Abstract

CASE SERIES OF PEDICLED BUCCAL FAT PAD TECHNIQUE FOR ROOT COVERAGE FOR MAXILLARY POSTERIOR TEETH

Dr. Samidha Vivek Jambhekar*, Dr. Mona U. Shah, Dr. Vidhi Kevadia, Dr. Arush Shah, Dr. Yogesh Doshi and Dr. Pratik Parkarwar

Abstract

Background: Reconstruction of the gingiva has prime part of periodontal treatment. Different surgical techniques have been used for the correction of gingival recession. Buccal fat pad has been used for reconstruction of oral defects due to its potential benefits. Aim: The aim of this case report is to highlight the effectiveness of pedicled buccal fat pad for root coverage in Mahajan’s class III recession on the maxillary first molars. Materials & Method: Internal bevel incision given from one or two teeth mesial and distal of the affected tooth. Vertical releasing incision was given for accessibility. A 2-cm horizontal incision was given at the base of the buccal flap that extended backward from above the upper second molar tooth to access buccal fat pad. Pedicled buccal fat pad was harvested and adapted to the buccal surface of maxillary first molar and sutured. Results: Clinically significant amount of keratinized gingiva that covered the root recession defect was obtained. The surface of exposed fat becomes completely epithelized in 4 weeks. Conclusion: It can be concluded that the buccal fat pad is a highly viable treatment option in maxillary posterior defects.

Keywords: Recession, buccal fat pad.