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Multidisciplinary Approach to Cover an Apex-Exposed Tooth: A Case Report after 6-Year Follow-Up
- Source :
- Case Reports in Dentistry, Vol 2019 (2019), Case Reports in Dentistry
- Publication Year :
- 2019
- Publisher :
- Hindawi Limited, 2019.
-
Abstract
- Introduction. The prognosis for a successful treatment of gingival recessions (GRs) is one of the main criteria for deciding whether or not and how to perform root coverage surgery. The defect-related factors are the most important to predict root coverage outcomes. Thus, severe GR could make the root coverage (RC) challenging especially in cases with advanced interdental clinical attachment loss (ICAL). Case Presentation. This case report demonstrates a challenging management of a deep localized Miller Class III GR with root apex exposure associated with ICAL. After initial therapy, the treatment had consisted of a multidisciplinary approach involving endodontic treatment, periodontal plastic surgery including a laterally positioned flap, and orthodontic treatment. The 6-year follow-up showed improvement in clinical outcomes (recession reduction (RR) and keratinized tissue (KT) augmentation) and a higher patient satisfaction. Conclusions. This case report demonstrates the role of the multidisciplinary approach in the management of deep GRs associated with ICAL. A rational choice of the RC technique was critical to achieve good clinical outcomes.
- Subjects :
- 0303 health sciences
medicine.medical_specialty
business.industry
medicine.medical_treatment
Dentistry
Interdental consonant
Case Report
RK1-715
030206 dentistry
Root apex
Apex (geometry)
03 medical and health sciences
Plastic surgery
0302 clinical medicine
Patient satisfaction
Clinical attachment loss
Multidisciplinary approach
medicine
business
General Dentistry
Reduction (orthopedic surgery)
030304 developmental biology
Subjects
Details
- ISSN :
- 20906455 and 20906447
- Volume :
- 2019
- Database :
- OpenAIRE
- Journal :
- Case Reports in Dentistry
- Accession number :
- edsair.doi.dedup.....e9fccc34ca884d58a8053b1c0999a669
- Full Text :
- https://doi.org/10.1155/2019/8020747