Periosteal pedicle graft with coronally advanced flap and its comparison with modified coronally advanced flap in the treatment of multiple adjacent gingival recessions-a randomized clinical trial

Nisha, Swet; Shashikumar, Pratibha

doi:10.1016/j.jobcr.2020.12.003

Cited by 7 publications

(1 citation statement)

References 18 publications

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“…[ 9 ] The width increased from 3.73 ± 1.36 at baseline to 5.00 ± 1.52 at 6 months which is in accordance with a recent study where the WKG increased from 3.02 ± 0.27 to 5.87 ± 0.16. [ 15 ] This suggests that the PPG may be long-term stable in terms of achieving keratinized tissue width. The induction mechanism of CTGs is known for increasing the width of keratinized gingiva by epithelialization.…”

Section: Discussionmentioning

confidence: 99%

Clinical evaluation of periosteal pedicle flap in the treatment of gingival recessions for esthetic root coverage: A randomized controlled clinical trial

Bhavana

Gottumukkala

Penmetsa

et al. 2023

Journal of Indian Society of Periodontology

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Background: Root coverage using subepithelial connective tissue graft (SCTG) is gold standard with few drawbacks such as requirement of second surgical site, reduced donor tissue availability, and increased surgical complications and pain. Periosteal pedicle graft (PPG) due to its rich source of pluripotent stem cells and nonrequirement of second surgical site could be a successful alternative for invasive SCTG. Therefore, current research aims to compare the amount of root coverage obtained with PPG to SCTG. Materials and Methods: Fifty-two single gingival recessions were included in the sample, with 26 patients allocated to the SCTG (control) and PPG (test) groups at random. At baseline, 3, and 6 months after surgery, clinical measurements of probing depth, clinical attachment level (CAL), recession depth (RD), recession width (RW), and width of keratinized tissue were taken. Results: Both procedures, i.e., SCTG and PPG, resulted in root coverage to a variable extent and a significant decrease in RD (1.69, 1.38 mm in SCTG and PPG groups, respectively) and RW, CAL gain is found in both the groups without any intergroup statistical variance. Complete root coverage (CRC) was obtained in 14 out of 26, i.e., 53.8% defects in both SCTG and PPG groups. A better comfort level is found in the group treated with PPG. Conclusion: Gingival recessions can be successfully treated with PPG, which has predictability comparable to SCTG and does not require a second surgical site.

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Section: Discussionmentioning

confidence: 99%