Acellular dermal matrix for the treatment of multiple gingival recession defects associated with carious and previously restored cervical lesions: A case report with 10 years of follow‐up

Boeriu, Sorin; Steigmann, Larissa; Gianfilippo, Riccardo Di

doi:10.1002/cap.10245

Cited by 2 publications

(1 citation statement)

References 37 publications

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“…Allen and Winter (2011) used ADM and tunneling for the treatment gingival recession associated with cervical lesions. 3,4 Treatment must be taken in choosing the best soft tissue grafting technique. These past several decades have seen the development of a number of new and improved surgical techniques, including the modified tunneling technique.…”

Section: Introductionmentioning

confidence: 99%

Root coverage using modified tunneling technique with acellular dermal matrix for treatment of gingival recession associated with orthodontic treatment: A case report

Pratiwi,

Ratnawati,

Krismariono

2023

Odonto: Dental Journal

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Background: Gingival recession has a number of causes, including orthodontic therapy. The degree and extent of gingival recession and orthodontic therapy are strongly correlated. Care must be taken in choosing the best soft tissue grafting technique. Development of a number of new and improved surgical techniques, including the modified tunneling technique. Case Management: A-24-year-old female patient came to Periodontic Clinic Dental Hospital of Airlangga University with a chief complain of gingival recession in mandibular central incisors since 6 months ago. The patient complained about dental sensitivity. The dental history revealed that she had undergone fixed orthodontic therapy for 7 years. She revealed the fixed orthodontic appliance was put off since 8 months ago. The patient concern about her appearance and aesthetic problem. Gingival recession on buccal surface tooth 31 and 41 extending 1,5-2 mm apical of the incisors was found in clinical assessment. This case classified as Miller class III. The doctor planned root coverage procedure using modified tunnel technique. Acellular dermal matrix (Surederm®) was chosen as a gingival graft. Discussion: Creating a "tunnel" through the buccal mucosa to treat gingival recession enables coronal repositioning of the soft tissue with predictable root coverage and a pleasing appearance. Tissue graft implantation is made possible by a horizontal incision. Conclusion: In brief, root coverage using modified tunnel technique is effective and predictable treatment modality. Comparing with other root coverage method it give quite satisfying result. The use of Acellular Dermal Matrix (ADM) considered as an alternative to Connective Tissue Graft (CTG).

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Section: Introductionmentioning

confidence: 99%

Root coverage using modified tunneling technique with acellular dermal matrix for treatment of gingival recession associated with orthodontic treatment: A case report

Pratiwi,

Ratnawati,

Krismariono

2023

Odonto: Dental Journal

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Micro‐needling versus acellular dermal matrix in RT1 gingival recession coverage: A randomized clinical trial

Zaaya,

Elbattawy,

Yusri

et al. 2024

J of Periodontal Research

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AimsThis randomized trial assessed for the first time the efficacy of coronally advanced flap (CAF) followed by micro‐needling (MN) in contrast to CAF with acellular dermal matrix (ADM) on gingival thickness (GT, primary outcome), keratinized tissue width (KTW), clinical attachment level (CAL), probing depth (PD), recession depth (RD), recession width (RW), recession reduction (Rec‐Red), complete root coverage (CRC) and percentage of root coverage (all secondary outcomes) in management of RT1 gingival recession in patients with thin gingival phenotype.MethodsA total of 24 patients (n = 24) with a thin gingival phenotype and single RT1 gingival recession in the aesthetic zone were randomly allocated to test‐ (CAF + MN; n = 12) or control group (CAF + ADM; n = 12). All clinical parameters were evaluated at baseline, 3 and 6 months.ResultsBoth groups independently demonstrated significant gain in GT, RW, RD, CAL, PD, Rec‐Red, CRC and percentage of root coverage, with reduced PI and BOP (p < .05) at 3 and 6 months, without intergroup differences (p > .05). At 6 months, KTW gain was significantly higher in CAF + MN (5.08 ± 0.9 mm) than in CAF + ADM‐group (4.25 ± 1.06 mm; p < .05). Stepwise linear regression model with GT as dependent variable showed that base‐line GT was the only statistically significant predictor for GT with a direct correlation between base‐line GT and GT after 6 months.ConclusionCAF followed by MN could represent a promising graft‐less approach for increasing gingival thickness, comparable to CAF with ADM, with superior keratinized tissue width improvement, in the treatment of RT1 recession defects in patients with thin gingival phenotype.

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Acellular dermal matrix for the treatment of multiple gingival recession defects associated with carious and previously restored cervical lesions: A case report with 10 years of follow‐up

Cited by 2 publications

References 37 publications

Root coverage using modified tunneling technique with acellular dermal matrix for treatment of gingival recession associated with orthodontic treatment: A case report

Root coverage using modified tunneling technique with acellular dermal matrix for treatment of gingival recession associated with orthodontic treatment: A case report

Micro‐needling versus acellular dermal matrix in RT1 gingival recession coverage: A randomized clinical trial

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