Treatment of Advanced Gingival Recession Secondary to Surgical Failure with Large Size Deepithelized Gingival Graft Associated with a Modified Tunnel Flap

Objective. To describe the use of a large size deepithelized gingival graft (DGG) associated with full-split tunnel technique in a clinical case of advanced gingival recession secondary to surgical failure (GRSF). Clinical Considerations. The presented case report helped to achieve satisfactory root...

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Bibliographic Details
Published inCase reports in dentistry Vol. 2023; pp. 1 - 8
Main Authors Zhao, Lingzhou, Gao, Yuan, Xiao, Yihan, Tan, Xinwei, Li, Xiaochen, Deng, Tianzheng
Format Journal Article
LanguageEnglish
Published New York Hindawi 19.09.2023
Hindawi Limited
Wiley
Subjects
Bone surgery
Case Report
Case reports
Connective tissue
Gingiva
Skin & tissue grafts
Surgery
Sutures
Vestibular system
Wound healing
United States > US
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Summary:Objective. To describe the use of a large size deepithelized gingival graft (DGG) associated with full-split tunnel technique in a clinical case of advanced gingival recession secondary to surgical failure (GRSF). Clinical Considerations. The presented case report helped to achieve satisfactory root coverage, ideal keratinized tissue gain, improvement in soft tissue quality and esthetics, scar deformity correction, and vestibular depth deepening with a one-step procedure of large size DGG associated with full-split tunnel technique for a condition of deep gingival recessions of 7-11 mm caused by a failed bone implantation surgery. Conclusions. The large size DGG associated with full-split tunnel technique provided a versatile one-step procedure to obtain ideal results for advanced GRSF. Clinical Significance. GRSF that is generally associated with inadequate keratinized tissue and scar formation could be rather difficult to deal with. The large size DGG associated with full-split tunnel technique, as a one-step procedure, provided a predictable and practical treatment modality.
Bibliography:Academic Editor: Andrea Scribante
ISSN:2090-6447
2090-6455
DOI:10.1155/2023/8954257