Evaluation of a bioabsorbable collagen membrane in the treatment of localized gingival recession – a case series”

2017 ◽  
Vol 9 (2) ◽  
pp. 37-43
Author(s):  
Harsha. M B
Keyword(s):  
Tissue Regeneration ◽  
Case Series ◽  
Gingival Recession ◽  
Class Ii ◽  
Guided Tissue Regeneration ◽  
Class I ◽  
Collagen Membrane ◽  
Root Caries ◽  
Root Coverage ◽  
Coronally Advanced Flap

BACKGROUND: Gingival recession (GR), often an aesthetic concern to the patient, is also associated with root sensitivity, and has a predilection to root caries. The purpose of this case series was to evaluate a bioabsorbable collagen membrane for root coverage with guided tissue regeneration (GTR) procedure, in localized gingival recession defects. METHODS: Three cases presented in this case series, showing a localized Miller’s Class I or Class II gingival recession were treated for root coveragewith GTR-based collagen membrane. The graft was completely covered with coronally advanced flap and followed up to 6th month postoperatively. RESULTS: Six months following the procedure, the root coverage was found to be 100% in all three cases. The root coverage obtained appeared structurally and functionally stable. CONCLUSION: It may be concluded that the resorbable collagen membrane could be reliably used in the treatment of gingival recession.

Guided Tissue Regeneration in Human Class II Furcation Defects Using a Diphenylphosphorylazide-Cross-Linked Collagen Membrane: A Consecutive Case Series

2003 ◽  
Vol 74 (7) ◽  
pp. 1071-1079 ◽  
Author(s):  
Charles S. Zahedi ◽  
S. Asghar Miremadi ◽  
Gérard Brunel ◽  
Eric Rompen ◽  
Jean-Pierre Bernard ◽  
...  
Keyword(s):  
Tissue Regeneration ◽  
Case Series ◽  
Class Ii ◽  
Guided Tissue Regeneration ◽  
Collagen Membrane ◽  
Consecutive Case ◽  
Human Class ◽  
Furcation Defects

scholarly journals A split mouth clinical study to compare Subepithelial connective tissue graft and Guided tissue regeneration in the treatment of Miller’s class I and II gingival recession.

2021 ◽  
Vol 6 (3) ◽  
pp. 50-57
Author(s):  
Kamal Garg ◽  
D V G Naidu ◽  
Udayan Gupta ◽  
Yogesh Garg
Keyword(s):  
Clinical Study ◽  
Connective Tissue ◽  
Tissue Regeneration ◽  
Gingival Recession ◽  
Guided Tissue Regeneration ◽  
Class I ◽  
Collagen Membrane ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft

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.

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.

scholarly journals Coronally Repositioned Flap with Bioresorbable Collagen Membrane for Miller’s Class I and II Recession Defects: A Case Series

2019 ◽  
Vol 28 (5) ◽  
pp. 477-480
Author(s):  
Mrinalini Agarwal ◽  
Deepa Dhruvakumar
Keyword(s):  
Type I Collagen ◽  
Case Series ◽  
Gingival Recession ◽  
Class I ◽  
Collagen Membrane ◽  
Type I ◽  
Root Coverage ◽  
Periodontal Tissues ◽  
Keratinized Tissue ◽  
Attached Gingiva

Objective: Gingival recession is one of the most common esthetic and functional concerns associated with periodontal tissues. Several techniques have been described to cover the exposed root surface. The aim of the present study was to evaluate the efficacy of recession coverage using a coronally repositioned flap in conjunction with a bioresorbable collagen membrane. Methods: Eight non-smoking healthy subjects with Miller’s Class I and II recession defects in the maxillary anterior region were selected. Recession was treated by a coronally repositioned flap along with a bioresorbable type I collagen guided tissue regeneration membrane (Periocol®). Clinical parameters recorded were recession depth, recession width, width of keratinized tissue, and width of the attached gingiva at baseline and 3 months postoperatively. Results: Three-month postoperative measurements demonstrated significant root coverage and a reduction in the recession depth and width. In addition, there was a significant increase in the width of keratinized tissue and of the attached gingiva. Conclusion: Recession coverage with a coronally repositioned and bioresorbable collagen membrane demonstrated good results in terms of root coverage as well as increase in the width of keratinized tissue.

scholarly journals Evaluation of The Clinical Efficacy of Collagen Membrane In Combination with Bone Grafts in the Treatment of Miller’s Class I /II Marginal Tissue Recession: A Case Report

2015 ◽  
Vol 03 (03) ◽  
pp. 179-184
Author(s):  
Yash Dev ◽  
Nitin Khuller ◽  
Preetinder Singh ◽  
Prabhjot Kaur ◽  
Yashbir Raghav ◽  
...  
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Clinical Effectiveness ◽  
Gingival Recession ◽  
Point Of View ◽  
Tissue Response ◽  
Class I ◽  
Collagen Membrane ◽  
Clinical Parameters ◽  
Root Coverage

AbstractThe aim of this clinical trial was to evaluate the clinical effectiveness of a collagen barrier along with an alloplastic bone graft in the treatment of gingival recession defects. Two patients having Miller’s Class I or Class II recession defects participated in the study. One was treated with a collagen membrane covered by a coronally positioned flap. Second patient also had bone graft placed beneath the membrane. Clinical parameters were recorded. Patients were followed postoperatively and healing was evaluated at 1, 3 and 6 months, with recession depth as the primary criteria for assessment. This case report revealed a favorable tissue response to bone graft and collagen membrane from both clinical and esthetic point of view in the treatment of gingival recession. Root coverage tended to be better with the addition of bone graft.

scholarly journals Management of Multiple Recession simultaneously with Modified Coronally Advanced Flap

2017 ◽  
Vol 1 (2) ◽  
pp. 81-83
Author(s):  
Harish Kumar Shah ◽  
Shashi Kant Chaudhary ◽  
Khushboo Goel ◽  
Sajeev Shrestha
Keyword(s):  
Prognostic Factors ◽  
Gingival Recession ◽  
Class I ◽  
Root Coverage ◽  
Periodontal Health ◽  
Aesthetic Result ◽  
Coronally Advanced Flap ◽  
Flap Procedure ◽  
The Aesthetic

Gingival recession is one of the aesthetic concern for a beautiful smile. In an aesthetically driven era, root coverage requires consideration of all prognostic factors for successful results. This paper reports a case of treatment of Miller’s Class I gingival recession involving multiple teeth. A modified coronally advanced flap procedure was performed. At the postoperative follow-up visits, healing was uneventful. After 9 months, excellent aesthetic result was achieved with complete root coverage. Periodontal health was normal and the patient was satisfied with the result.

scholarly journals Treatment of gingival recession with coronally advanced Flap - A case report

2012 ◽  
Vol 1 (1) ◽  
pp. 29-32
Author(s):  
R Singh
Keyword(s):  
Gingival Recession ◽  
Gingival Tissue ◽  
Root Caries ◽  
Root Coverage ◽  
Periodontal Health ◽  
Medical College ◽  
Coronally Advanced Flap ◽  
Normal Colour ◽  
Clinical Conditions

Extensive gingival recession associated with cervical abrasions is common. Several different surgical and/or restorative therapies have been proposed to correct these lesions. This paper reports the treatment of multiple gingival recessions associated with shallow root caries. The procedure involved utilization of coronally advanced flap. At the postoperative follow-up visits, the success of the surgical approach was confirmed by the absence of tooth sensitivity and presence of gingival tissue with normal colour, texture and contour. After 12 months of follow-up, the clinical conditions were stable with satisfactory root coverage and periodontal health. An excellent aesthetical outcome was achieved and the patient was satisfied with the outcome. DOI: http://dx.doi.org/10.3126/jkmc.v1i1.7253 Journal of Kathmandu Medical College, Vol. 1, No. 1, Issue 1, Jul.-Sep., 2012 pp.29-32

scholarly journals Comparative Evaluation of Coronally Advanced Flap with Platelet-rich Fibrin vs Amniotic Membrane for the Treatment of Gingival Recession

2017 ◽  
Vol 8 (1) ◽  
pp. 31-37 ◽  
Author(s):  
Abhishek Gautam
Keyword(s):  
Amniotic Membrane ◽  
Comparative Evaluation ◽  
Gingival Recession ◽  
Class I ◽  
Root Coverage ◽  
Platelet Rich Fibrin ◽  
Coronally Advanced Flap ◽  
Keratinized Tissue ◽  
Probing Depth ◽  
To Receive

ABSTRACT Background The purpose of this clinical trial was to compare the outcome of gingival recession technique using the coronally advanced flap (CAF) with platelet-rich fibrin (PRF) and amniotic membrane. Materials and methods About 15 patients with bilateral Miller class I buccal gingival recessions (4–5 mm) in maxillary and mandibular canines were selected. The recessions were randomly assigned to receive either the CAF with PRF or the CAF with amniotic membrane. Recession height (RH), recession width (RW), width of keratinized tissue (WKT), thickness of keratinized tissue (TKT), probing depth (PD), and clinical attachment level (CAL) were measured at baseline as well as 6 months postsurgery. Patient satisfaction with esthetics, root sensitivity, and postoperative pain was also evaluated. Results The average percentages of root coverage for CAF with PRF and CAF with amniotic membrane were 92.95% and 97.40% (p < 0.05) respectively, and the complete root coverage observed was 56.94% and 76.47% respectively. The CAF with amniotic membrane showed a statistically significant increase in TKT (p < 0.05). There were no significant differences between the two groups with regard to RH, RW, WKT, PD, and CAL. The esthetic condition after both treatments was considered satisfactory by the patients. Conclusion The outcome of this study reflects that CAF with PRF and amniotic membrane can be successfully used to treat class I gingival recession. How to cite this article Gautam A. Comparative Evaluation of Coronally Advanced Flap with Platelet-rich Fibrin vs Amniotic Membrane for the Treatment of Gingival Recession. J Health Sci Res 2017;8(1):31-37.

scholarly journals Additive Effect of Platelet Rich Fibrin with Coronally Advanced Flap Procedure in Root Coverage of Miller’s Class I and II Recession Defects—A PRISMA Compliant Systematic Review and Meta-Analysis

Materials ◽  
2020 ◽  
Vol 13 (19) ◽  
pp. 4314
Author(s):  
Saurav Panda ◽  
Anurag Satpathy ◽  
Abhaya Chandra Das ◽  
Manoj Kumar ◽  
Lora Mishra ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Gingival Recession ◽  
Additive Effect ◽  
Class I ◽  
Cochrane Central Register ◽  
Root Coverage ◽  
Platelet Rich Fibrin ◽  
Gingival Thickness ◽  
Coronally Advanced Flap

Aim: This systematic review and meta-analysis aims to assess the additive effect of leukocyte and platelet-rich fibrin (L-PRF) on coronally advanced flap (CAF) procedures in root coverage of Miller’s class I and II gingival recession defects. Review methodology: A comprehensive search in MEDLINE (PubMed), Scopus and CENTRAL (the Cochrane Central Register of Controlled Trials), along with an additional hand search, provided eight randomized clinical trials to be included in this review. A total of 167 patients with 470 gingival recession defects were analyzed. A meta-analysis was carried out to assess the change in gingival thickness (GT), width of keratinized gingiva (WKG), root coverage percentage (%RC), clinical attachment level (CAL) and recession depth (RD) at all follow-ups between CAF alone and CAF + L-PRF groups for all included studies. A subgroup analysis was carried out based on recession type (single/multiple). Results: Overall, a significant improvement in GT, CAL and RD was found when treated with CAF + L-PRF. There was a trend for a positive effect in terms of an increase in WKG when using L-PRF, especially in the treatment of single recession, though significance was not achieved (p = 0.08 overall). The results of heterogeneity among the subgroups were varied and were found to be greater than 91.3% for GT and 32.8% for WKG. Conclusion: L-PRF when used in addition to CAF showed favorable results for the treatment of class I and II gingival recession defects.

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