Hyperplastic Response Following Soft Tissue Augmentation in the Esthetic Zone

Introduction The indications for augmentation of gingival tissue by connective tissue graft (CTG) are numerous. The techniques are widely adopted with extensive literature reporting high success. Harvest techniques include the mid to anterior palate, versus the posterior palate and tuberosity. The l...

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Bibliographic Details
Published in:Clinical advances in periodontics 2019-06, Vol.9 (2), p.50-54
Main Authors: Gluckman, Howard, Du Toit, Jonathan, Pontes, Carla Cruvinel, Hille, Jos
Format: Article
Language:English
Subjects:
Adult
Alveolar ridge augmentation
Collagen
connective tissue
Connective Tissue - transplantation
Dentistry
Esthetics
Gingiva - transplantation
gingival hyperplasia
Gingival Recession - surgery
Humans
keloid
Palate
soft tissue neoplasms
transplants
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Summary:Introduction The indications for augmentation of gingival tissue by connective tissue graft (CTG) are numerous. The techniques are widely adopted with extensive literature reporting high success. Harvest techniques include the mid to anterior palate, versus the posterior palate and tuberosity. The latter comprises denser collagen, identified as a more suitable graft. Alas, rarely have hyperplastic responses been reported. Case Presentation Two adult, Caucasian patients presented with clinical need for soft tissue augmentation. Autogenous tissue was opted for, harvesting from the tuberosity gingiva. De‐epithelialized outside the mouth and inserted into envelope flaps, late healing resulted in hyperplastic gingival lesions. Neither lesion could be successfully removed, and biopsy for histopathological investigation was carried out. Conclusion Hyperplastic response resulting from soft tissue augmentation with tuberosity CTG is rare but may occur. Laser or scalpel might not ensure complete removal. Informing the patient of this rare adverse effect may be important.
ISSN:2573-8046
2163-0097
DOI:10.1002/cap.10047