Root Coverage of Severe Gingival Recession Using Pedicled Buccal Pad Fat
Root Coverage of Severe Gingival Recession
DOI:
https://doi.org/10.70284/njirm.v4i1.455Keywords:
Buccal pad of fat, Gingival recessionAbstract
Background: A new technique for root coverage of severe gingival recession defects (MillerClass IV) by providing a new source of enough tissue with good blood supply using the pedicledbuccal fat pad (PBFP).
Case presentation: A 52-year-old reported for treatment of severe gingival recession. On clinical examination itwas found that the tooth of concern (tooth number 27), had millers Class IV recession with nokeratinized gingiva, grade III mobility and grade III furcation involvement. Following phase Itherapy, it was planned to perform root coverage along with increasing the width of keratinizedgingiva using the pedicledbuccal pad fat technique.Conclusion: The presented technique is simple and easy to handle. It may also be considered anovel application with promising results for the root coverage of severe gingival recessiondefects (Miller Class IV) that may provide a considerable amount of keratinized tissue used forroot coverage of the upper posterior molar teeth.
References
2. Takei H, Azzi R, Han J. Periodontal plastic and esthetic surgery. In: Carranza FA, ed. Carranza’s Clinical Periodontology, 10th ed. Philadelphia: W.B. Saunders; 2006:1005.
3. Egyedi P. Utilisation of the buccal fat pad for closure of oro-antral and/or oro-nasal communications. J MaxillofacSurg 1977; 5:241–244
4. Martin-Granizo R, Naval L, Costas A, Goizueta C, Rodriguez F, Monje F, et al. Use of buccal fat pad to repair intraoral defects: review of 30 cases. Br J Oral MaxillofacSurg 1997; 35:81–84.
5. Dubin B, Jackson IT, Halim A, Triplett WW, Ferreira M.Anatomy of the buccal fat pad and its clinical significance. PlastReconstrSurg 1989; 82:257–264
6. Baumann A, Ewers R. Application of the buccal fat pad in oral reconstruction. J Oral Maxillofacial Surg 2000; 58:389–392
7. Stuzin JM, Wagstrom L, Kawamoto HK, Baker TJ, Wolfe SA. The anatomy and clinical applications of the buccal fat pad. PlastReconstrSurg 1990; 85:29–37.
8. Colella G, Tartaro G, Giudice A. The buccal fat pad in oral reconstruction. Br J PlastSurg 2004; 57:326-329.
9. Takei H, Azzi R. Periodontal plastic and esthetic surgery. In: Carranza FA, ed. Carranza’s Clinical Periodontology, 9th ed. Philadelphia: W.B. Saunders; 2002:804
10. Nevins M, Cappetta E. An overview of Mucogingival surgery to cover the exposed root
surface. In: Nevins M, Mellonig J, eds. Periodontal Therapy: Clinical Approaches andEvidence of Success. Hanover Park, IL: Quintessence Publishing; 1998:339-354
