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- W2099735089 abstract "When discussing mucogingival surgery and surgical methods, problems related to the lack of attached gingiva, the presence of an osseous defect and/or periodontal pocket must be taken into account. If there is an osseous defect or periodontal pocket that extends beyond the mucogingival junction, it is recommendable as a pretreatment for managing the intrabony defect, to increase the attached gingiva by mucogingival surgery to facilitate periodontal flap surgery. If the width of the keratinized gingiva is inadequate in conjunction with bone defect area, it is necessary to preserve and increase the tissues with free autogenous gingival graft. The gingival marginal region, in which the inflammatory processes of periodontal disease exist, needs to be protected by a sufficient height and thickness of attached gingival tissues (7,8). Presented case consider one point of the contemporary classification of periodontal diseases (Armitage, AAP, 1999) – the incidental attachment loss. It is recommendable to take into consideration the presence of osseous defect with localized attachment loss and lack of sufficient band of keratinized gingiva. In these cases we must apply an approach to assure adequate attached gingiva before the periodontal regenerative procedure. The free gingival graft is a simple, predictable technique for increasing the zone of attached gingival tissues (1,2,3,4) The autogenous free gingival graft introduced by Nabers in 1966 is designed to increase the width of keratinized gingival. This procedure takes epithelium and connective tissue of the palate and locates it in to a recipient bed. This graft retains none of its own blood supply and depends upon the recipient blood vessels. For that reason it was not recommendable originally to cover denuded roots but to change the alveolar mucosa into keratinized gingival (5). CASE REPORT: The presented case is 20 years old female with incidental periodontal tissue loss in the region of #24 and #25 because of the injurious endodontic treatment and poor fitting restorations – fig.1. Deep periodontal pocket (7 mm) with severe bone destruction and severe loss of gingival tissues are presented. The X-ray show the presence of two iatrogenic composite obturations with inadequate gingival margin’s contours made after pulp devitalisation with arsenic paste – fig. 2. Second X-ray is taken after replacement of both restorations – fig. 3. There are lack of attached gingiva and need of periodontal regenerative procedure. Because there is insufficient keratinized gingiva a procedure for augmentation of attached gingival tissues with free gingival graft is recommendable prior to flap operation – fig. 4, fig. 5." @default.
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- W2099735089 date "2007-01-01" @default.
- W2099735089 modified "2023-09-27" @default.
- W2099735089 title "GINGIVAL TISSUE AUGMENTATION IN CONJUC- TION WITH REGENERATIVE PERIODONTAL PROCEDURES" @default.
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