Frenectomy consideration in root coverage procedure with connective tissue graft

Rachel Yuanithea, Syanti Wahyu Astuty, Fatimah Maria Tadjoedin, Robert Lessang, Yudha Rismanto, Antonius Irwan

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

A mucosa anatomical factor, such as frenulum, could affect the outcome of a root coverage procedure with a surgical approach. Gingiva recession therapy with connective tissue graft in the canine and premolar region should consider tension from the buccal frenulum. The objective of this study is to evaluate the root coverage procedure with a connective tissue graft both with and without frenectomy. The subjects of this study are a 27-year-old male patient with recession Miller I on his upper canine and a 34-year-old male patient with recession Miller II-III on his lower premolar. In the first case, a coronally advanced flap technique with connective tissue graft and frenectomy on the buccal frenulum for root coverage was used. The second case saw the use of a lateral displaced flap and connective tissue graft without frenectomy in terms of root coverage. Clinical evaluation was done three months after the surgical procedures. Root coverage procedure with connective tissue graft and frenectomy for reducing tension presented a better clinical outcome. Connective tissue graft showed enough attached gingiva compared to the conditions before treatment in both cases.

Original languageEnglish
Title of host publicationCase Reports in Dentistry
PublisherNova Science Publishers, Inc.
Pages277-288
Number of pages12
ISBN (Electronic)9781536140439
Publication statusPublished - 18 Jul 2018

Keywords

  • Connective tissue graft
  • Frenectomy
  • Gingival recession
  • Root coverage

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    Yuanithea, R., Astuty, S. W., Tadjoedin, F. M., Lessang, R., Rismanto, Y., & Irwan, A. (2018). Frenectomy consideration in root coverage procedure with connective tissue graft. In Case Reports in Dentistry (pp. 277-288). Nova Science Publishers, Inc..