Indian J Dent Res

2008

DOI: 10.4103/0970-9290.40468

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Subepithelial connective tissue grafts for the coverage of denuded root surfaces: A clinical report

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Cited by 9 publications

(7 citation statements)

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“…Many patients seek treatment because of concerns about esthetic appearance, root sensitivity, or fear of early loss of the affected teeth. However, other complications can also arise, such as root caries and tooth discoloration[ 1 ] as it has a multifactorial etiology associated with anatomical factors, or physiological or pathological factors. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

Amniotic membrane - A Novel material for the root coverage: A case series

2015

J Indian Soc Periodontol

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Background:Periodontal plastic surgical procedures aimed at coverage of exposed root surface. Owing to the second surgical donor site and difficulty in procuring a sufficient graft for the treatment of root coverage procedures, various alternative additive membranes have been used. A recent resorbable amniotic membrane, not only maintains the structural and anatomical configuration of regenerated tissues, but also enhances gingival wound healing, provides a rich source of stem cells. Therefore, amniotic membrane is choice of material these days in augmenting the better results in various periodontal procedures.Aim:The aim of this observational case series was to evaluate the effectiveness, predictability and the use of a novel material, amniotic membrane in the treatment of shallow-to-moderate isolated recession defects.Materials and Methods:A total of three cases, showing Miller's Class I or Class II gingival recession, participated in this study. Recession depth, recession width, keratinized gingiva (KG) tissue width, clinical attachment level (CAL) were recorded at baseline, 3 and 6 months postoperatively.Results:Six months following root coverage procedures, the mean root coverage was found to be 70.2 ± 6.8%. CAL significantly decreased from 6.4 ± 0.54 mm preoperatively to 3.5 ± 0.9 mm postoperatively at 6 months while KG showed significant improvement from 3.2 ± 0.28 mm preoperatively to 5.9 ± 0.74 mm postoperatively at 6 months.Conclusion:Autogenous graft tissue procurement significantly increases patient morbidity while also lengthening the duration of surgery in placing the graft, while self-adherent nature of amniotic membrane significantly reduces surgical time and made the procedure easier to perform, making it membrane of choice.

“…Many patients seek treatment because of concerns about esthetic appearance, root sensitivity, or fear of early loss of the affected teeth. However, other complications can also arise, such as root caries and tooth discoloration[ 1 ] as it has a multifactorial etiology associated with anatomical factors, or physiological or pathological factors. [ 2 ]…”

Section: Introductionmentioning

confidence: 99%

Amniotic membrane - A Novel material for the root coverage: A case series

2015

J Indian Soc Periodontol

View full text Add to dashboard Cite

Background:Periodontal plastic surgical procedures aimed at coverage of exposed root surface. Owing to the second surgical donor site and difficulty in procuring a sufficient graft for the treatment of root coverage procedures, various alternative additive membranes have been used. A recent resorbable amniotic membrane, not only maintains the structural and anatomical configuration of regenerated tissues, but also enhances gingival wound healing, provides a rich source of stem cells. Therefore, amniotic membrane is choice of material these days in augmenting the better results in various periodontal procedures.Aim:The aim of this observational case series was to evaluate the effectiveness, predictability and the use of a novel material, amniotic membrane in the treatment of shallow-to-moderate isolated recession defects.Materials and Methods:A total of three cases, showing Miller's Class I or Class II gingival recession, participated in this study. Recession depth, recession width, keratinized gingiva (KG) tissue width, clinical attachment level (CAL) were recorded at baseline, 3 and 6 months postoperatively.Results:Six months following root coverage procedures, the mean root coverage was found to be 70.2 ± 6.8%. CAL significantly decreased from 6.4 ± 0.54 mm preoperatively to 3.5 ± 0.9 mm postoperatively at 6 months while KG showed significant improvement from 3.2 ± 0.28 mm preoperatively to 5.9 ± 0.74 mm postoperatively at 6 months.Conclusion:Autogenous graft tissue procurement significantly increases patient morbidity while also lengthening the duration of surgery in placing the graft, while self-adherent nature of amniotic membrane significantly reduces surgical time and made the procedure easier to perform, making it membrane of choice.

“…Marginal gingival recession, therefore should not be viewed as merely a soft tissue defect, but as the destruction of both the soft and hard tissue. [ 5 ]…”

Section: Introductionmentioning

confidence: 99%

The pouch and tunnel technique for management of multiple gingival recession defects

Dani¹,

²

,

³

2014

J Indian Soc Periodontol

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The desire for improved esthetics has increased tremendously over the years. Periodontal plastic surgery deals with regenerative procedures designed to restore form, function and enhance esthetics. The aim of this study was to evaluate the effectiveness of subepithelial connective tissue graft using pouch and tunnel technique as root coverage procedure. Three patients corresponding to a total of 8 sites participated in the study. Maxillary teeth with miller's class I gingival recession were included in the study. All the sites were treated using subepithelial connective tissue graft using pouch and tunneling technique. Patients were followed up for a period of 6 months and 1 year. All the treated teeth showed 100% root coverage at the end of 6 months and 1 year. Gingival recession is a common occurrence and its prevalence increases with age. It can lead to clinical problems, diminished cosmetic appeal and hence esthetic concern. There are various techniques for root coverage. Subepithelial connective tissue graft has shown the best predictability (95%) of root coverage in Millers class I & II cases. This technique preserves the intermediate papilla, accelerates the initial wound healing & also applies less traction. Due to minimal trauma at the recipient site, this procedure may be advantageous in treatment of recession as compared to other treatment modalities.

“…Esta técnica combina un colgajo que recubre el injerto y un lecho vascular asegurando así la nutrición del injerto. Esta técnica consigue el recubrimiento radicular con gran predictibilidad (18,19). Las molestias y complicaciones postoperatorias de la zona donante disminuyen con respecto al injerto gingival libre.…”

Section: Introductionunclassified

Recesión gingival: diagnóstico y tratamiento

García-Rubio¹,

²

,

Rodríguez-Archilla³

2015

Avances en Periodoncia

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La recesión gingival localizada es un problema de salud bucodental fundamental porque su progresión conduce a la pérdida dentaria. Discusión: El criterio de actuación será controlar periodontalmente al paciente para asegurar un adecuado control de placa de las zonas más susceptibles a presentar la recesión. PALABRAS CLAVE: Índice de placa, índice de sangrado, profundidad de sondaje, recesión gingival.

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