CONTEMPORARY ESTHETIC PERIODONTICS in the surgical site while rinsing with 0.12 % chlorhexidine gluconate ( three times daily ) for 2 weeks , take 500 mg Amoxicillin ( every 8 hours ) for 7 days and 800 mg Ibuprofen ( every 8 hours ) as needed for discomfort . The postoperative followups were conducted at 1 and 8 weeks . Clinical Outcomes Healing was uneventful at both the donor and recipient sites . At the 1-week follow-up only visual examination was performed which revealed slight erythema and edema consistent with normal post-surgical healing and no swelling or infection was present ( Fig . 23 ). At the 8-week follow-up the surgical area was irrigated gently with 0.12 % chlorhexidine and plaque covering the healing abutment and adjacent tooth was removed with Q-tips soaked in chlorhexidine . At the 8-week follow up , the patient reported no gingival discomfort when brushing the healing abutment with a soft toothbrush . Clinical examination revealed a deepened vestibule and gain in attached and keratinized gingiva on the buccal aspect of the implant . Fig . 24 A and B show the preoperative and 8-week postoperative clinical presentation .
Acknowledgments The author declare no conflict of interest related to this study . There are no conflicts of interest and no financial interests to be disclosed .
REFERENCES
1 . Vignoletti F , Nunez J , Sanz M . Soft tissue regeneration in the oral cavity : review of the current literature on scaffolds , cells and biologicals . J Clin Periodontol . 2014 ; 41 ( Suppl . 15 ): S23-S35 . doi : 10.1111 / jcpe . 12191 . 2 . Sculean A , Gruber R , Bosshardt DD . Soft tissue wound healing around teeth and dental implants . J Clin Periodontol . 2014 ; 41 ( Suppl . 15 ): S6-22 . doi : 10.1111 / jcpe . 12206 . 3 . Susin C , Fiorini T , Lee J , De Stefano JA , Dickinson DP , Wikesjö UM . Wound healing following surgical and regenerative periodontal therapy . Periodontol 2000 . 2015 ; 68 ( 1 ): 83-98 . doi : 10.1111 / prd . 12057 . 4 . Suzuki JB , Bronstein D . Ridge preservation and advanced bone grafting for the general practitioner . J Mass Dent Soc . 2011 ; 60 ( 3 ): 40-42 . 5 . Susin C , Wikesjö UM . Regenerative periodontal therapy : 30 years of lessons learned and unlearned . Periodontol 2000 . 2013 ; 62 ( 1 ): 232- 242 . doi : 10.1111 / prd . 12003 6 . Berglundh T , Abrahamsson I , Welander M , Lange NP , Lindhe J . Morphogenesis of the peri-implant mucosa : an experimental study in dogs . Clin Oral Implants Res . 2007 ; 18 ( 1 ): 1-8 . 7 . Armitage GC . Development of a classification system for periodontal diseases and conditions . Ann Periodontol . 1999 ; 4 ( 1 ): 1-6 . 8 . Susin C , Dalla Vecchia CF , Oppermann RV , Haugejorden O , Albandar JM . Periodontal attachment loss in an urban population of Brazilian adults : effect of demographic , behavioral , and environmental risk indicators . J Periodontol . 2004 ; 75 ( 7 ): 1033-1041 . 9 . Chambrone L , Sukekava F , Araújo MG , Pustiglioni FE , Chambrone LA , Lima LA . Root-coverage procedures for the treatment of localized recession-type defects : a Cochrane systematic review . J Periodontol . 2010 ; 81 ( 4 ): 452-478 . doi : 10.1902 / jop . 2010.090540 . 10 . Caffesse RG , Kon S , Castelli WA , Nasjleti CE . Revascularization following the lateral sliding flap procedure . J Periodontol . 1984 ; 55 ( 6 ): 352-358 . 11 . Cairo F , Pagliaro U , Nieri M . Treatment of gingival recession with coronally advanced flap procedures : a systematic review . J Clin Periodontol . 2008 ; 35 ( 8 Suppl ): 136-162 . doi : 10.1111 / j . 1600-051X . 2008.01267 . x . 12 . Bruno JF , Bowers GM . Histology of a human biopsy section following the placement of a subepithelial connective tissue graft . Int J Periodontics Restorative Dent . 2000 ; 20 ( 3 ): 225-231 . 13 . Gottlow J , Nyman S , Karring T , Lindhe J . Treatment of localized gingival recessions with coronally displaced flaps and citric acid . An experimental study in the dog . J Clin Periodontol . 1986 ; 13 ( 1 ): 57-63 .
14 . Goldstein M , Boyan BD , Cochran DL , Schwartz Z . Human histology of new attachment after root coverage using subepithelial connective tissue graft . J Clin Periodontol . 2001 ; 28 ( 7 ): 657-662 . 15 . Harris RJ . Human histologic evaluation of root coverage obtained with a connective tissue with partial thickness double pedicle graft . A case report . J Periodontol . 1999 ; 70 ( 7 ): 813-821 .
16 . Pasquinelli KL . The histology of new attachment utilizing a thick autogenous soft tissue graft in an area of deep recession : a case report . Int J Periodontics Restorative Dent . 1995 ; 15 ( 3 ): 248-257 . 17 . Miron RJ , Sculean A , Cochran DL , Froum S , Zucchelli G , Nemcovsky C , Donos N , Lyngstadaas SP , Deschner J , Dard M , Stavropoulos A , Zhang Y , Trombelli L , Kasaj A , Shirakata Y , Cortellini P , Tonetti M , Rasperini G , Jepsen S , Bosshardt DD . Twenty years of enamel matrix derivative : the past , the present and the future . J Clin Periodontol . 2016 ; 43 ( 8 ): 668-83 . doi : 10.1111 / jcpe . 12546 . 18 . Nabers JM . Free gingival grafts . Periodontics . 1966 ; 4 ( 5 ): 243-245 . 19 . Casati MZ , Sallum EA , Caffesse RG , Nociti FH Jr , Sallum AW , Pereira SL . Guided tissue regeneration with a bioabsorbable polylactic acid membrane in gingival recessions . A histometric study in dogs . J Periodontol . 2000 ; 71 ( 2 ): 238- 248 . 20 . Weng D , Hürzeler MB , Quiñones CR , Pechstadt B , Mota L , Caffesse RG . Healing patterns in recession defects treated with ePTFE membranes and with free connective tissue grafts . A histologic and histometric study in the beagle dog . J Clin Periodontol . 1998 ; 25 ( 3 ): 238-245 . 21 . Roccuzzo M , Bunino M , Needleman I , Sanz M . Periodontal plastic surgery for treatment of localized gingival recessions : a systematic review . J Clin Periodontol . 2002 ; 29 Suppl . 3:178-194 ; discussion 195- 196 . 22 . McGuire MK , Scheyer ET , Schupbach P . Growth factor-mediated treatment of recession defects : a randomized controlled trial and histologic and microcomputed tomography examination . J Periodontol . 2009 ; 80 ( 4 ): 550-564 . doi : 10.1902 / jop . 2009.080502 . 23 . McGuire MK , Scheyer T , Nevins M , Schupbach P . Evaluation of human recession defects treated with coronally advanced flaps and either purified recombinant human platelet-derived growth factor- BB with beta tricalcium phosphate or connective tissue : a histologic and microcomputed tomographic examination . Int J Periodontics Restorative Dent . 2009 ; 29 ( 1 ): 7-21 . 24 . Camelo M , Nevins M , Nevins ML , Schupbach P , Kim DM . Treatment of gingival recession defects with xenogenic collagen matrix : a histologic report . Int J Periodontics Restorative Dent . 2012 ; 32 ( 2 ): 167- 173 . 25 . Griffin TJ , Cheung WS , Zavras AI , Damoulis PD . Postoperative complications following gingival augmentation procedures . J Periodontol . 2006 ; 77 ( 12 ): 2070-2079 . 26 . Kennedy JE , Bird WC , Palcanis KG , Dorfman HS . A longitudinal evaluation of varying widths of attached gingiva . J Clin Periodontol . 1985 ; 12 ( 8 ): 667-675 . 27 . Wei PC , Laurell L , Geivelis M , Lingen MW , Maddalozzo D . Acellular dermal matrix allografts to achieve increased attached gingiva . Part 1 . A clinical study . J Periodontol . 2000 ; 71 ( 8 ): 1297-1305 .
221