Pseudoaneurysm of the Greater Palatine Artery Following Autogenous Connective Tissue Gingival Graft : A Case Series

NCT03454490 | Unknown

• 1 other identifier: Postoperative pseudoaneurysm
• Study Type: observational
• Target: 10
• Locations: 0 countries
• Sites: N/A

Brief Summary

Gingival recession is defined as the apical migration of the gingival margin from the amelocemental junction. This condition may be associated with symptoms such as tooth hypersensitivity, root decay, and cosmetic complaints from patients. Many treatments have been used to treat gingival recession and the gold standard is the autogenous connective tissue gingival graft because of its predictability. This type of gingival graft is performed by harvesting connective tissue from patients' hard palate. Periodontists and general dentists frequently perform these gingival grafts. Occasionally, some patients develop postoperative complications that need to be addressed in an hospital setting. An uncommon but concerning complication of an autogenous connective tissue gingival graft is a donor site pseudoaneurysm of the greater palatine artery. No description of this complication following a gingival graft has been identified in the current literature. One case report mentioned that pseudoaneurysm of the greater palatine artery looks like a pulsatile nodule associated or not with pain on palpation. From the experience of the investigators, patients may consult an hospital setting having a complaint of major oral bleeding. Local hemostatic agents can palliate this type of bleeding, but angiographic embolization is often required. Several cases were treated in the investigators' hospital. Thus, the investigators believe it is relevant to share this experience with the scientific community. The primary objective of this case series is to inform dental professionals of the existence and the management of postoperative pseudoaneurysm of the greater palatine artery following autogenous gingival graft. The secondary objective is to find potential solutions to minimize the incidence of this morbid complication.

Conditions

Pseudoaneurysm

Keywords

Gingival graft; Pseudoaneurysm; Postoperative complication; Gingival recession treatment; Palatine mass; Palatine bleeding

Outcome Measures

Primary Outcomes (1)

• Postoperative oral bleeding

  Complication following autogenous connective tissue gingival graft

  One month following autogenous connective tissue gingival graft

Secondary Outcomes (3)

• Use of local hemostatic agents

  Six months

• Secondary effects following angiographic intervention

  Six months

• Number of followups required

  Six months

Interventions

Postoperative pseudoaneurysm of the greater palatine artery PROCEDURE

Patients had an autogenous connective tissue gingival graft.

Eligibility Criteria

• Sex: all
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients having a diagnostic of pseudoaneurysm of the greater palatine artery who had an autogenous connective tissue gingival graft

You may qualify if:

• Population : Patients having a diagnostic of pseudoaneurysm of the greater palatine artery who had an autogenous connective tissue gingival graft
• Intervention : Patients treated with local hemostatic agents or by angiographic embolization
• Comparison : None

You may not qualify if:

• Missing data in patients' chart precluding complete data extraction

Sponsors & Collaborators

• Hopital de l'Enfant-Jesus: lead

Related Publications (4)

• Yadav AP, Kulloli A, Shetty S, Ligade SS, Martande SS, Gholkar MJ. Sub-epithelial connective tissue graft for the management of Miller's class I and class II isolated gingival recession defect: A systematic review of the factors influencing the outcome. J Investig Clin Dent. 2018 Aug;9(3):e12325. doi: 10.1111/jicd.12325. Epub 2018 Feb 9.

  PMID: 29424485 BACKGROUND

• Tozum TF, Keceli HG, Guncu GN, Hatipoglu H, Sengun D. Treatment of gingival recession: comparison of two techniques of subepithelial connective tissue graft. J Periodontol. 2005 Nov;76(11):1842-8. doi: 10.1902/jop.2005.76.11.1842.

  PMID: 16274302 BACKGROUND

• Byun HY, Oh TJ, Abuhussein HM, Yamashita J, Soehren SE, Wang HL. Significance of the epithelial collar on the subepithelial connective tissue graft. J Periodontol. 2009 Jun;80(6):924-32. doi: 10.1902/jop.2009.080673.

  PMID: 19485822 BACKGROUND

• Thomas J, Patel NS, Viroslav A, Sheykholeslami K. Greater palatine artery pseudoaneurysm presenting as a slow-growing palatal mass. J Oral Maxillofac Surg. 2013 Apr;71(4):e164-7. doi: 10.1016/j.joms.2012.11.017. Epub 2013 Jan 29. No abstract available.

  PMID: 23375075 BACKGROUND

MeSH Terms

Conditions

Aneurysm, False; Postoperative Complications

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Melinda Paris, DMD, FRCD

  Hopital de l'Enfant-Jesus, CHU de Quebec, Laval University

  STUDY DIRECTOR

Central Study Contacts

Simon Jean, DMD

CONTACT

1-418-649-0252; simon.jean.4@ulaval.ca

Marianne Bouchard-Asselin, DMD

CONTACT

1-418-649-0252; marianne.bouchard-asselin.1@ulaval.ca

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: February 22, 2018
• First Posted: March 6, 2018
• Study Start: March 1, 2018
• Primary Completion: July 1, 2018
• Study Completion: July 1, 2018
• Last Updated: March 6, 2018

Record last verified: 2018-03

Data Sharing

• IPD Sharing: Will not share