Root Coverage in an HIV-Positive Individual: Combined Use of a Lateral Sliding Flap and Resin-Modified Glass Ionomer for the Management of an Isolated Severe Recession Defect
Identifieur interne : 001D41 ( Main/Exploration ); précédent : 001D40; suivant : 001D42Root Coverage in an HIV-Positive Individual: Combined Use of a Lateral Sliding Flap and Resin-Modified Glass Ionomer for the Management of an Isolated Severe Recession Defect
Auteurs : Shilpa Kolhatkar [États-Unis] ; Shaziya A. Haque [États-Unis] ; James R. Winkler [États-Unis] ; Monish Bhola [États-Unis]Source :
- Journal of periodontology : (1970) [ 0022-3492 ] ; 2010.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme, Résine, Matériau composite.
English descriptors
- KwdEn :
Abstract
Background: Gingiual recession is a frequent clinical finding in the general population. Exposed root surfaces are more likely to develop root sensitivity and root caries and pose esthetic concerns for the patient. Most root coverage procedures have been described on non-restored root surfaces. Limited data are available that describe root coverage procedures on restored root surfaces. To our knowledge, this is the first case report in which a severe recession defect and its associated carious lesion were managed using the combination of a lateral sliding flap and a resin-modified glass ionomer restoration in an HIV-positiue indiuidual. Methods: A 53-year-old male patient with a 25-year history of HIV infection presented for comprehensive care. The facial surface of tooth #22 had a fractured composite restoration, recurrent decay, and a Miller Class III recession defect. The lesion was restored with resin-modified glass ionomer and root coverage was obtained by a lateral sliding flap mobilized from the adjacent edentulous ridge. After 8 weeks, surgical access was used to correct a previously undetected void in the restoration. Results: Uneventful healing was observed at the 1-, 4-, 8-, 10-, 12-, and 24-week postoperatiue visits. Root coverage of 5 mm along with a 2-mm band of keratinized tissue was obtained at 24 weeks. The gingiva displayed no signs of inflammation and was tightly adapted to the root surface with minimal probing depths circumferentially. Conclusion: Successful root coverage was obtained on a resin-modified glass ionomer-restored surface in an HIV-positive individual.
Affiliations:
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Haque</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Periodontology and Dental Hygiene, School of Dentistry, University of Detroit Mercy</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Winkler, James R" sort="Winkler, James R" uniqKey="Winkler J" first="James R." last="Winkler">James R. Winkler</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Periodontology and Dental Hygiene, School of Dentistry, University of Detroit Mercy</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author><author><name sortKey="Bhola, Monish" sort="Bhola, Monish" uniqKey="Bhola M" first="Monish" last="Bhola">Monish Bhola</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Periodontology and Dental Hygiene, School of Dentistry, University of Detroit Mercy</s1><s2>Detroit, MI</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Journal of periodontology : (1970)</title><title level="j" type="abbreviated">J. periodontol. : (1970)</title><idno type="ISSN">0022-3492</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of periodontology : (1970)</title><title level="j" type="abbreviated">J. periodontol. : (1970)</title><idno type="ISSN">0022-3492</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Composite material</term><term>Dentistry</term><term>Gingiva</term><term>Human</term><term>Human immunodeficiency virus</term><term>Lateral</term><term>Resins</term><term>Sliding flap</term><term>Tooth root</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>SIDA</term><term>Lambeau glissement</term><term>Traitement</term><term>Racine dentaire</term><term>Homme</term><term>Latéral</term><term>Virus immunodéficience humaine</term><term>Résine</term><term>Matériau composite</term><term>Gencive</term><term>Dentisterie</term><term>Verre ionomère</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term><term>Résine</term><term>Matériau composite</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Gingiual recession is a frequent clinical finding in the general population. Exposed root surfaces are more likely to develop root sensitivity and root caries and pose esthetic concerns for the patient. Most root coverage procedures have been described on non-restored root surfaces. Limited data are available that describe root coverage procedures on restored root surfaces. To our knowledge, this is the first case report in which a severe recession defect and its associated carious lesion were managed using the combination of a lateral sliding flap and a resin-modified glass ionomer restoration in an HIV-positiue indiuidual. Methods: A 53-year-old male patient with a 25-year history of HIV infection presented for comprehensive care. The facial surface of tooth #22 had a fractured composite restoration, recurrent decay, and a Miller Class III recession defect. The lesion was restored with resin-modified glass ionomer and root coverage was obtained by a lateral sliding flap mobilized from the adjacent edentulous ridge. After 8 weeks, surgical access was used to correct a previously undetected void in the restoration. Results: Uneventful healing was observed at the 1-, 4-, 8-, 10-, 12-, and 24-week postoperatiue visits. Root coverage of 5 mm along with a 2-mm band of keratinized tissue was obtained at 24 weeks. The gingiva displayed no signs of inflammation and was tightly adapted to the root surface with minimal probing depths circumferentially. Conclusion: Successful root coverage was obtained on a resin-modified glass ionomer-restored surface in an HIV-positive individual.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Michigan</li></region></list><tree><country name="États-Unis"><region name="Michigan"><name sortKey="Kolhatkar, Shilpa" sort="Kolhatkar, Shilpa" uniqKey="Kolhatkar S" first="Shilpa" last="Kolhatkar">Shilpa Kolhatkar</name></region><name sortKey="Bhola, Monish" sort="Bhola, Monish" uniqKey="Bhola M" first="Monish" last="Bhola">Monish Bhola</name><name sortKey="Haque, Shaziya A" sort="Haque, Shaziya A" uniqKey="Haque S" first="Shaziya A." last="Haque">Shaziya A. Haque</name><name sortKey="Winkler, James R" sort="Winkler, James R" uniqKey="Winkler J" first="James R." last="Winkler">James R. Winkler</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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