Assessment of Creeping Attachment after Free Gingival Graft in Treatment of Isolated Gingival Recession

Gul, Sarhang S.; Zardawi, Faraedon M.; Sha, Aram Mohammed; Rauf, Aras Maruf

doi:10.26226/morressier.5ac3831c2afeeb00097a46a7

Cited by 9 publications

(12 citation statements)

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“…However, all cases presented a creeping attachment 1 month to 1 year postoperatively with an average of 0.5‐2.0 mm, whereas no further creeping was observed between 1 year and 5 years. In addition, Yıldırım et al 35 observed a creeping attachment of 1.0‐1.5 mm between 1 month and 8 months, and a 0.5 mm recession reduction over a 4‐year period was reported by Dorfman et al 31 Similar findings 19,32,51,58‐60 were reported by other publications, but some of them did not conduct quantitative analysis on the amount of creeping attachment.…”

Section: Classified Discussion Of “Creeping Attachment”mentioning

confidence: 58%

Creeping attachment: A literature review

Wan

Zhong

Wang

2020

J Esthet Restor Dent

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Objective: Mucogingival surgery has been widely applied in clinics. An interesting phenomenon after mucogingival surgery is the coronal migration of gingival margin, which is described as "creeping attachment." The goal of this review is to summarize the characteristics, significance, mechanism, and manifestation of the creeping attachment after mucogingival surgery and to describe the factors associated with its occurrence. Overview: A total of 82 relevant articles were included in the literature review. The characteristics and significance of the creeping attachment after mucogingival surgery were analyzed. The mechanism of the creeping attachment was explored. Different manifestations of and factors associated with creeping attachment were summarized. Conclusions: Creeping attachment may occur to obtain additional root coverage after the healing of various mucogingival surgeries. However, this coverage is not always complete nor entirely predictable. Clinical Significance: Creeping attachment plays an important role in the prognosis of mucogingival surgeries. This review will help clinicians get a thorough recognition and understanding of this phenomenon.

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Section: Classified Discussion Of “Creeping Attachment”mentioning

confidence: 58%

Creeping attachment: A literature review

Wan

Zhong

Wang

2020

J Esthet Restor Dent

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“…[ 1 ] This gains significance when attempting to cover denuded root surfaces using nonsubmerged soft-tissue grafts such as free gingival grafts (FGGs) or gingival unit grafts (GUGs), as the success and survival of these grafts primarily rely on diffusion of blood from the recipient connective tissue bed. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

Successful management of gingival recession with interdental attachment loss using gingival unit grafts

Katti

Mohanty

Raj

et al. 2022

Journal of Indian Society of Periodontology

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Background: Gingival recession leads to root surface exposure devoid of periodontal attachment. Recession defects with interdental attachment loss (RT2, RT3), further increase the avascular area which is critical for survival of soft-tissue grafts. Nonsubmerged grafts such as free gingival grafts and gingival unit grafts (GUGs) rely primarily on plasmatic circulation from the recipient area during the initial stages of healing for its survival. Methods: Nineteen isolated RT2 recession defects, in the mandibular anterior region, were treated using GUG. The clinical parameters of recession depth (RD), recession width (RW), interdental clinical attachment levels (iCAL) were measured at baseline. Percentage of mean root coverage (MRC) was calculated at 3 months and 6 months. Results: The percentage of mean root coverage (MRC) achieved at the end of 6 months was 81.79% ± 6.16%. Further, Simple linear regression analysis to predict MRC at 6 months using baseline RW revealed, for every 1 mm decrease in RW, the percentage of root coverage significantly increased by 5.25% ( P = 0.04). Conclusion: GUG can be used as an alternative treatment modality to achieve successful root coverage in RT2 recession defects. Baseline RW can be used to predict the outcome of root coverage at the end of 6 months.

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“…Correspondingly, the 3-mm gingival growth in the patient with the localized recession of #41 that appeared three months postoperatively was also explained as a creeping attachment phenomenon. Gul et al 20 described that the amount of creeping attachment gained in their study was proportional to the depth of recession defect.…”

Section: Discussionmentioning

confidence: 89%

“…The physiological mechanism that influences this phenomenon comes from the proliferation of periosteal connective tissue cells as a tissue response to the surgical process and the characteristics of the graft material that can bridge the root surface, proliferate, and mature. 20 CTG is a gingival graft procedure that has been widely used and is predictable in root coverage. However, CTG needs to be careful with the palate anatomy to minimize the risk of palatine artery trauma.…”

Section: Discussionmentioning

confidence: 99%

Creeping attachment post-gingival recession treatment using a vestibular incision subperiosteal tunneling access technique combined with a connective tissue graft

Prathivi

Sari

2023

Dent. J.

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Background: The exposed roots of teeth due to gingival recession can generate dentin hypersensitivity and esthetic problems because a patient feels that the teeth, especially the anterior teeth, look long. Recession in thin anterior gingiva often brings unsatisfactory treatment results, so mucogingival surgery, such as vestibular incision subperiosteal tunneling access (VISTA) with the addition of a connective tissue graft (CTG), can be chosen as an appropriate treatment technique. Purpose: This case report describes the creeping attachment phenomenon after treatment of anterior gingival recession with VISTA and CTG techniques. Case: A 28-year-old female patient came with Miller Class I gingival recession in thin anterior gingiva and malposition teeth, complaining about pain and esthetic problems. Case management: The patient was treated with a VISTA technique combined with CTG. The creeping attachment phenomenon seen at three months postoperatively obtained good root coverage so that the patient’s complaints were resolved even though periodic control was needed to evaluate oral hygiene. Conclusion: VISTA and CTG techniques are appropriate for treating anterior mandibular gingival recession with minimal trauma and provide significant results.

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Assessment of Creeping Attachment after Free Gingival Graft in Treatment of Isolated Gingival Recession

Cited by 9 publications

References 0 publications

Creeping attachment: A literature review

Creeping attachment: A literature review

Successful management of gingival recession with interdental attachment loss using gingival unit grafts

Creeping attachment post-gingival recession treatment using a vestibular incision subperiosteal tunneling access technique combined with a connective tissue graft

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