Use of Subepithelial Connective Tissue Graft for Root Coverage

Abstract

Until recently, periodontal therapy was predominantly focused on establishing biologically and functionally stable periodontium. The presence of mucogingival problems and gingival recession around anterior teeth exemplifies a situation in which a treatment modality that addresses not only biological and functional but also esthetic demands are required from the periodontist. The advent of procedure such as subepithelial connective tissue graft in the mid-1980s and its various modifications thereafter, have led to improved and more predictable outcomes of root coverage. Thus, the present day clinicians have become more capable of addressing the esthetic demands of their patients. This case report shows the usage of subepithelial connective tissue graft for root coverage of upper right first premolar, which shows successful root coverage with a stable result. The technique used here created a healthy, functional and esthetic gingival unit that appeared resistant to further breakdown at a 6-month follow-up.

Association of the Osseodensification Technique with Soft Tissue Substitute in a Limitrophe Edentulous Area: A Clinical Case Report with 5‐Year Follow‐Up

“…What sets this study apart is the application of a combination of techniques for regenerating hard and soft tissue, specifically OD and the utilization of Mucoderm®, with a follow-up period of 5 years. These isolated techniques enable more conservative procedures without the necessity of autogenous grafts, which were the only feasible option previously [27]. Using both techniques in this clinical case at appropriate times yielded predictable and stable results, with reduced morbidity.…”

Clinical and histological wound healing patterns of collagen‐based substitutes: An experimental randomized controlled trial in standardized palatal defects in humans

“…The first type is intended to increase the width of keratinized mucosa or for alveolar ridge preservation, and it can be left exposed to the oral cavity (Herford et al, 2010;Maiorana et al, 2017). The second type can be used for augmenting soft-tissue volume around implants or in pontic sites, as well as for replacing subepithelial connective tissue grafts in root coverage (Fathiazar et al, 2022;Hutton et al, 2018;Stefanini et al, 2020). These are intended to be completely submerged under a flap with primary wound closure.…”

“…Although various collagen-based substitutes are available on the market that can be left exposed to the oral cavity, there is currently no comparative study on the clinical performance of different matrices. For ethical reasons, clinical trials often compare the effectiveness of collagenbased substitutes with autogenous grafts (Fathiazar et al, 2022;Schmitt et al, 2016). However, an experimental set-up does also allow for comparison with a control group without the application of a substitute.…”