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Case Reports
. 2019 Dec 30:2019:1049453.
doi: 10.1155/2019/1049453. eCollection 2019.

Treatment of Miller Class I Gingival Recession with Using Nonpedicle Adipose Tissue after Bichectomy Surgical Technique: A Case Report

Carmen Lucia Mueller Storrer  1 , Leonardo Luiz Muller  1 , Janes Francio Pissaia  1 , Carla Frehner Andrade  1 , Claudia Roberta Tenório Trevisani  1 , Tatiana Miranda Deliberador  1
Affiliations
Case Reports

Treatment of Miller Class I Gingival Recession with Using Nonpedicle Adipose Tissue after Bichectomy Surgical Technique: A Case Report

Carmen Lucia Mueller Storrer et al. Case Rep Dent. .

Abstract

Gingival recession is an oral health problem that affects a large part of the population. Several treatments are suggested in the current literature; among them is the use of buccal fat pad grafting. The objective of this case report is to describe the treatment of a Miller Class I gingival recession using a nonpedicled buccal fat pad graft immediately after performing the surgery for buccal fat pad removal (bichectomy technique). First, bilateral surgical removal of the buccal fat pad was performed with the main objective of eliminating oral mucosa biting. The recipient site was prepared to receive a portion of the fat pad that was cut and macerated in a size that was sufficient to cover the recession. The patient was followed up at 15, 30, 60, and 365 days postsurgery, and the results showed an elimination of the oral mucosa biting and complete coverage of the gingival recession. It was concluded that the nonpedicled buccal fat pad graft is another option for the treatment of Miller Class I recessions.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
The clinical exam confirmed the face rounded and the indication for Bichectomy technique.
Figure 2
Figure 2
Miller Class I gingival recession on the maxillary left canine (recipient site).
Figure 3
Figure 3
The incision location in donor site: vestibule fundus, at the distal caries of the second molar with a 30 mm distance from the vestibule and above the parotid duct.
Figure 4
Figure 4
Extension of the incision: from the distal caries of the second molar to the mesial caries of the first molar.
Figure 5
Figure 5
Removal of the buccal extension of the Bichat ball.
Figure 6
Figure 6
Simple suture in donor site with 4.0 silk thread.
Figure 7
Figure 7
Preparation of the recipient site: with an intrasulcular incision and two diverging vertical incisions up to the alveolar mucosa.
Figure 8
Figure 8
Scaled and planned with 5-6 Gracey curettes in canine root prior to receiving graft of adipose tissue.
Figure 9
Figure 9
Macerated portion of the buccal fat pad cover of the recipient site.
Figure 10
Figure 10
Flap coronally positioned and anchored with simple and suspension sutures.
Figure 11
Figure 11
Removal of sutures 15 days postoperatively.
Figure 12
Figure 12
30-day postoperative follow-up.
Figure 13
Figure 13
60-day postoperative follow-up.
Figure 14
Figure 14
1-year postoperative follow-up.
See this image and copyright information in PMC

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