Histologic evaluation of mucogingival surgery

Bradley, Richard E.; Grant, Jon C.; Ivancie, Gerald P.

doi:10.1016/0030-4220(59)90288-9

Cited by 19 publications

(6 citation statements)

References 13 publications

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“…In the 1960s, it was assumed that the tissue around teeth adapts to functional requirements when subjected to physical impacts during mastication (Ivancie , Orban , Bradley et al. , Pfeifer ). As a consequence, denudation techniques (Ochsenbein , Bohannan , Corn , Wilderman ), periosteal retention procedures (Staffileno et al.…”

mentioning

confidence: 99%

The addition of soft tissue replacement grafts in plastic periodontal and implant surgery: critical elements in design and execution

Zuhr

Bäumer²,

Hürzeler

2014

J Clinic Periodontology

246

328

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Soft tissue replacement grafts have become a substantial element to increase tissue volume in plastic periodontal and implant surgery. Autogenous subepithelial connective tissue grafts are increasingly applied in aesthetic indications like soft tissue thickening, recession treatment, ridge preservation, soft tissue ridge augmentation and papilla re‐construction. For the clinical performance of connective tissue graft harvesting and transplantation, a fundamental understanding of the anatomy at the donor sites and a sound knowledge of tissue integration and re‐vascularization processes are required. Possible donor sites are the anterior and posterior palate including the maxillary tuberosity, providing grafts of distinct geometric shape and histologic composition. The selective clinical application of different grafts depends on the amount of required tissue, the indication and the personal preference of the treating surgeon. One of the main future challenges is to volumetrically evaluate and compare the efficacy and long‐term stability of soft tissue autografts and their prospective substitutes. The aim of this review was to discuss the advantages and shortfalls of different donor sites, substitute materials and harvesting techniques. Although standardized recommendations regarding treatment choice and execution can hardly be given, guidelines for predictable and successful treatment outcomes are provided based on clinical experience and the available scientific data.

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mentioning

confidence: 99%

The addition of soft tissue replacement grafts in plastic periodontal and implant surgery: critical elements in design and execution

Zuhr

Bäumer²,

Hürzeler

2014

J Clinic Periodontology

246

328

View full text Add to dashboard Cite

show abstract

“…If the human jaws show a phenomenon similar to that observed in the swine, a clinical study of bone contours following mucogingival surgery would be of interest. 6. In view of this and other studies where denuded bone has been shown to be accompanied by striking inflammatory changes, it appears that the alveolar bone should not be left without a thick cover of connective tissue.…”

Section: Figures 22 23 Epithelial Attachment On the Unoperatedmentioning

confidence: 71%

“…In mucogingival flaps which are repositioned apically, the marginal alveolar bone is left exposed and in this area new attached gingiva develops. [5][6][7] 4. In mucogingival surgery, if bone is left exposed, its outer cortical plate is destroyed and a new cortex as well as attached gingiva are formed.…”

mentioning

confidence: 99%

Healing Under Full and Partial Thickness Mucogingival Flaps in the Miniature Swine

Bhaskar

Cutright

Beasley

et al. 1970

Journal of Periodontology

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“…surgical techniques involving free soft tissue autografts, apically positioned flaps and pedicle grafts, it becomes increasingly important that detailed comparative knowl edge of proposed surgical sites be known. Although various aspects of alveolar mucosa and attached gingiva have been studied, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] there is no data available distin guishing between the mucogingival junction in dentulous and edentulous areas of the oral cavity. The purpose of this investigation was to compare the histology and histochemistry of the mucogingival junction in regions of the oral cavity where teeth were either present or absent.…”

mentioning

confidence: 99%