Root Coverage With a Connective Tissue With Partial Thickness Double Pedicle Graft and an Acellular Dermal Matrix Graft: A Clinical and Histological Evaluation of a Case Report

1998 ◽  
Vol 69 (11) ◽  
pp. 1305-1311 ◽  
Author(s):  
Randall J. Harris
1999 ◽  
Vol 1 (3) ◽  
pp. 9-16 ◽  
Author(s):  
Edward B. Fowler ◽  
Lawrence G. Breault

Abstract Treatment of gingival recession has been a common practice in periodontics for years. As esthetic demands of periodontal patientsincrease, more root coverage procedures will be performed to satisfy esthetic demands. Often patients present with multiple areas requiring treatment. Palatal anatomy may limit the amount of autogenous tissue that can be harvested, limiting the number of procedures that can be performed. A patient may not desire to have additional tissue transplanted from the palate, due to increased pain and morbidity associated with multiple transplant procedures. The following is a case presentation of multiple adjacent recession defects. The patient presented with a shallow palate from which one side would not yield an adequate quantity of connective tissue. Furthermore, the patient declined to have both sides of his palate harvested simultaneously. As an alternative, an acellular dermal matrix allograft was utilized to correct these gingival defects negating the requirement for a second palatal surgical procedure.


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.


2020 ◽  
Vol 8 (1) ◽  
pp. 6-10
Author(s):  
Gabriela Faciola Pessoa Oliveira ◽  
◽  
Silvio Augusto Fernandes de Menezes ◽  
Luiz Fernando de Almeida Machado ◽  
Ricardo Roberto de Souza Fonseca ◽  
...  

2004 ◽  
Vol 27 (2) ◽  
pp. 107-110 ◽  
Author(s):  
Ana Emília Pontes ◽  
Arthur Novaes Júnior ◽  
Márcio Grisi ◽  
Sérgio Souza ◽  
Mário Taba Júnior

Case presentation in which a 12-years-old boy presented with two large gingival recessions on the maxillary central incisors, secondary to a lateral luxation. In the surgical procedure, an acellular dermal matrix graft (ADMG) was placed as a substitute for a free gingival graft.Twelve months later, complete root coverage was achieved, showing that ADMG, a biomaterial recently developed for mucogingival surgery, can be successfully used in the treatment of gingival recessions in pediatric patients.


2019 ◽  
Vol 23 (6) ◽  
pp. 584
Author(s):  
ÍsisDe Fátima Balderrama ◽  
Rafael Ferreira ◽  
DanielRomeu Benchimol Rezende ◽  
AnaLúcia Raphaelli Nahás Nogueira ◽  
SebastiãoLuiz Aguiar Greghi ◽  
...  

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Mauricio Augusto Aquino Castro ◽  
Fabiano Araújo Cunha ◽  
Fernando Oliveira Costa ◽  
Elton Gonçalves Zenóbio ◽  
Maria Aparecida Gonçalves de Melo Cunha

ABSTRACTDifferent periodontal surgical techniques have been proposed for the treatment of periodontal recessions. Among these, the graft of gingival connective tissue stands out for the high predictability of success. This work compared the clinical outcomes of treatment of periodontal recessions, using the gingival connective tissue grafts and acellular dermal matrix. A total of 72 recessions constituted the sample, divided equally into 2 groups. Group 1: treated with acellular dermal matrix graft (MDA) associated with the displaced: Group 2: treated with gingival connective tissue graft, also associated with the flap offset coronally. We evaluated the clinical parameters of probing depth, insert, clinical periodontal recession towards coronal-apical diameter mesio-distal of recessions, keratinized and mucosa thickness flap and influence of grafts in relation to root coverage. The initial measures were compared to those obtained with 45, 90 and 120 days after surgery. No statistically significant differences were found between the groups in terms of reduction of periodontal recessions, keratinized and mucosa flap thickness and of grafts in relation to root coverage. The Group 2 (CG) showed statistically significant reduction in the depth of drilling and clinical level of insertion, compared to group 1 (MDA). However, these differences were not clinically relevant. It was concluded that both the gingival connective tissue graft as the acellular dermal matrix can be used in the treatment of periodontal recessions, with a high predictability of success.Keywords: Gingival recession, connective tissue graft, acellular dermal matrix, periodontal surgery, gum recession, root coverage.


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