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Root Coverage in an HIV‐Positive Individual: Combined Use of a Lateral Sliding Flap and Resin‐Modified Glass Ionomer for the Management of an Isolated Severe Recession Defect
Author(s) -
Kolhatkar Shilpa,
Haque Shaziya A.,
Winkler James R.,
Bhola Monish
Publication year - 2010
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.2009.090616
Subject(s) - human immunodeficiency virus (hiv) , glass ionomer cement , gingival recession , recession , dentistry , materials science , medicine , virology , economics , keynesian economics
Background: Gingival recession is a frequent clinical finding in the general population. Exposed root surfaces are more likely to develop root sensitivity and root caries and pose esthetic concerns for the patient. Most root coverage procedures have been described on non‐restored root surfaces. Limited data are available that describe root coverage procedures on restored root surfaces. To our knowledge, this is the first case report in which a severe recession defect and its associated carious lesion were managed using the combination of a lateral sliding flap and a resin‐modified glass ionomer restoration in an HIV‐positive individual. Methods: A 53‐year‐old male patient with a 25‐year history of HIV infection presented for comprehensive care. The facial surface of tooth #22 had a fractured composite restoration, recurrent decay, and a Miller Class III recession defect. The lesion was restored with resin‐modified glass ionomer and root coverage was obtained by a lateral sliding flap mobilized from the adjacent edentulous ridge. After 8 weeks, surgical access was used to correct a previously undetected void in the restoration. Results: Uneventful healing was observed at the 1‐, 4‐, 8‐, 10‐, 12‐, and 24‐week postoperative visits. Root coverage of 5 mm along with a 2‐mm band of keratinized tissue was obtained at 24 weeks. The gingiva displayed no signs of inflammation and was tightly adapted to the root surface with minimal probing depths circumferentially. Conclusion: Successful root coverage was obtained on a resin‐modified glass ionomer‐restored surface in an HIV‐positive individual.