scholarly journals Technical Note on Root Coverage of Lower Anterior Teeth Using a Partially Deepithelialized Connective Tissue Graft (PE-CTG) Aided by a High-Speed Handpiece

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Kyeong-Ok Lim ◽  
Byung-Ock Kim ◽  
Won-Pyo Lee
Keyword(s):  
Connective Tissue ◽  
High Speed ◽  
Healing Process ◽  
Technical Note ◽  
Anterior Region ◽  
Root Coverage ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Anterior Teeth ◽  
Subepithelial Connective Tissue Graft

Root coverage in the mandibular anterior region is challenging because of a thin gingival biotype, shallow vestibule, and high frenum attachment. Several methods have been introduced to predict the root coverage in this area. Stimmelmayr proposed a method of performing root coverage using a combination epithelialized-subepithelial connective tissue graft (CTG). However, it is difficult to precisely acquire connective tissue according to this method. Therefore, in this case report, we would like to introduce a technique to harvest a partially deepithelialized CTG (PE-CTG) aided by a high-speed handpiece, which helps in procuring the graft easily and quickly. This method could lower the patient’s morbidity at donor sites and enhance the healing process. Additionally, it could increase the amount of keratinized gingiva in the mandibular anterior region without reducing the vestibular depth. Therefore, PE-CTG using a high-speed handpiece can be a promising treatment option for the root coverage of the mandibular anterior teeth.

scholarly journals Obtaining intraoral subepithelial connective tissue graft: Dermabrasion Technique- Case report

10.3823/2615 ◽  
2019 ◽  
Vol 12 ◽  
Author(s):  
Marcelo Pereira Nunes ◽  
Luís Fernando Pereira Nunes ◽  
João Carlos Bittencourt Ribeiro ◽  
Roberto Mourão Pinho ◽  
Camila Agra de Souza ◽  
...  
Keyword(s):  
Connective Tissue ◽  
High Speed ◽  
Healing Process ◽  
Soft Tissue Augmentation ◽  
Epithelial Layer ◽  
Connective Tissue Graft ◽  
Diamond Drill ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
Subepithelial Layer

Objectives: The present study aims to describe the dermabrasion technique to obtain connective tissue rich in collagen, with satisfactory thickness and anatomy, removing the epithelial layer with diamond drill in high speed handpiece and under refrigeration. Materials and Methods: A 50-year-old patient was selected for immediate dental implant (element 25) and soft tissue augmentation in the periodontal and peri-implant region. An epithelial connective tissue graft was performed in the area comprising elements 23, 24, 25 and mesial of 26. For the preparation of the donor area of the graft, the dermabrasion technique was used through a spherical diamond drill bit (medium or thick granulation) in high speed and under refrigeration, being able to remove the epithelium without losing part of the subepithelial layer. Results: The healing process is by second intention and presented a normal evolution with formation of adequate tissues. Conclusions: The Dermabrasion technique allows to obtain adequate grafts, removing the epithelial layer in a simple way and guarantee the desired thickness.

Use of Subepithelial Connective Tissue Graft for Root Coverage

2011 ◽  
Vol 2 (2) ◽  
pp. 159-162
Author(s):  
Sheela Kumar Gujjari ◽  
MB Harsha ◽  
Deepak Prasad
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Gingival Recession ◽  
Root Coverage ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Anterior Teeth ◽  
Subepithelial Connective Tissue Graft ◽  
Stable Result

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.

scholarly journals ROOT COVERAGE USING THE SUBEPITHELIAL CONNECTIVE TISSUE GRAFT OR THE ACELLULAR DERMAL MATRIX FOR THE TREATMENT OF GINGIVAL RECESSION: A CLINICAL STUDY

2018 ◽  
Vol 9 ◽  
pp. 20
Author(s):  
Shula Zuleika Sumana ◽  
Sri Lelyati C Masulili ◽  
Robert Lessang
Keyword(s):  
Connective Tissue ◽  
Acellular Dermal Matrix ◽  
Gingival Recession ◽  
Root Coverage ◽  
Dermal Matrix ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Operative Data ◽  
Subepithelial Connective Tissue Graft ◽  
Acellular Dermal

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.

scholarly journals Vestibular incisional subperiosteal tunnel access versus coronally advanced flap with connective tissue graft for root coverage of Miller’s class I and II gingival recession: A randomized clinical trial

2019 ◽  
Vol 11 (1) ◽  
pp. 12-20
Author(s):  
Saeed Sadat Mansouri ◽  
Omid Moghaddas ◽  
Narjes Torabi ◽  
Katayoun Ghafari
Keyword(s):  
Connective Tissue ◽  
Gingival Recession ◽  
Control Group ◽  
Root Coverage ◽  
Control Groups ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
And Control

Background and aims. This study aimed to compare the clinical efficacy of vestibular incisional subperiosteal tunnel access (VISTA) with subepithelial connective tissue graft versus a coronally advanced flap (CAF) with subepithelial connective tissue graft for the treatment of gingival recession defects. Materials and methods. This randomized clinical trial was performed on 24 recession defects that were bilaterally Miller’s class I or II in the maxillary canine and premolar area. One quadrant in each patient was selected randomly to receive VISTA (test group) or CAF (control group) with connective tissue graft. Clinical parameters measured at baseline and at 3- and 6- month postoperative intervals included recession width (RW), recession depth (RD), keratinized tissue width (KTW), clinical attachment level (CAL) and probing depth (PD). Results. Healing was uneventful in both the test and control groups. At the 6-month follow-up, there was a significant decrease in RD, RW and CAL and an increase in KTW in both the test and control groups. The PD remained unchanged. At 3 and 6 months, no statistically significant differences were found between VISTA and CAF for root coverage and clinical attachment gain. Mean root coverage (MRC) was 70.69% and 67.22% in the test and control group, respectively. VISTA demonstrated higher frequency of complete root coverage (CRC) compared to CAF: 50% vs. 33% (P<0.05). The mean KTW was 2.4±0.7 mm at the test and 2.7±0.8 mm at the control sites (P>0.05) Conclusion. VISTA, as a minimally invasive approach, can enhance root coverage, KTW and clinical attachment gain; therefore, it can be used as a substitute for CAF with connective tissue graft as a gold standard for root coverage.

Pseudoaneurysm of the Greater Palatine Vessel Following Subepithelial Connective Tissue Graft

2019 ◽  
Vol 45 (6) ◽  
pp. 483-485
Author(s):  
Joshua Segal ◽  
Monika Patel ◽  
Henry Woo ◽  
Rachel Pruitt
Keyword(s):  
Connective Tissue ◽  
Donor Site ◽  
Flap Necrosis ◽  
Root Coverage ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Graft Harvest ◽  
Subepithelial Connective Tissue Graft ◽  
Tissue Grafts

Subepithelial gingival connective tissue grafts are a common surgical procedure performed in periodontal and implant surgery. This versatile procedure has many indications including tooth root coverage, thickening of gingiva, and improvement of the quality of the crestal gingiva. Several techniques have been described for graft harvest from the palate. Reported complications from these techniques include pain, inflammation, bleeding, flap necrosis, and infection in the donor site. We report a previously unpublished complication following subepithelial gingival connective tissue graft from the palate: pseudoaneurysm of the greater palatine vessel.

scholarly journals Exposed root coverage for facially prominent root utilizing the combination of GTR and subepithelial connective tissue graft

1999 ◽  
Vol 20 (1) ◽  
pp. 85-91
Author(s):  
Kitetsu Shin ◽  
Kazuyuki Watanabe ◽  
Masaaki Ishizawa ◽  
Takashi Kumagai ◽  
Yukinao Kobayashi ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Root Coverage ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
Exposed Root
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