ROOT COVERAGE BY MODIFIED CORONALLY ADVANCED TUNNEL, PALATAL CONNECTIVE TISSUE GRAFT AND LASER PHOTOBIOMODULATION TO IMPROVE TISSUE RAPAIR: A 3 YEARS CLINICAL FOLLOW-UP

• DOI: 10.22533/at.ed.1592662231107

• Palavras-chave: -

• Keywords: Modified Coronally Advanced Tunnel; Subepithelial Connective Tissue Graft; Aesthetics; Gingival Recession; Guided Tissue Regeneration, LLLT; Lasers.

• Abstract:

  The gingival recessions are characterized by the loss of periodontal insertion with the
  migration of the gingival merger towards the apex, having as reference the amelo-
  cement junction. The most frequent causes of gingival retractions are: mechanical
  trauma of tooth brushing, slim periodontal phenotype, orthodontic treatment, cervical
  restorations, periodontal disease and occlusal trauma. The more efficient management
  for the resolution of the retractions if given by the periodontal surgery with the
  interposition of connective gingival tissue collected from other areas of the buccal
  cavity. One of the greatest allies in dental post-surgeries (e.g. periodontal intervention)
  is the laser therapy applied to stimulate and accelerate the repair process. Thus, this
  article aims to present a clinical trial of a 25-year-old, Caucasian, female patient with
  gingival recession in the region of the #13 (upper right canine) with aesthetic and
  functional demands. The surgical treatment applied was made through the modified
  coronally advanced envelop flap associated to a connective tissue graft removed from
  the palate, with photobiomodulation with low power laser to improve tissue repair.
  Results were satisfying) in the immediate post-surgery, having in mind not only the

  patient’s aesthetic satisfaction, but, most importantly, the cessation of pain. Therefore, it
  was possible to conclude the case was successful, regarding its stability, proven by a 3
  years follow-up.