Subpedicle connective tissue graft versus free gingival graft in the coverage of exposed root surfaces A 5‐year clinical study

Abstract

The authors compared the clinical results obtained in gingival recession correction treatment using free gingival and bilaminar connective subpedicle grafts. 35 patients were treated with free gingival grafts (Group A) and 35 with subpedicle grafts (Group B). Class I and II Miller gingival recessions were chosen for treatment by the 2 procedures. The degree of gingival recession (GR), keratinized tissue (KT) and the exposed root surface area (ERSA) were measured preoperatively and again 5 years post-surgery. Bilaminar connective grafting showed better results in reducing the amount of GR while both techniques significantly increased the width of KT (p > 0.05). The mean % of root coverage obtained in patients in group A was 53.19% +/- 21.48, whereas for the group B, 85.23% +/- 17.86 of exposed root surface was covered post surgical intervention (p < 0.001). In group A, only 3 patients (8.75%) showed a complete resolution of gingival recession after treatment, whereas in group B, 17 subjects (48.57%) presented with complete coverage. On the basis of these results, the authors conclude that the subpedicle graft promises better results in the coverage of exposed root surfaces when compared with the free gingival graft.

Root Coverage Technique with Enamel Matrix Derivative

“…Among these techniques, CTG has been conventionally and widely performed. Paolantonio et al 17) compared clinical results obtained in gingival recession correction treatment using free gingival grafts and CTG, and concluded that CTG was expected to provide more reliable root coverage than free gingival graft. A study comparing the GTR technique using an absorbable membrane and CTG also suggested that CTG is more likely than the GTR to achieve complete root coverage 8) .…”

Determination of the Compressive Strengths of Resin Composite and Glass-Ionomer Based Materials

“…13 Ayrıca, kompozit rezinlerin doldurucu partikülleri mekanik özelliklerini etkileyen önemli faktörlerden sayılmaktadır. 15,16 Piyasadaki kompozitlerin rezin matrislerine yerleştiri-len doldurucu partiküllerin büyüklüğü yıllar geçtikçe, geleneksel büyük boyutlu dolduruculardan, nano-hibrit materyallerdeki çok küçük doldurucu boyutlarına doğru değişmiştir.…”

“…Bu kompozit materyalin basma dayanıklılığı değerleri ile mikrohibrit rezin kompozit Esthet-X ve üniversal rezin kompozit Z 250'nin değerleri arasındaki farklar istatistiksel açıdan anlamlıydı (p<0,01). 4,[12][13][14] Bu çalışmada, normal metakrilat bazlı geleneksel kompozitlerinkinden çok daha az polimerizasyon büzül-mesine sahip olduğu ileri sürülen rezin kompozit Silorane, diğerlerinden çok farklı monomer matrise sahip bir materyal olarak kullanıldı. 4 Bunun yanı sıra, kullanılan diğer rezin kompozitlerin içeriğinde farklı metakrilat kombinasyonları yer almaktadır.…”

Aplicación clínica de la matriz dérmica acelular para prevenir recesiones gingivales

“…La literatura muestra por medio de estudios comparativos que las técnicas bilaminares presentan un mayor grado de predecibilidad cuando el objetivo de los clínicos es obtener completo cubrimiento radicular (15,16). El éxito de esta técnica bilaminar está basada en el incremento del suministro sanguíneo del injerto como es planteado por algunos autores, si se compara con el autoinjerto gingival libre.…”