%0 Journal Article
%T Er-yag Laser Root Preparation During Subepithelial Connective Tissue Graft Procedures. - Er-yag Laser Root Preparation During Subepithelial Connective Tissue Graft Procedures. - Open Access Pub
%A Eunice Fumico Umeda Kina
%A Jos¨¦ Ricardo Kina
%A Juliana Kina
%A M£¿nica Kina
%J OAP | Home | Journal of Dentistry And Oral Implants | Open Access Pub
%D 2018
%R 10.14302/issn.2473-1005.jdoi-19-2654
%X Areas of gingival recession cause either an esthetic problem and or root sensitivity. Obtaining predictable root coverage has become an important part of periodontal therapy. A deep, long ¨C standing recession promoted by ANUG was treated using subepithelial connective tissue graft technique combined with decontamination of root surface by using Er:YAG laser. Our clinical findigs suggest that this technique is a predictable procedure to treat gingival recession and promote root decontamination. DOI10.14302/issn.2473-1005.jdoi-19-2654 The problem of gingival recession has been treated with a variety of techniques depending upon whether the recession was generalized or on an isolated tooth. The free gingival autograft has been used to cover denuded roots associated with localized gingival recession since the first report on this application of the technique was published by Sullivan and Atkins in9. Langer and Langer5 in describe the use of subepithelial connective graft as a donor source of root coverage specifically for the wide multiple recessions. They advocate success of these grafts to the double-blood supply at the recipient site from the underlying connective tissue base and the overlying recipient flap. However reconstructive gingival therapy requires a carefully root surface treatment by using physical and/or chemical methods. Yukna11 and Miller8 advocate that the graft procedure be preceded by citric acid application to the affected root by periodontal disease. His recommendation for chemical methods is based on reports suggesting that demineralization of root surfaces with citric acid may promote decontamination of root that stimulate cementogenesis. Terranova et al,10 have noted root surface conditioning with tetracycline resulted in an increased number of binding sites for fibronectin that may increase root coverage. The present clinical trial was designed to evaluate the potential of Er-YAG laser to treat root surface previously a root coverage by using subepithelial connective tissue graft technique. The patient under hard emotional stress that associated with bacterial plaque promoted ANUG with necrosis of alveolar bone and marginal gingival soft tissue in 31 and 41 (Figure 1). The patient was free of systemic disease and was not currently receiving any medication. Initial therapy was carried out using Er-YAG laser, to promote scaling and root planning and oral hygiene instruction. After initial therapy (Figure 2) the surgical method employed consists of the following steps as described by Langer and Langer5. Figure 1. ANUG Figure 2. After
%U https://www.openaccesspub.org/jdoi/article/1029