Howard Gluckman1, Jonathan Du Toit2,3, Carla Cruvinel Pontes3, Jos Hille4. 1. Private practice of periodontics and oral medicine - The Implant Clinic, The Implant & Aesthetic Academy, Cape Town, South Africa. 2. Resident, Department of Periodontics and Oral Medicine, University of Pretoria, Pretoria, South Africa. 3. The Implant & Aesthetic Academy, Cape Town, South Africa. 4. Department of Oral and Maxillofacial Pathology, University of the Western Cape, Cape Town, South Africa.
Abstract
INTRODUCTION: The indications for augmentation of gingival tissue by connective tissue graft (CTG) are numerous. The techniques are widely adopted with extensive literature reporting high success. Harvest techniques include the mid to anterior palate, versus the posterior palate and tuberosity. The latter comprises denser collagen, identified as a more suitable graft. Alas, rarely have hyperplastic responses been reported. CASE PRESENTATION: Two adult, Caucasian patients presented with clinical need for soft tissue augmentation. Autogenous tissue was opted for, harvesting from the tuberosity gingiva. De-epithelialized outside the mouth and inserted into envelope flaps, late healing resulted in hyperplastic gingival lesions. Neither lesion could be successfully removed, and biopsy for histopathological investigation was carried out. CONCLUSION: Hyperplastic response resulting from soft tissue augmentation with tuberosity CTG is rare but may occur. Laser or scalpel might not ensure complete removal. Informing the patient of this rare adverse effect may be important.
INTRODUCTION: The indications for augmentation of gingival tissue by connective tissue graft (CTG) are numerous. The techniques are widely adopted with extensive literature reporting high success. Harvest techniques include the mid to anterior palate, versus the posterior palate and tuberosity. The latter comprises denser collagen, identified as a more suitable graft. Alas, rarely have hyperplastic responses been reported. CASE PRESENTATION: Two adult, Caucasian patients presented with clinical need for soft tissue augmentation. Autogenous tissue was opted for, harvesting from the tuberosity gingiva. De-epithelialized outside the mouth and inserted into envelope flaps, late healing resulted in hyperplastic gingival lesions. Neither lesion could be successfully removed, and biopsy for histopathological investigation was carried out. CONCLUSION: Hyperplastic response resulting from soft tissue augmentation with tuberosity CTG is rare but may occur. Laser or scalpel might not ensure complete removal. Informing the patient of this rare adverse effect may be important.
Authors: Ripoll Silvestre; Fernández de Velasco-Tarilonte Angela; Bullón Beatriz; Ríos-Carrasco Blanca; Fernández-Palacín Ana Journal: Int J Environ Res Public Health Date: 2021-04-23 Impact factor: 3.390
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