession, that is, plaque and calculus with endo–perio lesions and grade 1 luxation. The treatment given included scaling, root planning, curettage, retreatment of root canal and root coverage therapy with frenotomy and apicoectomy.
Results: The results obtained were partial root coverage of 71.4% and an increase in the thickness of keratinized tissue.
Conclusion: Healing of periodontal tissue damage accompanied by endodontic lesions showed success and obtained stable treatment results with a multidisciplinary approach.
Keywords: Miller’s class-III gingival recession, endodontic lesion, laterally stretched flap, apicoectomy
References:
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