Abstract
Objective: To report the clinical case of a patient who underwent surgical treatment for Miller class I root coverage using the Langer & Langer technique. Case details: Male patient, 33 years old, with Miller class I gingival recession, underwent surgical treatment for root coverage using the Langer & Langer technique. In this case report, periodontal plastic surgery was performed on element 14 with clinical and radiographic examination. The correct diagnosis of gingival alteration gives the professional the indication of treatment through periodontal plastic surgery being indicated due to several factors such as: unsightly aspect, cervical abrasions, dentin hypersensitivity, avoiding superficial radicular carious lesion, as well as the evolution and consequences of recession. gingival. Final considerations: Through the clinical study, it can be observed with the results obtained, that the Langer & Langer technique was efficient in the complete treatment of class I gingival recession, in addition, better aesthetics and necessary conditions for the maintenance of oral health were conferred.
References
AMERICAN ACADEMY OF PERIODONTOLOGY. Parameters of care. J Periodontol., 2005; 71: 847.
ANDRADE L, et al. Tratamento de dentes com recessão gengival e abrasão cervical. Revista Bahiana de Odontologia, Salvador, 2012; 3(1): 86-99.
BERGENHOLTZ A e BABAY N. Scanning electron microscopy of the root surface texture of extracted periodontally diseased teeth following various etching and chelating regimens. Int. J. Periodontics Restorative Dent., 1998; 18(2): 171-179.
BORGES F, et al. Local trauma: an important triggering factor for gingival recession. Journal of Applied Oral Science. Bauru - SP: Faculdade de Odontologia De Bauru – USP, 2009; 17: 17:140.
CUNHA FA. Decisão Quanto à Escolha da Técnica de Recobrimento Radicular: Relato de Caso Clínico. UNOPAR Cient Ciênc Biol Saúde, 2014; 16(4): 321-7.
DIAZ-PIZÁN ME, et al. Midline diastema and frenum morphology in the primary dentition. J Dent Child, 2006; 73: 11-4.
DUARTE AC, et al. Frênulo labial e papila gengival: soluções cirúrgicas. In: Cirurgia Estética Periodontal. São Paulo: Santos, 2004; 8: 97-113.
FEITOSA D, et al. Indicações atuais dos enxertos gengivais livres. RGO (Porto Alegre), 2008; 56(2): 1-6.
GUSMÃO E, et al. Inserção e morfologia dos freios labiais. Odontologia Clin Cientif., 2009; 8(2): 133-139.
KINA J, et al. Tratamento de recessão gengival unitária. Arch Health Invest. 2015; 4(6): 25-30.
LACERDA A, et al. Recobrimento radicular pela técnica de Zucchelli e de Sanctis. Rev Gaúcha Odontol. 2011; 59: 313-7.
LANGER B e LANGER L. Subepithelial Connective Tissue Graft Technique for Root Coverage. J Periodontol., 1985; 56(12): 715-720.
LANGER L. Enhancing cosmetics through regenerative periodontal procedures. Compendium, 1994; 15(18): 599-705.
MADISON J e HOKETT S. The effects of different tetracyclines on the dentin root surface of instrumented, periodontally involved human teeth: a comparative scanning electron microscope study. J Periodontol., 1997; 68(8): 739-745.
MILLER P. A classification of marginal tissue recession. Int J Period Rest Dent., 1985; 5(2): 9-13.
NUNES M, et al. Lesões cervicais não-cariosas associadas ao recobrimento radicular: quando restaurar? R. Periodontia. 2010; 20(4): 20-29.
PEREIRA MLM. Considerações sobre a etiologia, classificação e recobimento das recessões gengivais. 2007, [Monografia]. Curitiba (PR): Associação Brasileira de Odontologia. 2007.
RODRIGUES D, et al. Emprego do enxerto de tecido conjuntivo subepitelial no recobrimento radicular. RGO, 2010; 58(1): 115-8.
SERINO G, et al. The prevalence and distribution of gingival recession in subjects with a high standart of oral hygiene. J Clin Periodontol, 1994; 21: 57-63.
SLUTZKEY S e LEVIN L. Gingival recession in young adults: Occurrence, severity, and relationship to past orthodontic treatment and oral piercing. American Journal of Orthodontics and Dentofacial Orthopedics, 2008; 134(5): 652-656.
STEFFENS JP e MARCANTONIO RAC. Classificação das doenças e condições periodontais e peri-implantares 2018: guia prático e pontos-chave. Revista Odontologia UNESP, 2018; 47(4): 189-197.
STERRETT J e MURPHY H. Citric acid burnishing of dentinal root surfaces. A scanning electron microscopy report. J Clin Periodontol., 1989; 16(2): 98-104.
SUKEKAVA F, et al. Estudo piloto sobre a previsibilidade de recobrimento radicular de recessões gengivais classe III de Miller. Rev Dental Press Periodontia Implantol, 2010; 4(2): 93-102.
TARNOW D. Semilunar coronally repositioned flap. Journal of Clinical Periodontology, 1986; 13(3): 182-185.
VENTURIM R, et al. Técnicas cirúrgicas de enxerto de tecido conjuntivo para o tratamento da recessão gengival. Revista Gaúcha de Odontologia, 2011; 59: 147-152.
