Travmatik dişeti çekilmelerinin kombine periodontal plastik cerrahi teknikler ile tedavisi: Bir olgu sunumu

Dişeti çekilmleri anatomik, gelişimsel deformiteler ya da travma sonucu gelişir. Travmatik ya da yetersiz oral hijyen uygulamaları, yüksek frenulum ataçmanları, bireyin alışkanlıkları dişeti çekilmelerine neden olur. Bu olgu raporunda bireyin alışkanlıklarına bağlı gelişen dişeti çekilmesi farklı periodontal cerrahi tekniklerin birlikte uygulanması ile başarılı bir şekilde tedavi edilmiştir. Sistemik olarak sağlıklı 55 yaşında kadın hasta sağ santral dişinde 9mm, sol santral dişin 7 mm dişeti çekilmesi ile kliniğimize başvurmuş, hastanın cerrahi öncesi ve sonrası kayıtları alınmıştır. Dişeti çekilmeleri cerrahi olarak tedavi edildikten 3 yıl sonra dişeti çekilmesi, keratinize doku bandı, çekilme genişliği değerleri başlangıç ölçümlerine göre belirgin oranda değişmiş olup, kök yüzeyinin % 99 'u kapatılmıştır.

Unusual self-inflicted periodontal tissue injury's treatment with combined periodontal plastic surgery techniques: A case report

Gingival recessions are anatomical, developmental and traumatic deformities of gingiva and can occur as a result of low or high level of oral hygiene, high frenulum attachments and traumatize their gingival tissues with individual habits. The aim of this case report was to achieve complete root coverage of a patient's self-inflicted trauma with combined periodontal plastic surgery techniques. 55 year old female patient without systemic disease had 9 mm gingival recession at right central incissor and 7 mm gingival recession at left central incissor. The ethiologic factor for gingival recessions were the patients scratching habit with a metal object. Comparisons of the surgical sites with baseline were made with clinical measurements and photographic records. Statistically significant differences were observed in the gingival recession depth (GRD), gingival recession width (GRW) and width of the keratinized tissue (WKT) measurements after 3 year. Complete root coverage ratio was 99% after treatment. Within the limitations of this study, the results indicated that combined usage of periodontal plastic surgery techniques may be useful in Miller Class II gingival recessions

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