Sub‐epithelial connective tissue graft for the management of Miller's class I and class II isolated gingival recession defect: A systematic review of the factors influencing the outcome

ABSTRACT Background: Gingival recession (GR) can result in hypersensitivity, esthetic concern to the patient, and chances for root caries. The purpose of this randomized clinical study was to evaluate the effect of guided tissue regeneration (GTR) procedure using a bioabsorbable collagen membrane in comparison to autogenous Subepithelial connective tissue graft (SCTG) for root coverage in Miller’s class I and II gingival recession defects. Materials and methods: In this split mouth study, 10 patients with 20 contralateral Miller’s class I or II recession defects were randomly treated with coronally advanced flap using either Subepithelial connective tissue graft (control group) or resorbable collagen membrane (experimental group). The clinical evaluations were done using plaque index, gingival index, height of gingival recession, probing sulcus depth and clinical attachment level at baseline, 3 and 6 months post- operatively. Results: Data analysis was done using descriptive statistics and student’s t test was used for comparisons. P value <0.01 was considered to be significant. Both the groups showed complete resolution of the defects at 6 months post operatively. Inter group comparison between both the groups at 6 months showed no statistically significant differences in any of the clinical parameters. Conclusion: Predictable outcome were observed in both the groups and indicated that collagen based guided tissue regeneration membrane i.e. ProGide can be safely used.

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Analysis of patient acceptance following treatment of Miller′s class II gingival recession with acellular dermal matrix and connective tissue graft

Journal of Indian Society of Periodontology ◽

10.4103/0972-124x.134574 ◽

2014 ◽

Vol 18 (3) ◽

pp. 352 ◽

Cited By ~ 5

Author(s):

Niti Goyal ◽

Rajan Gupta ◽

Nymphea Pandit ◽

Parveen Dahiya

Keyword(s):

Connective Tissue ◽

Acellular Dermal Matrix ◽

Gingival Recession ◽

Class Ii ◽

Patient Acceptance ◽

Dermal Matrix ◽

Connective Tissue Graft ◽

Tissue Graft ◽

Acellular Dermal

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Penanganan resesi gingiva Miller klas I-II menggunakan platelet-rich fibrin dan subepithelial connective tissue graft Treatinggingival recessionMiller’s class I-II usingplatelet-richfibrinandsubepithelial connective tissue graft

Journal of Dentomaxillofacial Science ◽

10.15562/jdmfs.v12i3.373 ◽

2013 ◽

Vol 12 (3) ◽

pp. 169

Author(s):

Mientje Tengkawan ◽

Sri Oktawati ◽

Arni Irawaty Djais ◽

Burhanuddin DP

Keyword(s):

Connective Tissue ◽

Average Length ◽

Gingival Recession ◽

Class I ◽

Platelet Rich Fibrin ◽

Coronally Advanced Flap ◽

Connective Tissue Graft ◽

Tissue Graft ◽

Before And After ◽

Subepithelial Connective Tissue Graft

Platelet-rich fibrin (PRF) is the generation of platelet concentrates containing growth factors, which play a role in theprocess of healing and tissue regeneration. This study aimed to compare the effects of using of PRF with subepithelialconnective tissue graft (SCTG)as a treatment to gingival recession Miller Class I-II. Nine patients with bilateralgingival recession, as the subjects have two recessions. One side was treated with coronally advanced flap(CAF)+SCTG, while the other side was treated with CAF+PRF. The length of the recession is measured andcalculated as the percentage of root closure before and after surgery (10 and 30 days). The results showed that therewere significant differences in the average length of recessions between PRF and SCTG before and after the action onday 10 and day 30 (p<0.05). Closing percentage of gingival recession 10 days after SCTG treatment was 7 (77.8%)had experienced completely closing; while the PRF, only 6 (66.7%); p>0.05. Whereas on day 30, after SCTGtreatment, all subjects had undergone a recession closing perfectly, while the PRF group only 66,7% recession thathave closing completely (p=0.05). It was concluded that the CAF+SCTG provide maximum results compared withCAF+PRF in treating gingival recession Miller Class I–II.

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