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Fifteen-Year Follow-Up of a Case of Surgical Retreatment of a Single Gingival Recession

机译:一例单牙龈退缩的外科手术治疗十五年随访

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Purpose. The aim of the present case report was to describe the retreatment of the single gingival recession in aesthetic area, in the presence of scar formation and consequent impairment of aesthetic appearance. Methods. A young patient with one single recession of 4 mm of 2.1 was treated with coronally advanced flap and subepithelial connective tissue graft, through a microsurgical approach that aimed at the removal of the scarred fibrous tissue. The intervention was performed using a surgical microscope as a magnification device. Results. Fifteen years after the surgical treatment, a substantial stable resolution of the gingival recession could be observed. Moreover, a further improvement of the aesthetic appearance could be observed. Conclusions. This case report suggests that periodontal microsurgery could be an effective approach for the retreatment of gingival recessions and, in long-term evaluation, to reduce the aesthetic problem due to the presence of scar formation. Further studies with a larger sample size are needed to better evaluate its efficacy.
机译:目的。本病例报告的目的是描述在疤痕形成和随之而来的美学外观受损的情况下,对美学区域中单个牙龈退缩的治疗。方法。一位年轻的患者,其单侧凹入度为4 mm的2.1,采用旨在去除疤痕性纤维组织的显微外科手术方法,进行了冠状动脉前皮瓣和上皮下结缔组织移植手术。使用手术显微镜作为放大装置进行干预。结果。手术治疗十五年后,可以观察到牙龈退缩的基本稳定消退。此外,可以观察到美学外观的进一步改善。结论。该病例报告表明,牙周显微手术可能是治疗牙龈退缩的有效方法,并且在长期评估中,可以减少由于疤痕形成而引起的美学问题。需要进行更大样本量的进一步研究,以更好地评估其功效。

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