COMBINATION OF REGENERATIVE THERAPY AND FREE GINGIVAL GRAFT IN STAGE IV PERIODONTITIS: CASE REPORT

Authors

  • Resky Ramadhani Periodontal Specialist Dentist Education Program, Faculty of Dentistry, Universitas Hasanuddin, Makassar, Indonesia
  • Ayu Rahayu Feblina Periodontal Specialist Dentist Education Program, Faculty of Dentistry, Universitas Hasanuddin, Makassar, Indonesia
  • Dian Setiawati Periodontia Department, Faculty of Dentistry, Universitas Hasanuddin, Makassar, Indonesia.

DOI:

https://doi.org/10.46862/interdental.v20i1.8639

Keywords:

Regenerative therapy, free gingival graft, chronic periodontitis

Abstract

Introduction: Periodontal regenerative therapy can be used to repair damaged periodontal tissues caused by periodontitis. The combination of regenerative periodontal surgery and FGG (Free Gingival Graft) is expected to accelerate the regeneration of periodontal tissue.

Case : A 37-year-old woman came with complaints of loose lower front teeth, frequent bleeding and pain when eating and drinking. The complaint was felt since 1 year ago. Clinical examination obtained an average pocket depth of 6 mm and an average second degree of tooth mobility. On radiographic examination found bone damage horizontally.

Case Management: The patient received root planing scaling and occlusion adjustment, followed by dental periodontal surgery 42,41,31,32. Stage II surgery for recession closure therapy with FGG was carried out three months after stage 1 surgery was performed.

Discussion: Regenerative periodontal surgery is performed to produce new periodontal tissue growth and restore connective tissue attachment to the teeth. Free Gingival Graft is performed to increase gingival keratinization and improve patient esthetics.

Conclusion and Suggestions: The combination of regenerative periodontal surgery and FGG for the treatment of periodontitis cases involving severe bone destruction gives good results of periodontal tissue healing by alveolar bone healing and regeneration and quite good aesthetics.

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References

Yudin M, Oktawati S. Terapi gen pada perawatan periodontitis dan peri-implantitis : a review dan implikasi masa depan. B-Dent J Kedokt Gigi Univ Baiturrahmah 2021;19;8(2):121–30. Doi: https://doi.org/10.33854/jbd.v8i2.865

Carolina Dn, Hendiani I, Susanto A, Rusminah N. Perawatan bedah regeneratif periodontal pada kasus periodontitis. Mkgk (Majalah Kedokt Gigi Klin (Clinical Dent Journal) Ugm 2021;5(3):66–9. Doi: https://doi.org/10.22146/mkgk.65726

Mari R, Nath Ar, Peter Mr, Vyloppillil R, Balakrishnan B, Suresh R. Periodontal approaches to esthetic dentistry: A review on current trends. J Contemp Dent Pract 2021;23(2):251–67. Doi: https://doi.org/10.5005/jp-journals-10024-3304

Annisa A, Mardiana Aa, Oktawati S, Basir I. A clinical outcome of periodontal regenerative therapy in chronic periodontitis: A case report. Kne Med 2022;2022:33–41. Doi: 10.18502/kme.v2i1.10835.

Carcuac O, Trullenque-Eriksson A, Derks J. Modified-free gingival graft technique for treatment of gingival recession defects at mandibular incisors: A randomized clinical trial. J Periodontol 2023;94(6):722-730. Doi: https://doi.org/10.1002/jper.22-0581

Ghosh A, Mallick S, Saha Ap, Das I, Banerjee S, Giri Pk. Multiple gingival recessions treated with subepithelial connective tissue graft in vista technique: A case report. Int J Appl Dent Sci 2022;8(1):551–4. Doi: https://doi.org/10.22271/oral.2022.v8.i1h.1478

Needleman I, Worthington H V, Giedrys-Leeper E, Tucker R. Guided tissue regeneration for periodontal infra-bony defects. Cochrane Database Syst Rev 2019;5(5):1–42. Doi: https://doi.org/10.1002/14651858.cd001724.pub3

Zucchelli G, Tavelli L, Mcguire Mk, Rasperini G, Feinberg Se, Wang Hl, et al. Autogenous soft tissue grafting for periodontal and peri-implant plastic surgical reconstruction. J Periodontol 2020;91(1):9–16. Doi: https://doi.org/10.1002/jper.19-0350

Deo Sd, Shetty Sk, Kulloli A, Chavan R, Dholakia P, Ligade S, et al. Efficacy of free gingival graft in the treatment of Miller class I and class II localized gingival recessions: A systematic review. J Indian Soc Periodontol 2019;23(2):93–9. Doi: https://doi.org/10.4103/jisp.jisp_102_18

Mostafa D, Fatima N. Gingival recession and root coverage up to date: A literature review. Dent Rev 2022;2(1):1–10. Doi: https://doi.org/10.1016/j.dentre.2021.100008

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Published

2024-04-21

How to Cite

1.
Ramadhani R, Feblina AR, Setiawati D. COMBINATION OF REGENERATIVE THERAPY AND FREE GINGIVAL GRAFT IN STAGE IV PERIODONTITIS: CASE REPORT. interdental [Internet]. 2024 Apr. 21 [cited 2024 Nov. 23];20(1):34-9. Available from: https://e-journal.unmas.ac.id/index.php/interdental/article/view/8639