Fombellida Cirugia Mucogingival Pdf 25
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Fombellida Cirugia Mucogingival: A Comprehensive Guide to Mucogingival Surgery
Mucogingival surgery is a branch of periodontal surgery that aims to correct defects or alterations of the gingiva and alveolar mucosa around teeth and implants. It can improve the aesthetics, function and health of the soft tissues in the oral cavity. Some of the indications for mucogingival surgery are gingival recessions, lack of keratinized tissue, gingival excess, frenum problems, root coverage and peri-implantitis.
One of the most renowned experts in mucogingival surgery is Dr. Fernando Fombellida, a Spanish dentist and professor who has published several books and articles on this topic. One of his most popular books is Cirugia Mucogingival, which was published in 2009 and contains 25 chapters covering the diagnosis, treatment planning, surgical techniques and clinical cases of mucogingival surgery. The book is written in Spanish and has a PDF format that can be downloaded from various websites.
In this article, we will summarize some of the main concepts and procedures that are explained in Fombellida Cirugia Mucogingival. We will also provide some references to other sources that can complement the information provided by Dr. Fombellida.
Diagnosis and Treatment Planning
Before performing any mucogingival surgery, it is essential to make a proper diagnosis and treatment plan based on the patient's needs and expectations. Dr. Fombellida emphasizes the importance of conducting a thorough clinical examination, taking radiographs, photographs and impressions, and evaluating the patient's medical history, oral hygiene habits, smoking status and motivation. He also recommends using a classification system for mucogingival defects, such as the one proposed by Miller (1985), which divides gingival recessions into four classes according to their severity and prognosis.
Based on the diagnosis, Dr. Fombellida proposes a treatment plan that considers the following factors: the etiology of the defect, the type and amount of tissue available, the surgical technique to be used, the expected outcome and possible complications. He also advises to inform the patient about the benefits and risks of the surgery, as well as the postoperative care and maintenance.
Surgical Techniques
Dr. Fombellida describes in detail various surgical techniques that can be used to correct mucogingival defects. Some of these techniques are:
Coronally advanced flap: This technique consists of elevating a partial-thickness flap from the affected area and advancing it coronally to cover the exposed root surface. It can be combined with a connective tissue graft or an acellular dermal matrix to increase the thickness and stability of the flap.
Lateral sliding flap: This technique involves elevating a partial-thickness flap from an adjacent area and sliding it laterally to cover the recession defect. It can also be combined with a connective tissue graft or an acellular dermal matrix to enhance the root coverage.
Free gingival graft: This technique involves harvesting a thin piece of tissue from the palate and transplanting it to the recipient site. It is mainly used to increase the width of keratinized tissue around teeth or implants.
Subepithelial connective tissue graft: This technique involves harvesting a thick piece of tissue from the palate, leaving the epithelium intact, and placing it under a flap at the recipient site. It is mainly used to augment soft tissue volume and achieve root coverage.
Tunnel technique: This technique involves creating a tunnel under the gingiva and inserting a connective tissue graft or an acellular dermal matrix through it. It is mainly used to treat multiple adjacent recessions with minimal incisions.
Clinical Cases
In Fombellida Cirugia Mucogingival, Dr. Fombellida presents several clinical cases that illustrate how to apply different surgical techniques for various mucogingival defects. He provides step-by-step descriptions 061ffe29dd