Uso de matriz dérmica acelular xenógena em recessão gengival unitária: relato de caso com um ano de acompanhamento

Relato de caso apresenta o tratamento de uma recessão gengival unitária com o uso de matriz dérmica acelular xenógena associado à técnica de retalho posicionado coronariamente.

AUTORES

Laís Fernanda Ferreira Ferraz
Mestra e doutoranda na área de Periodontia do programa de Biopatologia Bucal – ICT/Unesp.
Orcid: 0000-0003-4486-6335.

Manuela Maria Viana Miguel
Mestra e doutoranda na área de Periodontia do programa de Biopatologia Bucal – ICT/Unesp.
Orcid: 0000-0003-4828-3487.

Amanda Rossato
Mestra e doutoranda na área de Periodontia do programa de Biopatologia Bucal – ICT/Unesp.
Orcid: 0000-0001-9354-9446.

Manuela Bafini Fonseca
Mestra em Odontologia Restauradora e doutora em Periodontia – ICT/Unesp.
Orcid: 0000-0001-9540-7388.

Cristhian Reynaldo Gomez Bautista
Mestre em Patologia e doutor em Periodontia do programa de Biopatologia Bucal – ICT/Unesp.
Orcid: 0000-0002-1732-0313.

Ingrid Fernandes Mathias-Santamaria
Professora colaboradora na área de Periodontia do programa de Biopatologia Bucal – ICT/Unesp.
Orcid: 0000-0003-2518-0135.

Mauro Pedrine Santamaria
Professor livre-docente na disciplina de Periodontia e do programa de Biopatologia Bucal – ICT/Unesp.
Orcid: 0000-0001-9468-0729.

RESUMO

O objetivo do presente relato de caso foi apresentar o tratamento de uma recessão gengival unitária com o uso de matriz dérmica acelular xenógena (XDM) associado à técnica de retalho posicionado coronariamente (CAF). O paciente procurou atendimento odontológico devido à insatisfação estética com o dente canino superior esquerdo, que apresentava uma recessão gengival RT1 de 3,25 mm de altura e ligeira lesão cervical não cariosa (LCNC) do tipo B+, comprometendo menos de 0,25 mm do esmalte. O procedimento cirúrgico foi realizado através da técnica CAF associada ao uso de XDM, de acordo com as instruções do fabricante. O paciente recebeu os devidos cuidados pós-operatórios e foi acompanhado regularmente para manutenção dos cuidados bucais posteriores. As medidas clínicas foram realizadas novamente após seis meses e um ano da terapia cirúrgica. Após um ano de acompanhamento, concluiu-se que a associação entre CAF e XDM proporcionou recobrimento radicular completo e resultados estáveis dentro do período observado.

Palavras-chave – Recessão gengival; Xenoenxertos.

ABSTRACT

The aim of the present case report was to present the treatment of a single gingival recession with xenogeneic acelular dermal matrix (XDM) associated with coronary positioned flap technique (CAF). The patient sought dental care due to esthetics complaints related to upper left canine, which had presented RT1 gingival recession with 3,5 mm of height and B+ non-carious cervical lesion associated affecting less than 0,25 mm of enamel. Root coverage procedure was performed by means CAF associated with XDM following manufacture’s instruction. The patient received adequate postoperative care and was regularly scheduled for supportive care. Clinical measurements were performed at baseline, 6-months, and 1-year of follow-up. After 1 year of follow-up, it could be concluded that the association between CAF and XDM was able to provide complete root coverage and stable outcomes within the observed time period.

Key words – Gingival recession; Heterografts.

Recebido em mar/2020
Aprovado em mai/2020

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