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Published in: international journal of stomatology & occlusion medicine 3/2013

01-09-2013 | Case Study

Labial piercing complications

Case report of gingival recession treated with subepithelial connective tissue graft and enamel matrix derivatives

Authors: Dr. Ines Kapferer, Dr. Ulrike S. Beier

Published in: international journal of stomatology & occlusion medicine | Issue 3/2013

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Abstract

Background

Buccal recession is a main complication of median lower lip piercing. This article reports on the treatment of a clinical case with two areas of buccal recession in the first mandibular incisors 4 years after removal of the piercing.

Methods

A 28-year-old female patient was referred for evaluation and treatment and presented with two areas of buccal recession of 3 mm in size in teeth numbers 31 and 41. Following oral hygiene instructions and supragingival debridement the plaque index was 20 % and the gingival index was 4 %. A subepithelial connective tissue graft in combination with enamel matrix derivatives (EMD) was carried out using the tunnel technique to provide root coverage.

Results

The tissue color was nearly homogeneous with some reddish regions where the connective tissue was left uncovered ten days after the surgical procedure and there were no signs of incisions or suture marks. After 3 months there was complete root coverage, gain of keratinized tissue and gain in tissue thickness.

Conclusions

The tunnel technique in combination with a subepithelial connective tissue graft and EMD was used successfully for the treatment of buccal recession after removal of the median lower lip piercing.
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Metadata
Title
Labial piercing complications
Case report of gingival recession treated with subepithelial connective tissue graft and enamel matrix derivatives
Authors
Dr. Ines Kapferer
Dr. Ulrike S. Beier
Publication date
01-09-2013
Publisher
Springer Vienna
Published in
international journal of stomatology & occlusion medicine / Issue 3/2013
Print ISSN: 1867-2221
Electronic ISSN: 1867-223X
DOI
https://doi.org/10.1007/s12548-012-0062-7

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