The Connective Tissue and Partial Thickness Double Pedicle Graft: A Predictable Method of Obtaining Root Coverage

Abstract

Obtaining predictable root coverage has been a goal of periodontal therapy for sometime. The purpose of this study is to present a technique for obtaining root coverage. This study reports the results of 20 patients (30 defects) treated with a connective tissue and partial thickness double pedicle graft. Root coverage of 100% was obtained in 24 of 30 defects, or 80% of the time. In all the treated defects the root coverage obtained was to within 0.5 mm of the cemento-enamel junction. The mean percent root coverage was 97.4%. The mean amount of exposed root surface initially was 3.6 mm. At the final postoperative appointment the mean exposed root surface was 0.1 mm. This change represents a net root coverage of 3.5 mm or 97.2%. The number of sites with bleeding on probing and plaque present decreased. The esthetics, both color match and tissue contours, were acceptable to all the patients in all cases. With this technique root coverage can be accomplished in a predictable manner.

Root Surface Biomodification with Nd:YAG Laser for the Treatment of Gingival Recession with Subepithelial Connective Tissue Grafts

“…[12][13][14][15][16][17][18] Also, the root coverage gained with SCTG procedures was reported to be stable over the long-term. 14 Therefore, SCTG procedures have commonly served as the ''gold standard'' to evaluate the safety and results of new root-coverage techniques.…”

Experimental Study on the Acellular Dermal Matrix Graft for the Root Coverage in Dog

“…The main goal of this study was to com- The reported root coverage in this study is lower than that from other studies, in a comparative study between CT and ADM grafts used in a bilaminar techniques 16,20,21,[33][34][35][36][37] , but well within the range of reported root coverage. 30 .…”

Simultaneous Application of Combination of Three Surgical Techniques for Treatment of Gingival Recession: A Case Report

“…An SCTG is usually harvested from the palate and placed over the recession and under a mucoperiosteal flap. The SCTG technique offers excellent esthetic result, as well as a very predictable percentage of root coverage, when properly indicated 1,7,8,13,14,20) . In many cases, more than one procedure is necessary to treat gingival recession.…”

“…The utilization of a laterally positioned flap was employed to increase the amount of attached tissue on Tooth #31 from Tooth #32. Concomitantly, the SCTG was also employed for this objective as previously described in the literature 1,[13][14][15] . The tunnel technique was carried out to ensure the preservation of the interproximal papilla 1) and facilitate fixation of the graft for root coverage.…”