Modified coronally advanced flap design in management of isolated gingival recession: Saddle flap technique

Rȧjeswari, S.; Gowda, Triveni M; Kumar, Ashish; Ravishankar, PL; Preeti, Kapa Bhargavi; Dhingra, Divya

doi:10.4103/jisp.jisp_625_19

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…followed by using Gracey's Mini Five curettes 2 for subgingival debridement was done for the study population and re-evaluated after 4-6 weeks. Two coronal composite stops for sutures were placed in the interproximal region bridging the teeth to prevent apical relapse of marginal tissue during the initial healing stages (Rajeswari et al, 2020).…”

Section: Methodsmentioning

confidence: 99%

“…Interrupted sutures were created using polypropyelene 4 sutures, followed by a sling suture suspended around the composite stops to suspend the surgical papilla. Finally the central part of the flap was secured using sling sutures followed by a vertical mattress suture to complete soft tissue closure.…”

Section: Methodsmentioning

confidence: 99%

“…The CEJ and the base of the intra-bony defect were located and marked on the radiographic image and a line was drawn from CEJ to the base of the defect and the length of the line was measured and recorded. The same 4 AssuCryl, 6-0 Polypropyelene non-absorbable monofilament suture, Switzerland. 5 Catafast sachets, 50mg, Novartis Pharm, Egypt.…”

Section: Methodsmentioning

confidence: 99%

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The Connective Tissue Graft Wall Technique for treating Patients with Cairo’s RT3 Gingival Recession and Intrabony defects: A Case Series

Bendary,

Tawfik,

Ghallab

2023

Advanced Dental Journal

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Aim:The purpose of this trial was to assess the potential of connective tissue graft wall technique to improve the clinical and radiographic outcomes of intra-bony defects and root coverage outcomes simultaneously. Subjects and methods: Ten patients with Cairo's RT3 gingival recession associated with intrabony defects were treated with this technique. The recession defects were treated with a coronally advanced envelope flap and simplified papilla preservation at the site of the defect. A de-epithelialized free gingival graft was harvested and positioned buccal to the defect creating a buccal wall at the defect. Clinical parameters including; recession depth, probing depth and clinical attachment level were measured at baseline and 6 months. The radiographic bone gain was evaluated at 6 months. Results: At 6 months, this study reported mean±SD in recession depth reduction of 2±0.62 mm at 6 months and mean±SD absolute reduction in probing depth of 2±0.7 mm. regarding clinical attachment level, a mean±SD gain of 2±0.67 mm was achieved after 6 months. The radiographic mean±SD depth of intrabony defect showed a statistically significant reduction of 0.20±0.24 mm at 6 months (P≤0.05). Conclusion:This study suggests that the connective tissue graft wall technique might improve root coverage and regeneration of intrabony defects simultaneously.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The Connective Tissue Graft Wall Technique for treating Patients with Cairo’s RT3 Gingival Recession and Intrabony defects: A Case Series

Bendary,

Tawfik,

Ghallab

2023

Advanced Dental Journal

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Periocover: The lesser known periodontal flaps

Fazal

D²,

Faruk³

2022

IJPI

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Surgical cleansing of the defect and the root surface can re-establish periodontal health when proper plaque control is established. However, different surgical techniques have been advocated to conservatively treat intrabony defects. Conservative surgery involves various surgical approaches whichaim at gaining access to the root surface and accomplish the removal of residual debris with no active removal of bone and most often no resection of soft tissues. The underlying objectives towards the procedures aim to facilitate visual access with minimal reduction in the shape and anatomy of the soft or bone tissues along with alteration in the shape and outline of the soft and, occasionally hard tissues, in order to achieve controlled pocket depth reduction. Minimally invasive periodontal surgical approaches and microsurgical techniques are currently being evaluated and may show advantages in wound-healing outcomes and less recession and patient morbidity. In this manuscript, we intend to discuss about certain flaps like saddle flap, laterally stretched flap, book flap and bridge flap along with incisions which are less discussed and have been recently incorporated in the practice with simple and better results.

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Comparison of Saddle flap technique versus Vestibular Incision Sub-Periosteal Tunnel Access (VISTA) technique with advanced platelet rich fibrin (A-PRF), for treatment of multiple gingival recessions under surgical operating microscope – A Split Mouth Study.

Vundavalli

Penmetsa

Pasupuleti

et al. 2023

Preprint

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BACKGROUND Root coverage procedures have become an integral part for the management of gingival recessions. Treating multiple recessions is the most challenging scenario. For several reasons it is a matter of concern for both patients and clinicians. New surgical techniques for treating multiple recessions have been proposed. Therefore, the purpose of this study was to evaluate and compare the outcomes of root coverage obtained using VISTA with PRF and Saddle flap with PRF in treating multiple gingival recessions.METHODOLOGY: This is a prospective randomized controlled, single-blinded comparative study where 108 recession defects were included. Patients were randomized into VISTA and Saddle groups respectively. Recession depth(RD), Recession width(RW), Width of keratinized tissue(WKT), Thickness of keratinized gingiva(TKG), Percentage of root coverage(%RC), and Complete root coverage(CRC) were assessed at baseline, 3, and 6 months.RESULTS Both groups showed significant improvement in all the clinical parameters. Inter-group comparison showed better performance in VISTA group in terms of RD,%RC,TKG,WKT, (p < 0.001) compared to Saddle group.CONCLUSION VISTA with PRF showed predictable results in terms of all the root coverage parameters. Saddle flap technique could provide a viable and predictable approach in treating multiple gingival recessions.

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Modified coronally advanced flap design in management of isolated gingival recession: Saddle flap technique

Cited by 3 publications

References 14 publications

The Connective Tissue Graft Wall Technique for treating Patients with Cairo’s RT3 Gingival Recession and Intrabony defects: A Case Series

The Connective Tissue Graft Wall Technique for treating Patients with Cairo’s RT3 Gingival Recession and Intrabony defects: A Case Series

Periocover: The lesser known periodontal flaps

Comparison of Saddle flap technique versus Vestibular Incision Sub-Periosteal Tunnel Access (VISTA) technique with advanced platelet rich fibrin (A-PRF), for treatment of multiple gingival recessions under surgical operating microscope – A Split Mouth Study.

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