Mucogingival surgery

Mucogingival surgery
Mucogingival surgery is the term to refer to plastic surgery procedures designed
to correct defects of gum around the tooth. Mucogingival surgery is a technique
designed to: - Increase the width of attached gingiva and keratinized. - Correc
t particular defects of soft tissues. - Some approaches to the elimination of pe
riodontal pockets. We must, apico-coronary dimension of the gingiva and the pres
ence or absence of a portion of attached gingiva are not critical to the mainten
ance of gingival health and the height of the periodontal tissues.
INDICATIONS FOR SURGERY Mucogingival
In areas with gingival recession. A thin gum on a tooth for which is planned ort
hodontic movement. Deepening the lobby in order to facilitate oral hygiene. Cove
r for cosmetic gingival recession, sensitivity, or susceptibility to caries. Rem
ove muscle attachments or braces that sometimes drive the gingival margin. Creat
e or increase the band of keratinized gingiva when the tooth is to receive a pro
sthetic element that alters the integrity of the gum. When in spite of having pr
oper control of plaque and have eliminated the etiologic factors continue to inc
rease inflammation or recession in the presence of low gingiva.
SURGERY, INCLUDING: frenotomy, frenectomy. Extension free gingival graft gingiva
l (IGL). Operation Outreach (Vestibuloplasty) as Edlan-Mejchar, as amended 1963)
Nonsurgical Mucogingival Surgery
Frenectomy
Remove Frenectomy muscle attachments or braces that sometimes drive the gingival
margin.
TECHNIQUES TO COVER Gingival recessions
Free connective tissue graft, free gingival graft direct (one-step procedure) co
ronally repositioned flap extension after free gingival graft gingival (IGL) (tw
o-step procedure) Pedicle flap (rotational) (Grupe & Warren 1956, Grupe 1966 .)
ENHANCING gingiva
IMPROPER gingiva This term refers to the gum tissue that is firmly linked to the
underlying bone. It is different from keratinized gingiva, which includes the f
ree gingiva and attached gingiva. Currently it is believed that a minimum width
of attached gingiva is not necessarily required to maintain optimal health and p
reventing gingival recession, because if the patient exhibits adequate oral hygi
ene, gingival health and will not be restorative dentistry procedures or orthodo
ntic , the site can be monitored periodically with a supportive periodontal trea
tment (maintenance phase).
DIRECTIONS TO INCREASE THE WIDTH OF gingiva
When the gingiva is less than 1 mm: The recession is an aesthetic problem for th
e patient The site exhibits progressive recession. The margin of the restoration
will be placed apical to the gingival margin (GM). It has been suggested that i
n these cases, the patient has 5 mm of keratinized gingiva: 2 and 3 free gingiva
attached gingiva. The tooth will be moved (vestibularized) in the arc during or
thodontic treatment.
INCREASING SURGICAL In 1963, free gingival graft was introduced to increase the
width of attached gingiva. Site preparation TECHNICAL receive the graft (host si
te) for obtaining donor tissue (donor site). Stabilization of tissue.
Gingiva-FREE GRAFT
Gingiva-FREE GRAFT
7 DAYS
Gingiva-FREE GRAFT
FINAL 15 DAYS
Subepithelial connective tissue graft
ECJ TRANSLATION. Subepithelial connective
Subepithelial connective tissue graft
Pedicle SIDE GRAFT
FLAP ROTATION OF A KINGDOM FOR YOUR AREA BASED ON NEIGHBOUR
V disposal
Vertical and horizontal incision
Placement of the flap
Pedicle SIDE GRAFT
1 wk.
2 wk.
4 wk.
GRAFT SIDE OF TRANSPOSITION
ROTATION OF A FLAP joined at the base and transposition 90th
CORONAL REPLACEMENT GRAFT
Placement coronal tissue by releasing incisions and suture retention
Incision V and H.
Flap retraction
Root planing
2 wk.
AMDA (acellular dermal matrix allograft)
Allograft is a freeze dried, extracted from human dermis cell exclusion with an
extracellular matrix of collagen and elastic fibers Tc. Qx-like subepithelial gr
aft
â ¢ Side and basal dermal
CLINICAL CASES
â ¢ Gingiva-FREE GRAFT
PCTE WITH 18 YEARS OF ORTHODONTIC TTO PZA 3.1 GINGIVAL RECESSION
EXTENSION free gingival graft gingival (IGL)
Taking of graft
Thinning too thick graft
Mini Knife hooks kirkland
Mucótomo of Normann
Aluminum standard
CORONAL REPLACEMENT GRAFT
CORONAL REPLACEMENT GRAFT
CORONAL REPLACEMENT GRAFT
CORONAL REPLACEMENT GRAFT
CORONAL REPLACEMENT GRAFT
CORONAL REPLACEMENT GRAFT
CORONAL REPLACEMENT GRAFT
CORONAL REPLACEMENT GRAFT
CORONAL REPLACEMENT GRAFT
CORONAL REPLACEMENT GRAFT
CORONAL REPLACEMENT GRAFT
BEFORE
AFTER