scholarly journals Clinical Comparison of the Subepithelial Connective Tissue versus Platelet-Rich Fibrin for the Multiple Gingival Recession Coverage on Anterior Teeth Using the Tunneling Technique

2017 ◽  
Vol 2017 ◽  
pp. 1-6
Author(s):  
Victor Fabrizio Cabrera Pazmiño ◽  
Miguel Agusto Riquelme Rodas ◽  
Carlos David Barrios Cáceres ◽  
Guillermo Gustavo Renault Duarte ◽  
Melanie Vanesa Cano Azuaga ◽  
...  

The aim of this study was to evaluate and compare, clinically, the efficiency of the subepithelial connective tissue graft (SCTG) and platelet-rich fibrin (L-PRF) using the tunnel technique to cover the multiple gingival recessions on anterior teeth, in the same patient. Within the limits of this study, we conclude that both SCTG and L-PRF proved to be reliable options for the treatment of gingival recessions, efficiently supporting the biological and aesthetic demand, stimulating the periodontal tissues’ health, and bringing reliable and highly predictable results.

2013 ◽  
Vol 12 (3) ◽  
pp. 169
Author(s):  
Mientje Tengkawan ◽  
Sri Oktawati ◽  
Arni Irawaty Djais ◽  
Burhanuddin DP

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.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Marcelo Imano ◽  
Paula Porto Spada ◽  
Juliana Marchioro Souza Macalossi ◽  
Tatiana Miranda Deliberador

Facial and dental esthetics are the objectives of dental treatment, and, for this, it is necessary that specialties such as periodontics and orthodontics work together. The objective of this article is to report a clinical case with the solution of localized gingival recession after orthodontic treatment, using tunneled subepithelial connective tissue grafts with follow-up for 1 year. The patient underwent orthodontic treatment for 1 year. Prior to the start of treatment, a gingival recession of 5 mm was already present on tooth 31. One month after the completion of treatment, the patient was subjected to a tunneled subepithelial connective tissue graft, with the purpose of covering the exposed root. We observed the effectiveness of the procedure and patient satisfaction with the results obtained. The subepithelial connective tissue graft was successful in this case, and the collaboration of specialists is important to provide the best treatment for the patient.


2011 ◽  
Vol 2 (2) ◽  
pp. 159-162
Author(s):  
Sheela Kumar Gujjari ◽  
MB Harsha ◽  
Deepak Prasad

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.


Author(s):  
Anita Mehta

The Gingival recession is considered a multi-factorial. The etiology may be an anatomically vulnerable area, faulty tooth brushing, high frenum attachment. In cases where there is progressive recession, aesthetics concern or increasing dentinal hypersensitivity, we can do recession coverage. Depending upon the presence or absence of adequate keratinized tissue we can choose the technique. In case of adequate width of keratinized tissue, usually we can do displaced flap and in case where there is inadequate width, we can do gingival grafting.


2018 ◽  
Vol 9 ◽  
pp. 20
Author(s):  
Shula Zuleika Sumana ◽  
Sri Lelyati C Masulili ◽  
Robert Lessang

Objective: This study aims to evaluate periodontal clinical conditions after treatment for gingival recession (GR) using subepithelial connective tissue graft (SCTG) and acellular dermal matrix (ADM).Methods: Ten patients with Miller’s Class I and II recessions that had been treated with SCTG or ADM at the Periodontics Outpatient Department at Universitas Indonesia were selected for this study. The pre-operative data for GR, clinical attachment levels (CAL), and attached gingiva (AG) were retrieved from the patients’ medical records. The patients were recalled and the post-operative data were recorded.Results: The application of SCTG and ADM yields significant changes to GR, CAL, and AG levels. A comparison of two groups at the post-operative assessment stage showed no statistically significant differences, in terms of GR, CAL, and AG.Conclusion: SCTG and ADM yield similar outcomes in the treatment of GR. As such, ADM may be suggested as an alternative to SCTG for root coverage.


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