Periodontal flaps and mucogingival surgery

Abstract The aim of this paper is to report histologic and tomographic findings of fresh frozen bone block allografts bearing dental implants in functional occlusion in a long-term follow-up. Four patients with implants functionally loaded for 4 years on augmented ridges requiring additional mucogingival surgery or implant placement were included in this case series. Cone-beam tomography scans were compared volumetrically between the baseline (first implant placement) and current images. Biopsies of the grafts were retrieved and sent to histological analysis. Volumetric reduction of the grafts varied from 2.1 to 7.7%. Histological evaluation demonstrated well-incorporated grafts with different degrees of remodeling. While data presented in this report are from a small sample size and do not allow definitive conclusions, the biopsies of the grafted sites were very similar to the host's native bone. Remodeling of the cortical portion of the allografts seems to take longer than the cancellous portion. The presence of unincorporated graft remains did not impair the implant success or the health of the surrounding tissues. This is the first time histologic and tomographic long term data of bone allograft have been made available in dentistry.

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Morbidity and Economic Complications Following Mucogingival Surgery in a Hemophiliac HIV-Infected Patient: A Case Report

Journal of Periodontology ◽

10.1902/jop.2004.75.10.1413 ◽

2004 ◽

Vol 75 (10) ◽

pp. 1413-1416 ◽

Cited By ~ 4

Author(s):

Juan Blanco-Carrion ◽

Antonio Liñares-Gonzalez ◽

Pilar Batalla-Vazquez ◽

Pedro Diz-Dios

Keyword(s):

Case Report ◽

Infected Patient ◽

Mucogingival Surgery

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Use of acellular dermal matrix graft in the treatment of gingival recessions: a case report

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.27.2.ar53131840v926pr ◽

2004 ◽

Vol 27 (2) ◽

pp. 107-110 ◽

Cited By ~ 3

Author(s):

Ana Emília Pontes ◽

Arthur Novaes Júnior ◽

Márcio Grisi ◽

Sérgio Souza ◽

Mário Taba Júnior

Keyword(s):

Case Report ◽

Surgical Procedure ◽

Pediatric Patients ◽

Acellular Dermal Matrix ◽

Root Coverage ◽

Dermal Matrix ◽

Case Presentation ◽

Mucogingival Surgery ◽

Acellular Dermal

Case presentation in which a 12-years-old boy presented with two large gingival recessions on the maxillary central incisors, secondary to a lateral luxation. In the surgical procedure, an acellular dermal matrix graft (ADMG) was placed as a substitute for a free gingival graft.Twelve months later, complete root coverage was achieved, showing that ADMG, a biomaterial recently developed for mucogingival surgery, can be successfully used in the treatment of gingival recessions in pediatric patients.

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