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Publication
Abordagem da técnica VISTA (vestibular incision subperiosteal tunnel access) no tratamento de defeitos de recessão gengival
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Abstract(s)
A sociedade atual é marcada por uma alta exigência a nível estético, tornando a
componente estética do sorriso um fator cada vez mais importante. O conservadorismo é também um conceito cada vez mais atual e presente na prática da medicina dentária. Desta forma, a área da cirurgia periodontal tem sido desenvolvida nesse sentido, surgindo o conceito de cirurgia plástica periodontal.
Nos últimos anos, para além da constante evolução da tecnologia aplicada à medicina dentária, tem surgido a introdução de novos instrumentos e métodos de diagnóstico bem como de novas técnicas e procedimentos cirúrgicos, que podem ser associados a uma variedade de biomateriais que auxiliam na regeneração dos tecidos.
A recessão gengival consiste na exposição da raiz devido à migração apical dos
tecidos moles e representa uma das principais condições periodontais observadas na
prática clínica. É importante que o clínico saiba identificar estes defeitos, avaliá-los e
selecionar a melhor abordagem para o seu tratamento.
A técnica VISTA (Vestibular Incision Subperiosteal Tunnel Access), apresentada
como uma nova técnica para o tratamento dos defeitos de recessão gengival, possui um
caráter minimamente invasivo e demonstra sucesso no recobrimento radicular. Este novo procedimento representa um passo no âmbito da cirurgia plástica periodontal.
A presente revisão bibliográfica tem como objetivo abordar a técnica VISTA no
tratamento de defeitos de recessão gengival, clarificando-se a etiologia destes defeitos,
bem como a sua classificação e prevalência. Pretende-se esclarecer o procedimento desta técnica, qual o instrumental cirúrgico utilizado, as suas indicações, aplicações,
características e vantagens.
Contemporary society is marked by a high level of demand in what concerns to aesthetics, in such a way that the esthetic dimension of the smile became so important. Conservatism is also a concept that becomes increasingly present in dentistry’s practice. Therefore, the area of periodontal surgery has been developed within this context and led to the arising of the periodontal plastic surgery concept. In the last years, besides the constant evolution of the technology applied to dentistry, it has been made the introduction of new instruments and diagnostic methods, as well as new surgery techniques and procedures, which can be associated to a variety of biomaterials that help in the regeneration of the tissues. Gingival recession consists on the root exposure due to the apical migration of the soft tissues and it represents one of the main periodontal conditions observed in the clinical practice. It is of major importance that the clinical knows how to identify and evaluate these recessions, in order to select the best treatment. The Vista technique (Vestibular Incision Subperiosteal Tunnel Access) is presented as a new technique for the gingival recession treatment. It is a minimal invasive approach that demonstrates success in the root coverage. This new procedure represents a step forward in the area of periodontal plastic surgery. The present bibliographic revision intends to make an approach to the VISTA technique on the gingival recession treatment, clarifying the recession etiology, as well as its classification and prevalence. The aim is to clarify this technical procedure, the kind of instruments used on it, its indications, applications, characteristics and advantages.
Contemporary society is marked by a high level of demand in what concerns to aesthetics, in such a way that the esthetic dimension of the smile became so important. Conservatism is also a concept that becomes increasingly present in dentistry’s practice. Therefore, the area of periodontal surgery has been developed within this context and led to the arising of the periodontal plastic surgery concept. In the last years, besides the constant evolution of the technology applied to dentistry, it has been made the introduction of new instruments and diagnostic methods, as well as new surgery techniques and procedures, which can be associated to a variety of biomaterials that help in the regeneration of the tissues. Gingival recession consists on the root exposure due to the apical migration of the soft tissues and it represents one of the main periodontal conditions observed in the clinical practice. It is of major importance that the clinical knows how to identify and evaluate these recessions, in order to select the best treatment. The Vista technique (Vestibular Incision Subperiosteal Tunnel Access) is presented as a new technique for the gingival recession treatment. It is a minimal invasive approach that demonstrates success in the root coverage. This new procedure represents a step forward in the area of periodontal plastic surgery. The present bibliographic revision intends to make an approach to the VISTA technique on the gingival recession treatment, clarifying the recession etiology, as well as its classification and prevalence. The aim is to clarify this technical procedure, the kind of instruments used on it, its indications, applications, characteristics and advantages.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Técnica VISTA Recessão gengival Cirurgia minimamente invasiva Recobrimento radicular