Informationen aus Orthodontie & Kieferorthopädie 2011; 43(04): 307-310
DOI: 10.1055/s-0031-1291354
Fallbericht
© Georg Thieme Verlag KG Stuttgart · New York

Therapie einer singulären Miller-Klasse-III-Rezession infolge Kieferorthopädie mittels modifizierter Tunneltechnik und retromolar entnommenem Bindegewebstransplantat

Treatment of a Single Miller Class III Recession Caused by Orthodontic Therapy by Means of Tunnel-Technique and a Connective Tissue Graft Harvested from the Retromolar Area
O. Laugisch
1   Klinik für Parodontologie, ZMK Bern, Schweiz
› Author Affiliations
Further Information

Publication History

Publication Date:
30 December 2011 (online)

Zusammenfassung

Im vorliegenden Fallbericht wird die Therapie einer singulären Miller-Klasse-III-Rezession, die infolge einer kieferorthopädischen Therapie entstanden ist, beschrieben. Die Rezession wurde mit der modifizierten Tunnel-Technik und Bindegewebetransplantat behandelt, um neben der notwendigen Verdickung der bukkalen Gingiva auch ein ästhetisch ansprechendes Resultat zu erzielen. Das Bindegewebetransplantat wurde in diesem Fall retromolar im Oberkiefer entnommen, um im selben Eingriff eine Taschenelimination und Gewebereduktion im Oberkiefer palatinal distal vorzunehmen.

Abstract

This case report describes the treatment of a single Miller-class III recession caused by othodontic therapy. The recession was treated by the modified tunneling-technique and connective tissue graft to obtain an aesthetic result and a thickening of the buccal gingiva. The connective tissue graft was harvested from the retromolar area in the maxilla, by reducing at the same time the periodontal pockets located distally in the maxilla.

 
  • Literatur

  • 1 Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol 1999; 4 (01) 1-6
  • 2 Serino G, Wennstrom J, Lindhe J et al. The prevalence and distribution of gingival recession in subjects with a high standard of oral hygiene. J Clin Periodontol 1994; 21 (01) 57-63
  • 3 Wennstrom J, Lindhe J, Sinclair F et al. Some periodontal tissue reactions to orthodontic tooth movement in monkeys. J Clin Periodontol 1987; 14 (03) 121-129
  • 4 Joss-Vassalli I, Grebenstein C, Topouzelis N et al. Orthodontic therapy and gingival recession: a systematic review. Orthod Craniofac Res 2010; 13 (03) 127-141
  • 5 Miller Jr PD. A classification of marginal tissue recession. Int J Periodontics Restorative Dent 1985; 5 (02) 8-13
  • 6 Azzi R., Ettienne D. Recouvrement radiculaire et reconstruction papilleaire. J Parodontol Implant Orale 1998; 17: 71-77
  • 7 Studer SP, Allen EP, Rees TC et al. The thickness of masticatory mucosa in the human hard palate and tuberosity as potential donor sites for ridge augmentation procedures. J Periodontol 1997; 68 (02) 145-151
  • 8 Jung UW., Um YJ, Choi SH. Histologic observation of soft tissue acquired from maxillary tuberosity area for root coverage. J Periodontol 2008; 79 (05) 934-940
  • 9 Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. I. Rationale and technique. Int J Periodontics Restorative Dent 1994; 14 (03) 216-227
  • 10 Aroca S, Keglevich T, Nikolidkis D et al. Treatment of class III multiple gingival recessions: a randomized-clinical trial. J Clin Periodontol 2010; 37 (01) 88-97
  • 11 Allen EP. Subpapillary continuous sling suturing method for soft tissue grafting with the tunneling technique. Int J Periodontics Restorative Dent 2010; 30 (05) 479-485
  • 12 Chambrone L, Charmbrone D, Pustiglioni FE et al. The influence of tobacco smoking on the outcomes achieved by root-coverage procedures: a systematic review. J Am Dent Assoc 2009; 140 (03) 294-306
  • 13 Hwang D, Wang HL. Flap thickness as a predictor of root coverage: a systematic review. J Periodontol 2006; 77 (10) 1625-1634