Reparo dos tecidos periodontais após cirurgia ressectiva: relato de caso clínico / Repair of periodontal tissues following ressective surgery: a case report

ABSTRACT

The aim of this study was to demonstrate the reestablishment of the biological width with periodontal surgery and follow up the positional changes of the gingival and bone tissues after a six-month healing period. The measures of gingival margin, level of relative attachment, mucogingival junction, cervical preparation cavity were obtained before full-thickness flap with osteotomy and osteoplasty, and repeated in the postoperative. Radiographs were made to verify the formation of lamina dura at that period of evaluation. The results have showed: 1) mucogingival junction without major changes after 6 months, 2) mean of level of relative attachment 0,5 mm; 3) coronary migration of gingival margin at the 2-month and stabilization at the 4-month periods; 4) stabilization of the papilla according to the shape and to the fold after 6 months and to the appearance in 4 months, 5) visible lamina dura was observed at proximal alveolar crests at the 6-month period. It can conclude that there was repair of gingival and bone tissues, thus enabling the placement of accurate prosthetic procedure in order to provide aesthetics, function, and the maintenance of periodontal health.