PhD Scientific Days 2020

Dental Sciences Posters

Periodontal Plastic Surgical Approach to Correct Localized Gingival Enlargements /A Retrospective Case Series

Előadó neve

Dr. Dobos, Andrea

Előadó munkahelye

Semmelweis University, Department of Periodontology

Előadó telefonszáma

06309532140

Előadó e-mail címe

dobos.andreaa@gmail.com

Az előadás címe

Periodontal Plastic Surgical Approach to Correct Localized Gingival Enlargements /A Retrospective Case Series

Szerző(k) neve és munkahelye

Andrea Dobos 1 , Zsombor Radóczy-Drajkó 1, Péter Windisch 1, Bálint Molnar 1
1 Department of Periodontology, Semmelweis University, Budapest

Szekció

Dental Sciences Posters

Language of the presentation

English

Section, first choice

Dentistry

Section, second choice

Clinical Medicine

Összefoglaló szövege

Introduction&Aim: Localized gingival enlargements are frequently encountered challenges in the daily practice. Postoperative complications following surgical removal, such as recurrence and subsequent gingival recessions as well as loss of keratinized tissues are commonly observed. Nevertheless, a state of the art comprehensive treatment approach has not been reported yet to overcome the above mentioned sequels. The aim of this retrospective case series was to present a periodontal plastic surgical approach to definitively remove localized gingiva enlargements and to simultaneously correct consecutive esthetic disturbances.
Method: 5 patients were treated presenting localized gingival enlargements in various locations. Patients underwent initial periodontal treatment including subgingival root planning, after 2 months of healing, open flap debridement (OFD) was performed simultaneously with in toto surgical excision. Consecutive gingival recessions occurred in all cases, which were immediately treated within the same surgical sessions. All cases were treated by a coronally advanced flaps (CAF) with individual modifications for root coverage.
Results: No recurrence was experienced during 12 months follow-up. 12 months postoperatively percentage of root coverage averaged 63,2%. Mean gingival recession depth decreased from 3,8±0,8 mm to 1,4±0,6 mm. Differences were significant compared to baseline. Mean keratinized tissue width decreased/increased from 4,2±2,2 mm to 2,4±0,5 mm. Differences were not significant compared to baseline.
Conclusion: Before removal of localized gingival enlargements, individual circumstances should always be considered. Reduction of bacterial inflammation through the completion of initial periodontal treatment is a prerequisite for optimal treatment outcomes. Adjacent teeth and soft tissue dimensions as well as consistency of the lesions should be taken into account when choosing an individually tailored surgical approach. The presented treatment strategies based on periodontal plastic surgery principles represent a predictable solution to successfully remove localized gingival enlargements with esthetically acceptable results and no recurrence.

Additional Information

Supervisor: Bálint Molnár
e-mail address: molbal81@gmail.com

Bemutatás módja

Poszter

Kind

Szabad

Status

elfogadva

Accepted presentation method

poszter

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

4714

Start

11:13

End

11:16

Authors (legacy)

Andrea Dobos 1 , Zsombor Radóczy-Drajkó 1, Péter Windisch 1, Bálint Molnar 1
1 Department of Periodontology, Semmelweis University, Budapest