Procedimentos combinados Alguns casos de retração gengival localizada – que de Nesses casos, um procedimento adicional, como o enxerto gengival livre. Mar. Clinical. Tissue adhesive in free gingival graft. Adesivo tecidual no enxerto gengival livre. Title: Técnica modificada de enxerto gengival livre: uma série de casos. ( Portuguese); Alternate Title: Free gingival graft using a modified technique: a case.
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This favors the stabilization of the coagulation and provides esthetics to the surgical site 2 3 4 – 5. Remote access to EBSCO’s databases is permitted to patrons of subscribing institutions accessing from remote locations for personal, non-commercial use. The improvement of the periodontal clinical parameters, associated with the positive report of the patient as to the current ease of oral hygiene, reinforces the importance of the free gingival graft to increase the width of the gingival margin 26 from the area of the inserted gingiva 27 – 28 and for the maintenance of periodontal health.
October 15, ; Accepted: Suturing is the technique most used; however, new biomaterials have been studied and proposed for this purpose. Literature analysis revealed numerous indications for this tissue adhesive in the medical field related to maxillofacial injuries.
Final case 90 days. Anesthesia was given by infiltration along the side of the guide, the incision was made around the guide and the graft was removed delicately.
Tissue adhesive in free gingival graft
No warranty is given about the accuracy of the copy. A perpendicular incision was made at the base of the vestibule to fenestrate enserto periosteum. Tissular adhesive Dermabond r.
Spec J Tech Papers. The suture is the most used and widespread technique for appropriate coaptation of the edges; however, new biomaterials and techniques are studied with the aim of uniting and maintaining the incised tissues stable and avoiding the penetration of foreign bodies.
They conclude that the modality of gingival graft fixation did not present any significant influence over the clinical parameters evaluated. Octyl cyanoacrylate tissue adhesive versus suture wound repair in a contaminated wound model. A Bard Parker no. Otolaryngol Clin North Am. The modified FGG technique can be successfully used to treat cases with lack of KT in teeth and implants. Am J Orth Dentofac Orthop. With the graft properly adapted and coopted to the recipient site, traction and tension lip movements were performed to verify if there were any interference from muscle inserts that could cause movement in the graft Figure 4.
Muscle inserts that could interfere with the stability of the graft were eliminated, maintaining a thin, smooth layer of conjunctive tissue to facilitate the correct adaptation of the graft.
Use of cyanoacrylate adhesives in dentistry. They observed that dimensional changes related to the area of gingival graft were similar for both groups. There was no incidence of dehiscence, hematoma or infection among gengiival groups after one year; and, the esthetic results and patient satisfaction were superior in the 2-octyl-cyanoacryate group.
In all cases, patients showed difficulty in maintaining proper oral hygiene. These studies reported that the use of tissue adhesives reduced the surgical procedure time period, eliminated postoperative visits as well as the discomfort of suture removal and, in addition, did not interfere with the clinical repair process. Dimensional changes between free gingival grafts fixed with ethyl cyanoacrylate and silk sutures. J Int Acad Periodontol.
The use of cyanoacrylate-based adhesives in periodontal surgery, including gengigal gingival grafts, demonstrates ease and efficiency, minimizes the problems caused by suturing thread and shows minimal toxicity and low cost 6 7 8 9 – 10 The clinical observations of this period were similar to those verified at 90 and days Figures 5 and 6. The patient, a year-old woman with no systemic alterations, was referred to the Department of Periodontics of the authors.
Adipose tissue and irregularities in the connective tissue were removed from the graft. Forrest 14in a longitudinal study, evaluated more than patients undergoing periodontal surgery, including free gingival grafts, laterally and apically positioned flaps, rhizectomies, endodontic and exodontic surgery, in which butyl-cyanoacrylate was used for the coaptation of the edges.
Probing depth, clinical attachment level, gingival recession, and dimensional changes of height and width were evaluated immediately post-operatively and at 15, 30, 45, and 90 days after surgery.
The adhesive was reported to promote rapid hemostasis and clinical repair similar to the sutures, was well accepted by the patients and there were no reports of local or systemic reactions.
Chemistry and performance of cyanoacrylate adhesive. Rev Assoc Paul Cir Dent. The use of cyanoacrilate in periodontal surgery.
EBSCOhost | | Técnica modificada de enxerto gengival livre: uma série de casos.
At seven days the graft showed normal healing and absence of movement. A prospective comparison of lifre tissue adhesive and suture for the closure of heas and neck incision. Bhaskar SN, Frisch J. They used sutures for coaptation on one side, and butyl-cyanoacrylate tissue adhesive on the other. How to cite this article. Which tissue adhesive for wounds?
A new tissue adhesive for laceration repair in children. A surgical guide having the same dimensions as the receiving area was created from sterile paper and placed in the region of the palate.
Moreover, the keratinized tissue remained stable over time, gengial a highly satisfactory color compared to adjacent areas.
Técnica modificada de enxerto gengival livre: uma série de casos.
Diagnosis and management of mucogingival problems in children. Free mucosal grafts in miniature swine and man. At 15 days there was no edema and integration of genngival gingival graft with the adjacent tissues could be observed. The following were used in the surgical procedure: Dent Clin North Am.