Related Experiment Videos
Unique creeping attachment after autogenous gingival grafting: case report
Francisco J Otero-Cagide1, M Fermín Otero-Cagide
1Division of Periodontics, College of Dentistry, University of Saskatchewan, Saskatoon, Saskatchewan, Canada. otero@sask.usask.ca
Journal (Canadian Dental Association)
|July 26, 2003
Summary
A unique creeping gingival attachment formed on a restored maxillary molar after grafting. This rare root coverage on a multirooted tooth offers new insights into periodontal regeneration.
Area of Science:
- Periodontology
- Restorative Dentistry
- Gingival Grafting Techniques
Background:
- Gingival recession and root exposure are common complications in periodontally compromised teeth.
- Autogenous gingival grafting is a standard procedure for root coverage and treating gingival recession.
- Restored teeth, particularly multirooted molars, present unique challenges for periodontal regeneration.
Observation:
- A case report details a unique creeping gingival attachment developing mesiobuccally on a maxillary first molar.
- The recession defect was initially deep (3 mm) and wide, with an additional 2 mm of buccal recession.
- The tooth featured a full-crown gold restoration, adding complexity to the treatment site.
Findings:
- The creeping attachment achieved complete root coverage despite the significant recession and the presence of a full-crown restoration.
- This phenomenon of extensive creeping attachment on a restored, multirooted tooth is unprecedented in existing dental literature.
- The successful root coverage highlights the potential for unexpected regenerative outcomes in complex periodontal cases.
Implications:
- This case suggests that creeping attachment can occur to a significant degree even on restored multirooted teeth.
- It expands the understanding of root coverage potential following gingival grafting in challenging clinical scenarios.
- Further research is warranted to explore the mechanisms and predictability of creeping attachment in similar cases.