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Advisor(s)
Abstract(s)
Resumo: Os avanços na cirurgia plástica periodontal e as diversas opções terapêuticas
que esta oferece, permitem actualmente, a resolução de defeitos periodontais em
pacientes cada vez mais atentos e preocupados com a estética.
A recessão gengival é uma condição que afecta um vasto número de indivíduos e
que para além de resultar num défice estético, traz consigo implicações fisiológicas
relevantes tais como o aumento do potencial de cárie radicular e de abrasão das
superfícies radiculares, hipersensibilidade e maior probabilidade de acumulação de
placa bacteriana nos locais afectados.
Aplicada ao tratamento de recessões gengivais, a cirurgia plástica periodontal
permite, com um vasto leque de técnicas ao dispor do clínico, o recobrimento radicular
com garantias de bom prognóstico sustentado por evidência científica.
Cabe ao profissional de saúde oral, devidamente qualificado, seleccionar de
entre as opções de tratamento cirúrgico que dispõe, a melhor forma de tratamento para
cada situação que lhe é proposta tendo em conta o tipo de recessão gengival, as
características periodontais do indivíduo e as expectativas de cada paciente.
Na presente dissertação, apresenta-se uma vasta revisão bibliográfica de todos os
assuntos inerentes ao tratamento da recessão gengival e procura-se demonstrar, através
da selecção de casos clínicos, abordagens cirúrgicas possíveis para a resolução dos
casos apresentados
Abstract: Advances in periodontal plastic surgery and the treatment options it offers, makes possible the resolution of periodontal defects in patients increasingly aware and concerned about the aesthetic of their smile. Gingival recession is a condition which affects a vast number of individuals and often results in a aesthetic deficit for the smile, bringing important physiological implications such as the increased potential for root caries and root surface abrasion, hypersensitivity and increased of plaque accumulation in the affected sites, Applied to the treatment of gingival recession, periodontal plastic surgery, with a wide range of techniques available to the clinician, allows root coverage with guarantees of good prognosis supported by scientific evidence. The qualified oral health professional should select from the surgical treatment options available the best treatment for each situation, taking into account the type of gingival recession, periodontal characteristics of the individual and the expectations of each patient. In this paper, is presented an extensive literature review of all matters relating to the treatment of gingival recession and demonstrated, through the selection of clinical cases, surgical approaches possible to solve the cases presented.
Abstract: Advances in periodontal plastic surgery and the treatment options it offers, makes possible the resolution of periodontal defects in patients increasingly aware and concerned about the aesthetic of their smile. Gingival recession is a condition which affects a vast number of individuals and often results in a aesthetic deficit for the smile, bringing important physiological implications such as the increased potential for root caries and root surface abrasion, hypersensitivity and increased of plaque accumulation in the affected sites, Applied to the treatment of gingival recession, periodontal plastic surgery, with a wide range of techniques available to the clinician, allows root coverage with guarantees of good prognosis supported by scientific evidence. The qualified oral health professional should select from the surgical treatment options available the best treatment for each situation, taking into account the type of gingival recession, periodontal characteristics of the individual and the expectations of each patient. In this paper, is presented an extensive literature review of all matters relating to the treatment of gingival recession and demonstrated, through the selection of clinical cases, surgical approaches possible to solve the cases presented.
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Keywords
Cirurgia plástica periodontal Anatomia do periodonto Recessões gengivais Classificação das recessões gengivais Cicatrização pós cirúrgica Enxerto autógeno gengival Cirurgia mucogengival Periodontal plastic surgery Anatomy of the periodontum Gingival recession Classification of gingival recession Post surgical wound healing Gingival autograft Mucogingival surgery Creping attachment.