TENÓRIO, I. S.; http://lattes.cnpq.br/3113619388409578; TENÓRIO, Isabelle Silvério.
Resumen:
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.