scholarly journals Combination of orthodontic movement and periodontal therapy for full root coverage in a miller class iii recession: a case report with 12 years of follow-up

2012 ◽  
Vol 23 (6) ◽  
pp. 758-763 ◽  
Author(s):  
Rafael Scaf de Molon ◽  
Érica Dorigatti de Avila ◽  
João Antonio Chaves de Souza ◽  
Andressa Vilas Boas Nogueira ◽  
Carolina Chan Cirelli ◽  
...  
Keyword(s):  
Case Report ◽  
Gingival Recession ◽  
Periodontal Therapy ◽  
Treatment Modalities ◽  
Class Iii ◽  
Root Coverage ◽  
Free Gingival Graft ◽  
Coronally Advanced Flap ◽  
Orthodontic Movement ◽  
Attached Gingiva

One of the main purposes of mucogingival therapy is to obtain full root coverage. Several treatment modalities have been developed, but few techniques can provide complete root coverage in a class III Miller recession. Thus, the aim of this case report is to present a successful clinical case of a Miller class III gingival recession in which complete root coverage was obtained by means of a multidisciplinary approach. A 17-year-old Caucasian female was referred for treatment of a gingival recession on the mandibular left central incisor. The following procedures were planned for root coverage in this case: free gingival graft, orthodontic movement by means of alignment and leveling and coronally advanced flap (CAF). The case has been followed up for 12 years and the patient presents no recession, no abnormal probing depth and no bleeding on probing, with a wide attached gingiva band. A compromised tooth with poor prognosis, which would be indicated for extraction, can be treated by orthodontic movement and periodontal therapy, with possibility of 100% root coverage in some class III recessions.

scholarly journals Platelet-rich fibrin-a cost-effective, donor less and indigenous therapy for obtaining root coverage-a case report

2017 ◽  
Vol 5 (1) ◽  
pp. 46
Author(s):  
Bharat Joshi
Keyword(s):  
Cost Effective ◽  
Gingival Recession ◽  
Class Iii ◽  
Root Coverage ◽  
Platelet Rich Fibrin ◽  
Free Gingival Graft ◽  
Coronally Advanced Flap ◽  
Attached Gingiva ◽  
Separate Clinical Entity ◽  
Rapid Healing

Among the periodontal infections, gingival recession is a separate clinical entity which demands a permanent solution plan. Treatment therapies are based on either elimination (as in case of Miller’s class I/II recession) or increasing the width of keratinized gingiva for prevention of further progression (as in case of Miller’s class III/IV recession). From the centuries, graft surgeries like free gingival graft, lateral pedicle and Coronally advanced flaps have been successful in the  treatment of gingival recession. As every technique has its own merits and demerits, clinicians have tried to stress upon addition of certain adjuncts or biomaterials to ensure rapid healing and less post-operative discomfort. Platelet concentrates are an excellent biomaterials for increasing width of attached gingiva and enhancing wound healing. They are cost effective, do not require donor tissue for harvesting and contain variety of growth factors for initiating regeneration. In this paper, Platelet-rich fibrin a 2nd generation concentrates has been used as an adjunct to Coronally advanced flap with a purpose of increasing width of keratinized gingiva, obtaining complete root coverage and achieving gingival harmony.

Free Gingival Graft: A Surgical Boon for Receding Gums

2014 ◽  
Vol 5 (2) ◽  
pp. 25-28
Author(s):  
R Vinaya Kumar ◽  
Shriparna Biswas ◽  
Sruthi K Nair ◽  
Madhuri Kotha ◽  
BM Shivaprasad
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Gingival Recession ◽  
Root Caries ◽  
Class Iii ◽  
Root Coverage ◽  
Postoperative Results ◽  
Free Gingival Graft ◽  
Reliable Procedure ◽  
Gingival Graft

ABSTRACT Gingival recession is defined as displacement of the soft tissue margin apical to the cementoenamel junction. The esthetic demand together with reduction of root sensitivity and management of root caries or cervical abrasion are the main indications for root coverage. Available literature indicates that free gingival graft (FGG) is a reliable procedure for root coverage with a success rate ranging from 76 to 95.5%. In this case report, a 32-year-old female patient having Miller's Class III gingival recession in relation to 31 was treated using free gingival graft with satisfactory postoperative results. How to cite this article Biswas S, Nair SK, Kotha M, Kumar RV, Shivaprasad BM. Free Gingival Graft: A Surgical Boon for Receding Gums. J Health Sci Res 2014;5(2):25-28.

scholarly journals Root Coverage with Coronally Advanced Flap with Connective Tissue Graft: Literature Review and Case Report

2017 ◽  
Vol 19 (2) ◽  
pp. 25
Author(s):  
Francisco J. Jiménez Bolaños DDS ◽  
Marcelino Fernández Murillo
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Gingival Recession ◽  
Root Coverage ◽  
Patient Reports ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Cast Doubt ◽  
Aesthetic Results

The root coverage procedure to treat gingival recessions is the best line of treatment, being the most used the coronal advanced flap.  There have been multiple clinical and aesthetic results that cast doubt on whether this procedure by adding a connective tissue graft will be a more predictable and more aesthetic regarding defect removal. In this case report a patient 24-year-old male refers hypersensitivity and aesthetic discomfort in the area of gingival recession.  An autologous graft with a coronal flap advancement of connective tissue will be used. After six months of healing the patient reports improvements in: sensitivity, plaque control and aesthetics.

scholarly journals rhPDGF Mediated Root Coverage Procedure Using Coronally Advanced Flap in Treatment of Multiple Recession Defects: A Case Report

2016 ◽  
Vol 04 (01) ◽  
pp. 059-064
Author(s):  
Preetinder Singh ◽  
Yash Dev ◽  
Khuller Nitin ◽  
Anahita Singh ◽  
Prabhjot Kaur ◽  
...  
Keyword(s):  
Case Report ◽  
Primary Outcome ◽  
Gingival Recession ◽  
Root Surface ◽  
Primary Outcome Measure ◽  
Tissue Response ◽  
Root Coverage ◽  
Coronally Advanced Flap ◽  
Lower Jaw ◽  
Points Of View

AbstractGingival recession has been defined as the term used to characterize the apical shift of the marginal gingiva from its normal position on the crown of the tooth to levels on the root surface beyond the cemento-enamel junction (CEJ). Numerous techniques have been developed for treatment of these defects including rotational and advanced gingival flaps, soft-tissue grafting procedures with autogenous and allograft materials. This paper illustrates a case report of 42-years-old male patient with a chief complaint of thermal root sensitivity in relation with front teeth of lower jaw and describes a technique to coronally advance the flap in combination with recombinant human platelet-derived growth factor-BB (rhPDGF-BB) (GEM 21S®) to treat multiple gingival recession defects. Patient was followed postoperatively, and healing was evaluated at 1, 3 and 6 months, with recession depth as the primary outcome measure. This case report revealed a favourable tissue response to GEM 21S® from both clinical and aesthetic points of view showing excellent plastic surgery results for gingiva.

scholarly journals Assessment of various treatment modalities for isolated gingival recession defect- A retrospective study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 3-7
Author(s):  
Karthikeyan Murthykumar ◽  
Arvina Rajasekar ◽  
Gurumoorthy Kaarthikeyan
Keyword(s):  
Gingival Recession ◽  
Treatment Modalities ◽  
Root Coverage ◽  
Aesthetic Outcome ◽  
Free Gingival Graft ◽  
The Past ◽  
Current Article ◽  
The Aesthetic ◽  
Gingival Graft ◽  
Coverage Score

Esthetic demands among the patients have increased markedly over the past few years. The Gingival recession is one of the prime concerns, and there are various treatment modalities in managing recession defects. Most often, outcomes following root coverage procedures are not assessed. Thus the current article aims to determine the aesthetic outcome following various treatment modalities for root coverage procedures using Recession Score (RES). In the present study, seventeen patients with Miller Class I, II and III recession defects treated with root coverage procedures were evaluated retrospectively. Esthetic outcomes were assessed using the root coverage score (RES) . Among 17 managed recession sites, 6(35%) had complete root coverage. Three of six patients who attained complete root coverage had a perfect score (RES-10). Free Gingival Graft showed better root coverage and recession score (RES); however, there was no significant association between root coverage, RES and various treatment modalities used for recession coverage (p>0.05).

scholarly journals Free Gingival Autograft and Subepithelial Connective Tissue Graft for the Treatment of Gingival Recession: A Brief Review and Report of Three Cases

2016 ◽  
Vol 6 (3) ◽  
pp. 225-232
Author(s):  
Seema Yadav ◽  
Jaishree A Rijhwani ◽  
Vineet V Kini
Keyword(s):  
Connective Tissue ◽  
Gingival Recession ◽  
Root Coverage ◽  
Recipient Site ◽  
Advantages And Disadvantages ◽  
Free Gingival Graft ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Attached Gingiva ◽  
Subepithelial Connective Tissue Graft

ABSTRACT Gingival recession is the migration of the free gingival margin apical to the cementoenamel junction. There are various factors contributing toward gingival recession apart from periodontal disease that include faulty tooth brushing, tooth position or malaligned teeth, high muscle or frenal attachment, alveolar bone dehiscence, orthodontic forces, and iatrogenic factors leading to problems of esthetics, hypersensitivity, and root caries. Several periodontal plastic surgical techniques have been introduced in the previous literature aiming to correct marginal tissue recessions, the predictability of which depends upon careful evaluation of the defect type, presence of attached gingiva, keratinized tissue width, and presence of single or multiple gingival recessions. The use of free gingival graft (FGG) and subepithelial connective tissue graft (SCTG) in root coverage is indicated for the treatment of single or multiple gingival recessions. Although both FGGs and SCTGs provide significant reduction in recession depth and clinical attachment gain for Miller's Class I and II gingival recession defects, SCTG seems to offer root coverage with a better color match between donor and recipient site tissue rendering better esthetics. Considering the advantages and disadvantages of FGG and SCTG in root coverage procedures, the following case reports describe the clinical results using FGG by Miller's technique, and using SCTGs by technique of Langer and Langer, and Zabalegui tunnel technique for the treatment of gingival recession. How to cite this article Rijhwani JA, Kini VV, Pereira R, Yadav S. Free Gingival Autograft and Subepithelial Connective Tissue Graft for the Treatment of Gingival Recession: A Brief Review and Report of Three Cases. J Contemp Dent 2016;6(3):225-232.

Treatment of Gingival Recession with Hypersensitivity using Free Soft-tissue Graft Procedures

2020 ◽  
Vol 1 (1) ◽  
pp. 01-06
Author(s):  
Deliverska E
Keyword(s):  
Soft Tissue ◽  
Treatment Options ◽  
Gingival Recession ◽  
Control Group ◽  
Root Coverage ◽  
Free Gingival Graft ◽  
Coronally Advanced Flap ◽  
Tissue Graft ◽  
Soft Tissue Graft ◽  
Gingival Graft

Background The main goal of root coverage procedure is complete coverage of the recession defect with a good esthetic result related to the adjacent soft tissues and minimal probing depth after the healing process. Purpose The aim of this study was to compare the efficiency of surgical and nonsurgical treatment options in patients with gingival recession and dentin hypersensitivity (DH). Material and methods 60 patients with gingival recession Miller Class I and II with hypersensitivity and esthetic concerns were included. 30 of them were treated with free soft-tissue graft procedures and control group of 30 people were treated with anti-hypersensitivity gel. Surgically treated patients were separated in two groups: 20 of them- with coronally advanced flap with sub-epithelial connective tissue graft and 10 of them- with free gingival graft. Results We achieved full coverage on the exposed root surfaces in 18 patients treated with coronally advanced flap and de-epithelized graft and partial root coverage in two of them. Patients treated with free gingival graft procedure achieved full root coverage in 6 of them and partial on 4 of them (GR=1 mm after surgery). Surgical treatment led to resolution of the esthetic issues of the patients and elimination or reduction of the DH. In control group there were partial elimination of root sensitivity. Conclusion: In surgical treated group with both techniques we achieved resolution of DH and coverage of the root surface with healthy keratinized tissues. Surgery may be considered for treatment options of DH depending on the indications.

scholarly journals Treatment of localized gingival recession with chorion membrane- A case report

2021 ◽  
Vol 3 (3) ◽  
pp. 129-133
Author(s):  
Sandhya T Nair ◽  
Prashantha Janam ◽  
GR Manikandan
Keyword(s):  
Case Report ◽  
Tissue Regeneration ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Guided Tissue Regeneration ◽  
Root Coverage ◽  
Coronally Advanced Flap

Aim of root coverage procedure is to restore the tissue margin to the Cemento-enamel junction. Many surgical techniques have been developed throughout the years and Guided tissue regeneration (GTR) based rootcoverage using different allograft membranes has been utilized to treat gingival recession with excellent results.This case report describes a case of gingival recession managed by chorion membrane with coronally advanced flap.

Operculum from Erupting Third Molar: An Alternative Donor Site for an Epithelialised-Free Soft-Tissue Autograft

2019 ◽  
Vol 3 (2) ◽  
pp. 75-77
Author(s):  
Harish Kumar Shah ◽  
Sanjeev Shrestha ◽  
Shivalal Sharma ◽  
Pujan Acharya
Keyword(s):  
Case Report ◽  
Donor Site ◽  
Third Molar ◽  
Tissue Loss ◽  
Root Coverage ◽  
Hard Tissue ◽  
Free Gingival Graft ◽  
Attached Gingiva ◽  
Alternative Donor ◽  
Gingival Graft

Gingival augmentation technique is used to increase the thickness of attached gingiva and arresting the progress of recession. Autogenous epithelialised free gingival graft obtained from palate is a well-established periodontal plastic procedure for root coverage and increasing the width of attached gingiva. This case report shows augmentation of attached gingiva from operculum of erupting third molar as an alternative donor site in marginal tissue recession not extending beyond the mucogingival junction with soft and hard tissue loss interdentally of 31 and 41 in a 20-year-old female.

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