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Hard tissue augmentation to minimize a risk of buccal gingival recession in lower anterior teeth associated with orthodontic treatment: case report

J Korean Dent Assoc > Volume 56(4); 2018 > Article
The Journal of The Korean Dental Association 2018;56(4):208-216.
Published online April 30, 2018.
교정 치료와 관련된 하악 전치부 협측 치은 퇴축의 위험성을 최소화하기 위한 골이식 : 증례보고
유지수1, 백승진2, 정재숙3, 지숙4
1아주대학교 치과병원 치주과
2아주대학교 치과병원 치주과
3아주대학교 치과병원 치주과
4아주대학교 치과병원 치주과
Hard tissue augmentation to minimize a risk of buccal gingival recession in lower anterior teeth associated with orthodontic treatment: case report
Ji-Soo Yoo1, Seung-Jin Baek2, Jae-Suk Jung3, Suk Ji4
1Department of Periodontology, Ajou University School of Medicine
2Department of Periodontology, Ajou University School of Medicine
3Department of Periodontology, Ajou University School of Medicine
4Department of Periodontology, Ajou University School of Medicine
Abstract
Patients with malocclusion may present with preexisting mucogingival problems susceptible to attachment loss during or after orthodontic treatment. Lower anterior teeth especially show a high prevalence of gingival recession following orthodontic treatment. This case report demonstrates hard tissue augmentation of labially thin or deficient alveolar bone (dehiscences and fenestrations) to prevent attachment loss during or after orthodontic treatment. Three patients presented clinically prominent root surfaces and dehiscences and fenestrations on cone-beam computed tomography (CBCT) in lower anterior teeth. Labial hard tissue augmentation of lower anterior teeth was performed with deproteinized bovine bone mineral and collagen membrane. Six months later, hard tissue augmentation reduced root prominence and created a greater volume of hard tissue on lower anterior area in clinical and radiographic findings. Hard tissue augmentation using xenograft could prevent attachment loss associated with orthodontic treatment and maintain stability of healthy periodontium.
Key Words: Orthodontic treatment;Gingival recession;Dehiscences;Fenestrations;Hard tissue augmentation;Conebeam computed tomography (CBCT);


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