Absceso gingival después de aumento de reborde alveolar con técnica en rollo modificada. Reporte de caso / Gingival Abscess after Alveolar Ridge Increase with Modified Roll Technique: A Case Report

Pablo Emilio Molano Valencia, Bibiana Inés Yepes Ramírez, Alix María Varela Peñaranda

Abstract


RESUMEN. Antecedentes: La técnica en rollo modificado se ha utilizado ampliamente para mejorar el aspecto estético de las deficiencias de rebordes alveolares durante el tratamiento de rehabilitación y disminuir dolor posoperatorio. Objetivo: Describir un caso clínico en el que se realizó un aumento del reborde alveolar por medio de técnica en rollo modificada y se presentó un absceso durante las primeras semanas posoperatorias. Se describe también manejo clínico del caso. Resultados: Después del diagnóstico clínico y microbiológico, se realizó tratamiento antibiótico. En el control a los cuatro meses se observó resolución completa del absceso.

ABSTRACT. Background: The modified roll technique has been widely used to improve the aesthetic appearance of alveolar ridge deficiencies during the oral rehabilitation treatments and to reduce postoperative pain. Purpose: To describe a case of alveolar ridge increase through modified roll technique and an abscess that occurred during the initial postoperative weeks. The clinical treatment of the case is also described. Results: After clinical and microbiological diagnosis, the patient underwent antibiotic therapy. Four-month follow-up showed complete resolution of the abscess. 


Keywords


cirugía oral; patología oral; absceso gingival; etiología; reborde alveolar; signos y síntomas; técnica rollo modificada

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References


Seibert J. Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts. Part I. Technique and wound healing. Compend Contin Educ Dent. 1983 Sep-Oct; 4(5): 437-53.

Allen EP, Gainza CS, Farthing GG, Newbold DA. Improved technique for localized ridge augmentation. A report of 21 cases. J Periodontol. 1985; 56: 195-9.

Studer S, Naer F, Schärer P. Adjustment of localized alveolar ridge defects by soft tissue transplantation to improve mucogingival esthetics: a proposal for clinical classification and an evaluation of procedures. Quintessence Int. 1997; 28: 785-805.

Abrams L. Augmentation of the deformed residual edentulous ridge for fixed prosthesis. Compend Contin Educ Gen Dent. 1980; 1: 205-13.

Scharf D, Tarnow D. Modified roll technique for localized alveolar ridge argumentation. Int J Periodont Res Dent. 1992; 12: 415-25.

Barone R, Clauser C, Prato GP. Localized soft tissue ridge augmentation at phase two implant surgery: a case report. Int J Periodontics Restaurative Dent. 1999; 19: 141-5.

Gasparini DO. Double-fold connective tissue pedicle graft: a novel approach for ridge augmentation. Int J Periodontics Restaurative Dent. 2004; 24: 280-7.

Langer B, Calagna LJ. The subepithelial connective tissue graft. A new approach to the enhancement of anterior cosmetics. Int J Periodontics Restorative Dent. 1982; 22-33.

Kaldahl WB, Tussing GJ, Wents FM, Walker JA. Achieving an esthetic appearance with a fixed prosthesis by submucosal grafts. J Am Dent Assoc. 1982; (104): 449-52.

Seibert JS. Reconstruction of deformed, partially edentulous ridges, using full thickness onlay grafts. Part II. Prosthetic/periodontal interrelationships. Compend Contin Educ Dent. 1983; 4 (6): 549-62.

Seibert JS, Louis JV. Soft tissue ridge augmentation utilizing a combination onlay-interpositional graft procedure: a case report. Int J Periodontics Restorative Dent. 1996; 16(4): 310-21.

Smukler H, Chaibi M. Ridge augmentation in preparation for conventional and implant-supported restorations. Compend Contin Educ Dent. 1994; (Suppl 18): S706-S710.

Broome WC, Taggart EJ Jr. Free autogenous connective tissue grafting. Report of two cases. J Periodontol. 1976: 47: 580-5.

Seibert JS, Lindhe J. Esthetics in periodontal therapy. In: Lindhe J, Karring T, Lang N (editors). Clinical periodontology and implant dentistry (pp. 647-81). Third edition. Copenhagen, Denmark: Munksgaard; 1997.

Seibert JS, Salama H. Alveolar ridge preservation and reconstruction. Periodontology 2000 1996; 11: 69-84.

El-askary AS. Use of connective tissue graft to enhance the esthetic outcome of implant treatment. A clinical report of two patients. J Prosthet Dent. 2002; 87: 129-32.

Vastardis S, Yukna RA. Gingival/soft tissue abscess following a subepithelial connective tissue graft for root coverage. Report of three cases. J Periodontol. 2003; 74: 1676-81.

Meng HX. Periodontal abscess. Ann Periodontol.1999; 4: 79-82.

Harris RJ. Formation of a cyst-like area after a connective tissue graft for root coverage. J Periodontol. 2002; 73: 340-5.

Breault LG, Billman MA, Lewis DM. Report of a gingival “surgical cyst” developing secondarily to a subepithelial connective tissue graft. J Periodontol. 1997; 68: 392-5.

Koutlas IG, Gillum RB, Harris MW, Brown BA. Surgical (implantation) cyst of the mandible with ciliated respiratory epithelial lining. A case report. J Oral Maxillofac Surg. 2002; 60: 324-5.

Spouge JD. The rests of Malassez and chronic marginal periodontitis. J Clin Periodontol. 1984; 11: 340-7.

Nxumalo TN, Shear M. Gingival cyst in adults. J Oral Pathol Med. 1992; 21: 309-13.

Newman MG, Takei HH, Carranza FA (editors). Clinical periodontology. Ninth edition. Philadelphia, PA, USA: Saunders; 2002.

Ohayoun JP, Khattab R, Serfary R, Feghaly-Assaly M, Sawaf MH. Chemically separated connective tissue grafts. Clinical application and histological evaluation. J Periodontol. 1993; 64: 734-8.

Bahn IT, Roxson AW, Yukna RA. Evaluation of the purposeful implantation of epithelium on root surfaces under periodontal flaps. Int J Periodontics Restorative Dent. 1987; 7(2): 68-76.

Selvig KA, Biagiotti GR, Leknes KN, Wikesjö UM. Oral tissue reactions to suture materials. Int J Periodontics Restorative Dent. 1998; 18: 474-87.

Mayer RD, Antonini CJ. A Review of suture materials. Part I. Compendium. 1989; 10: 260-4.

Taylor MS, Daniels AU, Andriano KP, Heller J. Six bioabsorbable polymers. In vitro acute toxicity of accumulated degradation products. J Appl Biomater. 1994; 5: 151-7.

Athanasiou KA, Niederauer GG, Agrawal CM. Sterilization, toxicity, biocompatibility and clinical applications of polylactic acid/polyglycolic acid copolymers. Biomaterials 1996; 17: 93-102.

Blomstedt B, Osterberg B, Bergstrand A. Suture material and bacterial transport. An experimental study. Acta Chir Scand. 1977; 143(2): 71-3.

Hsu TC, Wang CL, Wang TG, Shieh FJ. Sonographic detection of a stitch abscess. J Clin Ultrasound. 1998; 26: 225-7.

Canady JW, Zeitler DP, Thompson SA, Nicholas CD. Suitability of the iliac crest as a site for harvest of autogenous bone grafts. Cleft Palate Craniofac J. 1993; 30: 579-81.




DOI: http://dx.doi.org/10.11144/Javeriana.uo36-77.agar

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