Free Gingival Autograft for Augmentation of Keratinized Tissue and Stabilization of Gingival Recession - 2 Case Reports

AbstractIn the current practice of periodontics, clinicians are faced with the challenge of not only addressing biological and functional problems present in the periodontium, but also providing therapy that results in acceptable aesthetics. The presence of mucogingival problems and gingival recession around anterior, highly visible teeth exemplifies a situation in which a treatment modality that addresses both biological and aesthetic demands is required from the therapist. Periodontal plastic surgery procedures are performed to resolve these mucogingival problems. This paper presents two cases of gingival recession (Miller's class I and class II) successfully treated with complete root coverage by free gingival autografts.

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Cirurgia minimamente invasiva x cirurgia convencional na taxa de recobrimento radicular e previsibilidade estética: Uma revisão integrativa

Research Society and Development ◽

10.33448/rsd-v10i5.14314 ◽

2021 ◽

Vol 10 (5) ◽

pp. e17610514314

Author(s):

Silvano Santos Pinheiro ◽

Francisco de Assis de Souza Junior ◽

Isaías Lopes de Medeiros ◽

Bruno Cesar de Vasconcelos Gurgel ◽

Euler Maciel Dantas ◽

...

Keyword(s):

Minimally Invasive ◽

Plastic Surgery ◽

Web Of Science ◽

Gingival Recession ◽

Root Coverage ◽

Minimally Invasive Surgical ◽

Periodontal Plastic Surgery

A cirurgia minimamente invasiva (CMI), é um termo que descreve procedimentos cirúrgicos pouco invasivos com ou sem instrumentos de ampliação, porém ainda não existe evidência científica se existe maior previsibilidade estética e de taxa de recobrimento radicular nas CMI em relação a cirurgia para recobrimento radicular convencional. Desta forma, foi realizada uma revisão integrativa da literatura utilizando-se a seguinte estratégia de busca: (microsurgery OR surgical AND minimally invasive surgical OR surgery AND gingival recession AND periodontal plastic surgery OR surgical AND root coverage). nas bases de dados SciELO, PubMed, Scopus, Web of Science, Science Direct, BVS e Google Acadêmico utilizando-se de artigos publicados entre os períodos de 2011 à 2019. No total foram encontrados 546 artigos e após a seleção mediante os critérios de inclusão permaneceram 05 artigos para o estudo, todos ensaios clínicos randomizados. As informações avaliadas dos artigos foram seus objetivos, tamanho da amostra, técnicas cirúrgicas realizadas, o tempo de acompanhamento e os resultados e conclusão. Com base nas análises, pode-se concluir que a CMI não necessita do uso de instrumentos de magnificação. A tunelização realizada para recobrimento radicular proporciona melhores resultados como ganho tecidual e estético em relação ao Retalho tracionado coronalmente (RTC), principalmente para as classes I e II de Miller. O uso de enxerto conjuntivo associado a CMI aumentou a previsibilidade de resultados satisfatórios.

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Comparative Evaluation of Coronally Advanced Flap with Platelet-rich Fibrin vs Amniotic Membrane for the Treatment of Gingival Recession

Journal of Health Sciences & Research ◽

10.5005/jp-journals-10042-1045 ◽

2017 ◽

Vol 8 (1) ◽

pp. 31-37 ◽

Cited By ~ 1

Author(s):

Abhishek Gautam

Keyword(s):

Amniotic Membrane ◽

Comparative Evaluation ◽

Gingival Recession ◽

Class I ◽

Root Coverage ◽

Platelet Rich Fibrin ◽

Coronally Advanced Flap ◽

Keratinized Tissue ◽

Probing Depth ◽

To Receive

ABSTRACT Background The purpose of this clinical trial was to compare the outcome of gingival recession technique using the coronally advanced flap (CAF) with platelet-rich fibrin (PRF) and amniotic membrane. Materials and methods About 15 patients with bilateral Miller class I buccal gingival recessions (4–5 mm) in maxillary and mandibular canines were selected. The recessions were randomly assigned to receive either the CAF with PRF or the CAF with amniotic membrane. Recession height (RH), recession width (RW), width of keratinized tissue (WKT), thickness of keratinized tissue (TKT), probing depth (PD), and clinical attachment level (CAL) were measured at baseline as well as 6 months postsurgery. Patient satisfaction with esthetics, root sensitivity, and postoperative pain was also evaluated. Results The average percentages of root coverage for CAF with PRF and CAF with amniotic membrane were 92.95% and 97.40% (p < 0.05) respectively, and the complete root coverage observed was 56.94% and 76.47% respectively. The CAF with amniotic membrane showed a statistically significant increase in TKT (p < 0.05). There were no significant differences between the two groups with regard to RH, RW, WKT, PD, and CAL. The esthetic condition after both treatments was considered satisfactory by the patients. Conclusion The outcome of this study reflects that CAF with PRF and amniotic membrane can be successfully used to treat class I gingival recession. How to cite this article Gautam A. Comparative Evaluation of Coronally Advanced Flap with Platelet-rich Fibrin vs Amniotic Membrane for the Treatment of Gingival Recession. J Health Sci Res 2017;8(1):31-37.

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PC091: Evaluation of keratinized tissue gain of exposed periosteal area followed by a modified apically repositioned flap with pretreatment of root coverage in maxillary premolar with Miller class I gingival recession

Journal Of Clinical Periodontology ◽

10.1111/jcpe.90_12916 ◽

2018 ◽

Vol 45 ◽

pp. 394-394

Keyword(s):

Gingival Recession ◽

Class I ◽

Root Coverage ◽

Keratinized Tissue

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Coronally Repositioned Flap with Bioresorbable Collagen Membrane for Miller’s Class I and II Recession Defects: A Case Series

Medical Principles and Practice ◽

10.1159/000500308 ◽

2019 ◽

Vol 28 (5) ◽

pp. 477-480

Author(s):

Mrinalini Agarwal ◽

Deepa Dhruvakumar

Keyword(s):

Type I Collagen ◽

Case Series ◽

Gingival Recession ◽

Class I ◽

Collagen Membrane ◽

Type I ◽

Root Coverage ◽

Periodontal Tissues ◽

Keratinized Tissue ◽

Attached Gingiva

Objective: Gingival recession is one of the most common esthetic and functional concerns associated with periodontal tissues. Several techniques have been described to cover the exposed root surface. The aim of the present study was to evaluate the efficacy of recession coverage using a coronally repositioned flap in conjunction with a bioresorbable collagen membrane. Methods: Eight non-smoking healthy subjects with Miller’s Class I and II recession defects in the maxillary anterior region were selected. Recession was treated by a coronally repositioned flap along with a bioresorbable type I collagen guided tissue regeneration membrane (Periocol®). Clinical parameters recorded were recession depth, recession width, width of keratinized tissue, and width of the attached gingiva at baseline and 3 months postoperatively. Results: Three-month postoperative measurements demonstrated significant root coverage and a reduction in the recession depth and width. In addition, there was a significant increase in the width of keratinized tissue and of the attached gingiva. Conclusion: Recession coverage with a coronally repositioned and bioresorbable collagen membrane demonstrated good results in terms of root coverage as well as increase in the width of keratinized tissue.

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Treatment of Gingival Recession with Microinvasive Surgical Technology

Journal of Nanomaterials ◽

10.1155/2021/9972879 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Qiong Cao ◽

Ruohuang Lu ◽

Jun Chen ◽

Hao Pan ◽

Hui Feng ◽

...

Keyword(s):

Gingival Recession ◽

Class I ◽

Root Coverage ◽

Clinical Attachment Loss ◽

Attachment Loss ◽

Surgical Technology ◽

Keratinized Tissue ◽

Probing Depth ◽

Subepithelial Connective Tissue Graft ◽

Mandibular Teeth

Objective. The purpose of this clinical research was to evaluate the result of microinvasive surgical technology: vestibular incision subperiosteal tunnel access (VISTA) and subepithelial connective tissue graft (SCTG) in multiple gingival recession. Methods. A total of 20 patients with 25 Miller I and 30 Miller III gingival recession teeth were treated with VISTA+SCTG. The data at baseline and 12 months were assessed: probing depth (PD), clinical attachment loss (CAL), gingival recession depth (RD), gingival recession width (RW), width of keratinized tissue (WKT), and gingival biotype (GB), and percentage of root coverage (RC) and complete root coverage (CRC) were calculated. Results. The average root coverage was 1.52 ± 0.70 mm in Miller I and 0.82 ± 0.79 mm in Miller III. The mean root coverage rate was 99.00 % ± 5.00 % in Miller I and 60.73 ± 37.90 % in Miller III. The width of clinical attachment loss of keratinized tissue was significantly improved. Conclusions. VISTA and SCTG are effective in the treatment of both Miller class I and III multiple gingival recessions. Gingival increment in Miller class I is better than that in III. It is the same for maxillary and mandibular teeth.

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Evaluation of keratinized tissue gain of exposed periosteal area followed by a modified apically repositioned flap with pretreatment of root coverage in maxillary premolar with Miller class I gingival recession

10.26226/morressier.5ac383192afeeb00097a4674 ◽

2018 ◽

Author(s):

Jae-Yong Shim

Keyword(s):

Gingival Recession ◽

Class I ◽

Root Coverage ◽

Keratinized Tissue

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Laterally Positioned Flap: A Simple and Successful Technique to Cover Isolated Recession of Miller Class-I

Journal of Nepalese Society of Periodontology and Oral Implantology ◽

10.3126/jnspoi.v1i2.23555 ◽

2017 ◽

Vol 1 (2) ◽

pp. 78-80

Author(s):

Shashi Kant Chaudhary ◽

Harish Kumar Shah ◽

Khushboo Goel ◽

Sajeev Shrestha

Keyword(s):

Clinical Examination ◽

Oral Hygiene ◽

Gingival Recession ◽

Class Ii ◽

Class I ◽

Root Coverage ◽

Keratinized Tissue ◽

Chief Complaints ◽

Successful Technique ◽

Mandibular Canine

Gingival recession is a common mucogingival deformity that brings aesthetic discomfort, hypersensitivity and inability to perform proper oral hygiene. LPF is the widely used technique to cover single recession of Miller Class-I and Class-II when adequate keratinized tissue exists adjacent to the recession. We report a case of 32-year-old female who presented with chief complaints of receding gum and sensitivity in lower front teeth region. Clinical examination revealed Miller’s Class-I vertical recession with 4 mm depth on buccal aspect of left mandibular canine. LPF was planned and operated for the root coverage. After 6 months of therapy, 100% root coverage was achieved with satisfactory healing and aesthetic was comparable to adjacent gingiva.

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Evaluation of The Clinical Efficacy of Collagen Membrane In Combination with Bone Grafts in the Treatment of Miller’s Class I /II Marginal Tissue Recession: A Case Report

Dental Journal of Advance Studies ◽

10.1055/s-0038-1672035 ◽

2015 ◽

Vol 03 (03) ◽

pp. 179-184

Author(s):

Yash Dev ◽

Nitin Khuller ◽

Preetinder Singh ◽

Prabhjot Kaur ◽

Yashbir Raghav ◽

...

Keyword(s):

Case Report ◽

Bone Graft ◽

Clinical Effectiveness ◽

Gingival Recession ◽

Point Of View ◽

Tissue Response ◽

Class I ◽

Collagen Membrane ◽

Clinical Parameters ◽

Root Coverage

AbstractThe aim of this clinical trial was to evaluate the clinical effectiveness of a collagen barrier along with an alloplastic bone graft in the treatment of gingival recession defects. Two patients having Miller’s Class I or Class II recession defects participated in the study. One was treated with a collagen membrane covered by a coronally positioned flap. Second patient also had bone graft placed beneath the membrane. Clinical parameters were recorded. Patients were followed postoperatively and healing was evaluated at 1, 3 and 6 months, with recession depth as the primary criteria for assessment. This case report revealed a favorable tissue response to bone graft and collagen membrane from both clinical and esthetic point of view in the treatment of gingival recession. Root coverage tended to be better with the addition of bone graft.

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