Buccal fat pad technique for maxillary posterior root coverage cases
Journal name: World Journal of Pharmaceutical Research
Original article title: Case series of pedicled buccal fat pad technique for root coverage for maxillary posterior teeth
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Dr. Samidha Vivek Jambhekar, Dr. Mona U. Shah, Dr. Vidhi Kevadia, Dr. Arush Shah, Dr. Yogesh Doshi and Dr. Pratik Parkarwar
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Case series of pedicled buccal fat pad technique for root coverage for maxillary posterior teeth
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr201815-13051
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
Introduction
Reconstruction of the gingiva plays a crucial role in periodontal treatment, particularly in addressing gingival recession, which can lead to a multitude of problems, such as root caries, attachment loss, and aesthetic concerns. Various surgical techniques have been employed to correct gingival defects, including soft tissue grafts and guided tissue regeneration. One innovative approach outlined in this case series is the use of the pedicled buccal fat pad for root coverage, specifically targeting Mahajan’s class III recession in maxillary posterior teeth. This technique leverages the unique properties of the buccal fat pad to promote better healing and aesthetic outcomes.
The Buccal Fat Pad and Its Benefits
The buccal fat pad, first anatomically described in the 18th century, consists mainly of fatty tissue and exhibits unique characteristics such as enhanced mobility between muscles and a rich blood supply. This anatomical structure is particularly advantageous for surgical applications due to its stability and reduced radiodensity. The fat pad’s vascular supply facilitates better healing and reduces infection risks. As a pedicled graft, it can be accessed easily during periodontal procedures, allowing for effective coverage of gingival recessions while eliminating the need for a secondary surgical site. Consequently, the choice of the buccal fat pad significantly enhances surgical outcomes when dealing with gingival defects in the posterior maxilla.
Surgical Technique and Case Outcomes
In the case series, a female patient with notable gingival recession underwent surgical intervention using the pedicled buccal fat pad approach. Following proper preparation and administration of local anesthesia, the surgical procedure involved making precise incisions to access the buccal fat pad, which was then harvested and positioned over the affected root surfaces. This technique was replicated in four additional cases, all presenting with Mahajan’s class III recession. Remarkably, postoperative evaluations revealed the successful formation of keratinized gingiva over the recession areas, with complete epithelialization of the fat pad observed within four weeks. This outcome underscores the efficacy of the technique in promoting healing and aesthetic restoration.
Advantages Over Conventional Techniques
The advantages of employing the pedicled buccal fat pad are multifaceted. Unlike free gingival grafts that may suffer from poor color matching and depend heavily on successful revascularization, the buccal fat pad's proximity to the surgical site allows for easier integration and healing. Additionally, the fat pad minimizes the risk associated with donor site morbidity often seen in other grafting techniques. The inherent vascularity of the buccal fat pad significantly enhances wound healing, providing a robust alternative for root-coverage procedures, particularly in cases of severe gingival recession in the posterior maxilla.
Conclusion
This case series illustrates the potential of the pedicled buccal fat pad as a viable treatment modality for managing maxillary posterior gingival defects associated with class III recession. Its anatomical advantages, coupled with the positive clinical outcomes demonstrated in the reported cases, position the buccal fat pad as an effective option in periodontal plastic surgery. Overall, the technique not only addresses functional concerns but also contributes to restoring the aesthetic integrity of the smile, making it an important consideration in contemporary periodontal practice.
FAQ section (important questions/answers):
What is the purpose of the pedicled buccal fat pad technique?
The purpose of this technique is to cover gingival recession, particularly in Mahajan’s class III recession on maxillary first molars, effectively helping to restore the gingival tissue.
What surgical steps are involved in this procedure?
The surgery involves making incisions, harvesting the buccal fat pad, and securing it over the exposed roots, along with thorough debridement of the affected area to ensure proper healing.
What results were observed after using the buccal fat pad?
Clinically significant keratinized gingiva covered the root recession successfully, with complete epithelialization of the fat surface occurring within four weeks post-surgery.
What are the advantages of using the buccal fat pad?
The buccal fat pad offers rapid healing, a rich blood supply, and a minimized risk of infection, making it an advantageous option compared to other grafting techniques.
How does the buccal fat pad contribute to periodontal regeneration?
The stem cells present in the pedicled buccal fat pad are believed to play a crucial role in periodontal regeneration, enhancing the recovery of gingival tissue in severe defect cases.
Are there any contraindications for using the buccal fat pad technique?
While effective for maxillary posterior defects, the pedicled buccal fat pad technique may not be suitable for anterior teeth or mandibular defects due to limited stability and vascularity.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Buccal fat pad technique for maxillary posterior root coverage cases”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Incision:
An 'incision' refers to a surgical cut made in the skin or tissue to facilitate surgical intervention. It is critical for accessing the area requiring treatment, such as in periodontal procedures. The type and placement of the incision directly affect the outcome, healing time, and aesthetics of the surgical site.
2) Solapur:
'Solapur' is a city in the state of Maharashtra, India, which serves as an important location for various educational and medical institutions, such as PDU Dental College mentioned in the study. It is significant for local healthcare, particularly in the fields of dentistry and periodontology discussed in the article.
3) Maharashtra (Maharastra, Maha-rashtra):
'Maharashtra' is a state in western India known for its diverse culture and economy. It is home to numerous medical and dental colleges, which contribute to advancements in healthcare. The research conducted in the article highlights practices and outcomes from institutions located in this state, emphasizing local medical developments.
4) Surface:
'Surface' in this context refers to the external layer of anatomical structures, such as gums or teeth. The condition of the surface is crucial for clinical outcomes in periodontal surgeries, as it determines healing, aesthetic appearance, and functionality of the site post-operative procedures as discussed in the case series.
5) Sah:
'Shah' is a surname associated with one of the authors, Dr. Mona U. Shah, who contributed to the study on using the buccal fat pad for periodontal procedures. The expertise and findings provided by Shah and her colleagues are important advancements in periodontology and serve to validate the methodology discussed.
6) Rich (Rch):
'Rich' in a medical context often describes abundant qualities or resources, such as vascular supply or healthy tissues in the body. In the article, the rich vascularity of the buccal fat pad is emphasized, which enhances healing and epithelialization during and after periodontal surgical procedures.
7) Inflammation:
'Inflammation' is a biological response to harmful stimuli, such as infection or tissue injury. It is characterized by redness, swelling, and pain. In periodontal treatments, controlling inflammation is essential for promoting healing and preventing further complications, as highlighted by the cases of gingival recession in the article.
8) Surrounding:
'Surrounding' describes the tissues or areas adjacent to the surgical site. In periodontal treatments, the condition of surrounding tissues can significantly impact healing outcomes and aesthetics. Healthy surrounding tissues contribute positively to the recovery process and overall success of procedures like grafting highlighted in the case series.
9) Measurement:
'Measurement' in a surgical context involves quantifying aspects of the anatomical structures, such as the depth of gingival recession. Accurate measurements are essential for treatment planning, evaluating surgical outcomes, and ensuring the effectiveness of interventions such as the buccal fat pad graft technique discussed in the article.
10) Discussion:
'Discussion' refers to the section of the article where the authors interpret and analyze their findings. This part contextualizes the results within existing literature, explores implications for clinical practices, and suggests future research directions. It is critical for validating the significance of the study's outcomes and procedures.
11) Medicine:
'Medicine' refers to the science of diagnosing, treating, and preventing diseases. In the context of this article, it encompasses the field of dentistry, particularly periodontology, where surgical techniques are applied to restore oral health. The applicability of the buccal fat pad in treatment reflects advancements in medical practice.
12) Dressing:
'Dressing' in a surgical context refers to a protective covering applied to a wound or surgical site. In periodontal procedures, dressings can help stabilize sites, protect them from infections, and promote healing. Recurring mentions of dressings in postoperative care highlight their importance in successful recovery from surgeries.
13) Quality:
'Quality' refers to the standard of something as measured against other things of a similar kind. In the study, quality can pertain to the effectiveness of the buccal fat pad technique in achieving successful gingival coverage. High quality in surgical outcomes correlates with patient satisfaction and functional dental health.
14) Hygiene (Hygienic):
'Hygiene' is related to practices that maintain health and prevent disease, especially through cleanliness. In periodontal treatments, patient hygiene is crucial both before and after surgical procedures. Proper hygiene protocols can minimize the risk of infections and enhance the healing process for grafted sites indicated in the article.
15) Reason:
'Reason' denotes a cause or explanation for an action or event. In the context of surgical techniques, having a reason for choosing a particular method, such as using the buccal fat pad for root coverage, is vital. The article provides rationales for surgical choices based on clinical results and benefits to patients.
16) Vidhi:
'Vidhi' refers to Dr. Vidhi Kevadia, one of the authors of the study. Her contributions to the research emphasize the importance of collaborative efforts in medical studies. The presence of multiple experts enhances the reliability of findings and the validity of the techniques discussed in the article.
17) Arush (Arus):
'Arush' is another author of the study, specifically Dr. Arush Shah. His involvement adds value to the research through specialized knowledge and collective problem-solving in periodontology. Author contributions in academic publications often reflect the interdisciplinary nature of medical research, as shown in this article.
18) Blood:
'Blood' is the fluid that circulates in the vascular system, delivering essential nutrients and oxygen. In periodontal procedures, blood supply is critical for healing; the rich vascular network around tissues like the buccal fat pad supports graft viability, promoting rapid recovery and integration, as discussed in the study.
19) Doshin (Dosin, Dosi, Doshi):
'Doshi' is the surname of Dr. Yogesh Doshi, one of the co-authors. His academic and clinical expertise contributes to the legitimacy of the research findings. Collaboration among authors with diverse backgrounds is essential for comprehensive insights into the effectiveness of the surgical techniques presented.
20) Post:
'Post' indicates the period following a surgical procedure. Post-operative care is crucial for ensuring healing and success of surgeries. It includes monitoring outcomes, managing pain, and providing guidance to patients regarding care of the surgical site, aspects that were outlined throughout the article's case series.
21) Pur:
'Poor' describes an inadequate state of quality or condition. In the context of periodontal treatments, it can refer to unfavorable outcomes such as tissue loss or healing complications. The article contrasts the 'poor' results of some traditional methods with the more favorable outcomes observed using the buccal fat pad technique.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Buccal fat pad technique for maxillary posterior root coverage cases’. Further sources in the context of Science might help you critically compare this page with similair documents:
Oral hygiene, Epithelization, Surgical Procedure, Gingival Recession, Surgical technique, Pedicled buccal fat pad, Periodontal treatment, Keratinized gingiva, Maxillary posterior teeth, Buccal fat pad, Grafted area, Thermal sensitivity, Post-operative instructions, Root coverage.