Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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CASE REPORT
Year : 2016  |  Volume : 20  |  Issue : 2  |  Page : 216-219

Pedicled buccal fat pad graft for root coverage in severe gingival recession defect


1 Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Khandagiri Square, Bhubaneswar, Odisha, India
2 Department of Medicine, Surgery and Dentistry, University of Milan, Milano, Italy

Correspondence Address:
Dr. Saurav Panda
Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha 'O' Anusandhan University, Khandagiri Square, Bhubaneswar - 751 003, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-124X.170844

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Gingival recession (GR) is a condition resulting in root exposure which leads to root sensitivity, pain, root caries, plaque retention, poor esthetics, and tooth loss. Sites exhibiting Miller Class III and IV GR are not suitable for treatment with surgical root coverage techniques, and their prognosis are very poor with current techniques. In this case report, pedicled buccal fat pad (PBFP) was employed as subepithelial graft technique for root coverage of maxillary tooth with Class III GR defect along with furcation involvement and the absence of keratinized gingiva. PBFP as the subepithelial graft is likely to increase the predictability and outcome of root coverage procedures in the treatment of cases with poor prognosis, owing to its pedicled vascularity. PBFP may be considered as a reliable modality for root coverage of such severe maxillary posterior GR defects, as reported, that could not be repaired by other conventional procedures.


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