Subepithelial connective tissue graft for root coverage and histologic evaluation:  clinical case reports - A Case Series

Zaklina Menceva; Stavre  Trajculeski; Mirjana  Markovska Arsovska; Daniela  Veleska Stevkovska; Biljana   Rusevska; Spiro  Spasovski; Mirjana  Popovska

doi:10.5937/mckg58-50317

Zaklina Menceva Facultyod Dentale Medicine, MIT University
Stavre Trajculeski 2. University Dental Clinical Center „Saint Pantelejmon”, Department of Oral Surgery and Implantology, Skopje, North Macedonia,
Mirjana Markovska Arsovska Faculty of Medical Sciences,University Goce Delcev, Shtip, North Macedonia
Daniela Veleska Stevkovska Saints Cyril and Methodius University of Skopje , Faculty of Dentistry, Skopje, North Macedonia,
Biljana Rusevska University Dental Clinical Center „Saint Pantelejmon”, Department of Oral and Periodontal Diseases, Skopje, North Macedonia
Spiro Spasovski Saints Cyril and Methodius University of Skopje , Faculty of Dentistry, Skopje, North Macedonia,
Mirjana Popovska Faculty of Dental Medicine, MIT University, University Dental Clinical Center „Saint Pantelejmon”, Department of Oral and Periodontal Diseases, Skopje, North Macedonia

DOI: https://doi.org/10.5937/mckg58-50317

Keywords: gingival recession, elastic fibers, collagen fibers, connective tissue

Abstract

Abstract

The goal of periodontal surgery is to cover the exposed root completely or partially in teeth with gingival recession. This correction is important from an aesthetic and a functional point of view. Periodontal regeneration is visible only through histologic analysis. Histologic analysis can reveal the arrangement of the cells embedded in the periodontal-tissue attachment. Micro punch gum technique (2 mm) was used for biopsy. Three patients with gingival recessions were treated with subepithelial connective tissue graft (CTG) and clinical parameters and histological results were recorded. Complete coverage of the exposed root part was obtained in the three cases, and the histologic analysis revealed a selective settlement with ligament cells that are typical for the formation of connective tissue in periodontal regeneration. Histologic analysis showed keratinized sulcular epithelium with thin and tall extensions into the gingival connective tissue and a junctional epithelium which extended to new cementum. Also increased number of blood vessels and new insertion of the connective tissue was observed. If the clinical goal of periodontal surgery is complete coverage of gingival recessions, then the goal at the microscopic level is to obtain true periodontal regeneration.

Key words: gingival recession, elastic fibers, collagen fibers, connective tissue.

References

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