Einsatz der plastischen Parodontalchirurgie bei gingivalen Rezessionen der Miller-Klasse I und II, nach erfolgter kieferorthopädischer Behandlung

Zusammenfassung

Bedingt durch das geringe Ausmaß an vestibulärem Knochen sowie häufig auftretenden Fenestrationen und/oder bukkalen Dehiszensen, können in Verbindung mit oder nach einer kieferorthopädischen Zahnbewegung gingivale Rezessionen auftreten. Die plastische Parodontalchirurgie kann die Progression der gingivalen Rezession aufhalten. Dieser Fallbericht zeigt 2 erfolgversprechende Therapieoptionen für gingivale Rezessionen der Miller-Klasse I und II auf. Minimalinvasive und evidenzbasierte Methoden der plastischen Parodontalchirurgie ermöglichen heute eine Regeneration beziehungsweise Reparation der verloren gegangenen Strukturen und die Verbesserung der funktionellen und ästhetischen mukogingivalen Verhältnisse.

Abstract

Due to the limited extent of vestibular bone as well as frequent fenestrations or/and buccal dehiscenses, gingival recessions may occur in conjunction with or after orthodontic tooth movement. Plastic periodontal surgery can stop the progression of gingival recession. This case report shows 2 promising methods of how to cope with gingival Miller class 1 and 2 recessions. Today, evidence-based, minimally invasive methods of plastic periodontal surgery are able to repair or regenerate lost structures and improve functional and aesthetic mucogingival conditions.

Schlüsselwörter

Rezession - plastische ­Parodontalchirurgie - Bindegewebstransplantat - Wurzeldeckung - Verschiebelappen

Key words

recession - plastic periodontal surgery - free gingival graft - root coverage - advanced flap

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