Use of the pericoronal tissue of impacted third molar in subgingival connective tissue autograft: A case report
| Autor: | Alice Becker, Nabil Benahmed, Julie Guillet, Rémi Curien, Jean-François Garnier |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Molar
medicine.medical_treatment Dentistry Connective tissue Case Report Case presentation Crown (dentistry) Subepithelial autograft 03 medical and health sciences 0302 clinical medicine stomatognathic system Case-report Medicine Surgical treatment Pericoronal tissue Dental follicle Periodontal recession business.industry stomatognathic diseases medicine.anatomical_structure Attached gingiva 030220 oncology & carcinogenesis Dental eruption 030211 gastroenterology & hepatology Surgery business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Introduction and importance The pericoronal tissue, or dental follicle, is a connective tissue found around impacted teeth crown. The dental follicle is involved in odontogenesis, dental eruption and periodontogenesis. Case presentation A young woman presented a vestibular U-shaped periodontal recession localized in tooth 26. After consent the patient underwent a local intervention combining the extraction of her included 28 and a mucogingival management of her periodontal recession localized in 26, using the pericoronary sac of the tooth of 28 has been used as a subepithelial connective autograft. The results 6 weeks after surgery showed a significant gain in thickness and a gain in height of attached gingiva of 26. Clinical discussion The success of the use of pericoronary sac in subepithelial connective autograft may allow to spare the use of a healthy harvesting site. Furthermore, the dental follicle is often available in young patients with prophylactic extraction of impacted 3rd molars. However, one pericoronary sac may provide enough connective tissue, only for the surgical treatment of a unique recession site. Conclusion The use of the pericoronal sac has shown promising results in the treatment of periodontal recessions. Wider applications could be investigated using the pericoronal sac in the future. Highlights • The pericoronal tissue may be used in subepithelial autografting technics. • The pericoronal tissue has the great histophysiological potential of pluripotent cells. • Pericoronal tissues are easily collected in young patients. • The use of pericoronal tissue may replace other conjonctive sampling methods. |
| Databáze: | OpenAIRE |
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