Interrelação periodontia e ortodontia no tratamento de recessão gengival.

Abstract

Introduction: Gingival recessions are mucogingival defects of multifactorial etiology that interfere with aesthetics and function; in many cases requiring multidisciplinary treatment. Objective: To report a clinical case of gingival recession treatment with periodontal and orthodontic approach. Case report: STI patient, Female, 20 years old, sought the Extension Project in Clinical and Surgical Periodontics - EPCSP / UFCG, complaining of developing gingival recession in element 31 bad positioned in the arch, after orthodontic movement. Periodontal examination revealed a gingival recession Type I associated a lip brake prominent, with 3 mm high, 2 mm wide, 1 mm probing depth and 0 mm inserted gingiva. Root cover was performed with subepithelial connective tissue graft removed from the palatal mucosa and coronary repositioned flap, in addition to the inferior labial frenectomy. After 1 year and 6 months tooth 31 was again movemented to reposition it in the arch. In the 1 year and 10 months postoperative period, a new periodontal examination was performed to evaluate the mucogingival characteristics of the treated region. The recession was completely covered and there was a 4 mm increase in the inserted gingiva. Conclusion: Orthodontics may positively or negatively influence periodontal structures and periodontics may favor the prognosis of tooth movement in a risk area by modifying the periodontal phenotype, making it more resistant to gingival recession.