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Gingival Coverage of Iatrogenically Denuded Labial Bone Resulting from Thermal Trauma

Authors
 Ui-Won Jung  ;  Chang-Sung Kim  ;  Seong-Ho Choi  ;  Sungtae Kim 
Citation
 INTERNATIONAL JOURNAL OF PERIODONTICS & RESTORATIVE DENTISTRY, Vol.33(5) : 635-639, 2013 
Journal Title
 INTERNATIONAL JOURNAL OF PERIODONTICS & RESTORATIVE DENTISTRY 
ISSN
 0198-7569 
Issue Date
2013
MeSH
Adult ; Alveolar Process/injuries* ; Alveolar Process/surgery* ; Burns/etiology* ; Burns/surgery* ; Connective Tissue/transplantation ; Female ; Gingiva/injuries* ; Gingival Recession/etiology ; Gingival Recession/surgery* ; Humans ; Iatrogenic Disease ; Necrosis ; Surgical Flaps ; Tooth Root/injuries* ; Tooth Root/surgery*
Keywords
Adult ; Alveolar Process/injuries* ; Alveolar Process/surgery* ; Burns/etiology* ; Burns/surgery* ; Connective Tissue/transplantation ; Female ; Gingiva/injuries* ; Gingival Recession/etiology ; Gingival Recession/surgery* ; Humans ; Iatrogenic Disease ; Necrosis ; Surgical Flaps ; Tooth Root/injuries* ; Tooth Root/surgery*
Abstract
Damage to periodontal tissue as a result of thermal injury often causes severe gingival recession and denuded alveolar bone. In this case report, two patients undergoing gingival coverage of iatrogenically denuded labial bone associated with the maxillary central incisor and the lateral incisor are presented. The first patient had gingival necrosis and labial alveolar bone exposure on the maxillary left central incisor and was referred from a local dental clinic. The patient had undergone root canal treatment 2 weeks previously. The gingival necrosis was assumed to be caused by a heated plugger. The denuded root surface was immediately covered by a laterally positioned flap over a connective tissue graft obtained from the palate. The gingival margin and overall appearance were symmetrically in harmony with those of the adjacent teeth. Another patient with the same symptoms and dental history was treated using the same procedure. Normal periodontal architecture was successfully reconstructed and maintained. In the cases presented, laterally positioned flap coverage over a subepithelial connective tissue graft was successfully applied to cover thermally injured bone and the root surface.
Full Text
http://prd.quintpub.com/abstract.php?article_id=13512#.U3v8nKizIyp
DOI
10.11607/prd.1024
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Periodontics (치주과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chang Sung(김창성) ORCID logo https://orcid.org/0000-0003-3902-1071
Jung, Ui Won(정의원) ORCID logo https://orcid.org/0000-0001-6371-4172
Choi, Seong Ho(최성호) ORCID logo https://orcid.org/0000-0001-6704-6124
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87615
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