Multiple root coverage with subepithelial connective tissue graft, 8-year follow-up: Case report.

• Autores: Iriana Y. Angeles Espinosa
• Localización: Mexican Journal of Medical Research ICSA, ISSN-e 2007-5235, Vol. 13, Nº. 25, 2025 (Ejemplar dedicado a: Manuscripts accepted postprint (January 2025))
• Idioma: inglés
• Títulos paralelos:
  • Cobertura radicular múltiple con injerto de tejido conectivo subepitelial, seguimiento de 8 años: Caso clínico
• Enlaces
  • Texto completo
• Resumen
  • español

    Algunos de los desafíos de una cobertura radicular con injerto de tejido conectivo son la morbilidad del sitio donante y la incomodidad del paciente por el procedimiento quirúrgico, además de la cooperación del paciente para corregir y controlar los factores precipitantes y predisponentes de una recession gingival.

    Objetivo: Este reporte de caso muestra una técnica de colgajo desplazado coronal con injerto de tejido conectivo subepitelial para cobertura radicular de recesiones múltiples maxilares y mandibulares, con un seguimiento a 8 años.

    Metodología: Paciente mujer de 44 años de edad, aparentemente sana, se presentó con motivo de consulta “Se me están bajando las encías y mis dientes, se están alargando”, Se realizó tratamiento periodontal raspado y alisado radicular y posteriormente cobertura radicular con colgajo desplazado coronal con injerto de tejido conectivo subepitelial y tratamiento ortodóncico, se llevó a cabo terapia de soporte periodontal a 10 años del evento quirúrgico.   Resultados: Se obtuvieron resultados a los 6 meses, a un año, 2, 3 y 8 años lográndose establecer salud periodontal, periodonto reducido sano, cobertura radicular parcial y mejora estética, control de lesiones radiculares no cariosas, ausencia de bolsas periodontales y disminución de sensibilidad dental y mejoría estética considerable.

    Conclusiones: La técnica de cobertura radicular con colgajo desplazado coronal con injerto de tejido conectivo subepitelial en este reporte de caso, puedo usarse con éxito a largo plazo para el tratamiento de recesiones gingivales múltiples, incluso en periodontos reducidos, con un éxito de cobertura parcial, permitiendo una mejoría considerable estética y funcional de la paciente.

     

  • English

    Some of the challenges of root coverage with connective tissue graft are donor site morbidity and patient discomfort from the surgical procedure, as well as poor patient cooperation in correcting and controlling precipitating and predisposing factors of gingival recession.

    Objective: This case report shows a coronal displacement technique with a subepithelial connective tissue graft and a tunnel technique with a subepithelial connective tissue graft for root coverage of multiple maxillary and mandibular recessions, followed for 8 years.

    Methodology: 44-year-old female patient, apparently healthy, presented with the query "My gums are going down and my teeth look longer", periodontal treatment was performed, scaling and root planing and subsequently root coverage with a displaced flap. coronal with and without graft of subepithelial connective tissue, tunnel technique with graft of subepithelial connective tissue and orthodontic treatment, periodontal support therapy was carried out 8 years after the surgical event.

    Results: Results were obtained from 6 months, to the first, second and third year and finally in the eighth year, establishing periodontal health, healthy reduced periodontium, partial root coverage and aesthetic improvement, control of non-carious root lesions, absence of periodontal pockets and decreased dental sensitivity. The results of the percentage of root coverage in the eighth year, were comparable to those obtained in the 6 postoperative months, with the connective tissue graft technique in the postero-upper and lower teeth CTG plus CDF was 83.33%, in the postero-upper teeth of the left side, where the coronal displacement technique (CDF) was performed, obtained a coverage of 93.3%, as for the (CTG plus CDF) technique in upper anterior teeth it is 97.37%, CTG plus tunnel teeth Central and lateral incisors had 88% coverage percentage.

    Conclusions: The root coverage technique with a coronal displacement collar with a graft of subepithelial connective tissue can be used successfully in the long term for the treatment of multiple gingival recessions, including reduced periodontium, obtaining in this clinical case partial coverage, allowing an aesthetic improvement. and considerable functional. of the patient at 8 years of follow-up.