Multidisciplinary approach to guided tissue regeneration: report of a clinical case
Keywords:
ENFERMEDADES PERIODONTALES; PÉRDIDA DE HUESO ALVEOLAR; RECESIÓN GINGIVAL; REGENERACIÓN TISULAR GUIADA PERIODONTAL., PERIODONTAL DISEASES; ALVEOLAR BONE LOSS; GINGIVAL RECESSION; GUIDED TISSUE REGENERATION, PERIODONTAL., DOENÇAS PERIODONTAIS; PERDA DE OSSO ALVEOLAR; RECESSÃO GENGIVAL; REGENERAÇÃO TECIDUAL GUIADA PERIODONTAL.Abstract
Introduction: bone and gingival loss represents a significant clinical challenge in dentistry due to its functional, esthetic, and periodontal implications, particularly in young patients undergoing orthodontic treatment.
Objective: to present the clinical outcomes of a multidisciplinary approach using guided tissue regeneration for the treatment of bone and gingival defects.
Case presentation: this report describes the case of a 22-year-old female patient who exhibited significant resorption of keratinized gingiva and the vestibular alveolar bone plate in the anteroinferior region, with marked root exposure. Following clinical and radiographic evaluation, a guided tissue regeneration procedure using a multidisciplinary approach was indicated. The surgical intervention included harvesting a palatal connective tissue graft and placing a xenogeneic particulate bone graft, followed by flap repositioning and suturing. The procedure was carried out under strict biosecurity measures and postoperative control. During the immediate follow-up, the patient showed adequate healing, minimal postsurgical symptoms, and stability of the treated tissues. The achieved regeneration restored the periodontal conditions necessary for the continuation of orthodontic treatment, improving oral function and esthetics.
Conclusions: guided tissue regeneration, when applied through a multidisciplinary approach, constitutes an effective therapeutic alternative for the recovery of lost periodontal tissues. Proper planning and execution promote satisfactory clinical outcomes, contributing to periodontal stability and improved patient quality of life.
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