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 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 Recessions Associated to Cervical Abrasion Lesions with Subepithelial Connective Tissue Graft: A Case Report

2009 ◽  
Vol 03 (04) ◽  
pp. 318-323 ◽  
Author(s):  
Tatiana M. Deliberador ◽  
Alvaro F. Bosco ◽  
Thiago M. Martins ◽  
Maria J. H. Nagata
Keyword(s):  
Connective Tissue ◽  
Root Surface ◽  
Gingival Tissue ◽  
Periodontal Health ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
Clinical Conditions

ABSTRACTExtensive gingival recessions associated with cervical abrasions are common among the population. Several different surgical and/or restorative therapies have been proposed to correct these lesions. This manuscript reports the treatment of multiple gingival recessions associatedto cervical abrasions. The procedure involved the utilization of subepithelial connective tissue graft (SCTG) combined with coronally advanced flap onto a previously restored root surface. At the postoperative follow-up visits, the success of the restorative/surgical approach was confirmed by the absence of bleeding to probing and periodontal pockets as well as presence of gingival tissue with normal color, texture and contouring. After 18 months of follow-up, the clinical conditions are stable with satisfactory root coverage and periodontal health. An excellent esthetical outcome was achieved and the patient is satisfied with case resolution. (Eur J Dent 2009;3:318-323)

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.

scholarly journals Coverage Root after Removing Peripheral Ossifying Fibroma: 5-Year Follow-Up Case Report

2016 ◽  
Vol 2016 ◽  
pp. 1-6
Author(s):  
Paulo S. G. Henriques ◽  
Luciana S. Okajima ◽  
Marcelo P. Nunes ◽  
Victor A. M. Montalli
Keyword(s):  
Case Report ◽  
Gingival Tissue ◽  
Ossifying Fibroma ◽  
Root Coverage ◽  
Free Gingival Graft ◽  
Coronally Advanced Flap ◽  
Peripheral Ossifying Fibroma ◽  
Root Exposure ◽  
Periodontal Plastic Surgery

When lesions in soft tissue reach the gingival margin, they can produce aesthetic defects during its permanence and after its removal. Periodontal plastic surgery allows the correction of the gingival contour using different techniques. This paper is a case report of a peripheral ossifying fibroma removal in the interproximal area of teeth 21 and 22 in addition to root coverage of the affected area through two surgical phases: keratinized gingival tissue augmentation surgery with free gingival graft concurrent with removal of the lesion and, in a second stage, root coverage by performing coronally advanced flap technique with a follow-up of five years. The initial results achieved, which were root coverage of 100% after 6 months, promoted an adequate gingival contour and prevented the development of a mucogingival defect or a root exposure with its functional and aesthetic consequences. After five years, the results showed long term success of the techniques, where the margin remained stable with complete root coverage and tissues were stable and harmonic in color.

scholarly journals Modified Coronally Positioned Flap for Isolated Gingival Recession, Evaluated with Root Coverage Esthetic Score System

2021 ◽  
Vol 10 (2) ◽  
pp. 43-48
Author(s):  
Dhirendra Kumar Giri ◽  
Ajit Kumar Yadav
Keyword(s):  
Gingival Recession ◽  
Application Software ◽  
Average Increase ◽  
Root Coverage ◽  
Score System ◽  
Coronally Advanced Flap ◽  
Keratinized Tissue ◽  
Statistical Application ◽  
Upper Jaw

Background: Various modifications of the coronally displaced flap have been proposed in the literature with the attempt of treating gingival recession. This study is undertaken to evaluate the predictability of the modified coronally positioned flap in isolated gingival recession not only in terms of root coverage but also with the esthetic outcome. Materials and Methods: Fifteen isolated gingival recessions with at least 1mm of keratinized tissue apical to the defect were treated with a modified coronally advanced flap. All recessions fall into Miller class I. The clinical re-evaluation was performed 3 months and 1year after the surgery. Statistical analysis was performed using statistical application software (SPSS16.0). Multivariate ANOVA was used for analysis. Results: At the 1-year examination, the average root coverage was 94.6% of the pre-operative recession depth. There was a mean clinical attachment gain of 3.3±0.1 mm at 1 year follow-up.The average increase of keratinized tissue between the baseline and the 1-year follow-up amounted to 1.53±0.13 mm. Root coverage esthetic score (RES) was recorded at the end of follow-up period. 13/15 cases showed RES score of 9 and 2/15 cases showed RES score of 6. Conclusion: The modified coronally advanced surgical technique is effective in the treatment of isolated gingival recession in the upper jaw.

scholarly journals Can Epitheliazed Graft Be Used to Achieve Absolute Root Coverage When Combined with Coronally Advanced Flap (CAF) for a Case of Gingival Recession? – A Case Report of a Mandibular Molar

2020 ◽  
Vol 5 (2) ◽  
pp. 1-3
Author(s):  
Sarah Mariam ◽  
Firdous Ahmad Najar
Keyword(s):  
Case Report ◽  
Gold Standard ◽  
Treatment Options ◽  
Gingival Recession ◽  
Root Caries ◽  
Root Coverage ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Mandibular Molar ◽  
Functional Problems

Gingival recession poses a multitude of problems like root sensitivity, plaque accumulation, root caries and other functional problems. Treatment options range depending on the type of recession to the condition of mucogingival tissues. Connective tissue graft in combination with coronally advanced flap has been described as a gold standard in treatment of gingival recession. This case report describes a case of absolute root coverage achieved with epithelialized graft (which was subsequently de-epithelialized) when combined with coronally advanced flap for a case of gingival recession in a Mandibular molar.

scholarly journals of Multiple Recessions with Minimally Invasive Technique: A Case Report

2017 ◽  
Vol 1 (1) ◽  
pp. 32-33
Author(s):  
Ameena Pradhan
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Surgical Procedures ◽  
Gingival Recession ◽  
Minimal Invasive ◽  
Invasive Technique ◽  
Root Coverage ◽  
Periodontal Health ◽  
Additional Advantage ◽  
Coronally Advanced Flap

Recession of the gingival margin remains a highly prevalent problem for its impact on both aesthetics and periodontal health. The search for a perfect root coverage technique has led to the development of a number of innovative surgical procedures to achieve consistently better and more predictable results. This case report introduces a simple minimal invasive surgical method “Modified Semilunar Coronally Advanced Flap Technique” to treat gingival recession in multiple teeth. This technique has shown additional advantage of minimal surgical site with no shortening of vestibule, better coronal mobility and stability of repositioned flap.

scholarly journals Long term efficacy of root coverage techniques

2021 ◽  
Vol 6 (2) ◽  
pp. 79-87
Author(s):  
V.S.Ananya Sweta ◽  
Jananni Muthu ◽  
B Pratebha ◽  
R Saravana Kumar
Keyword(s):  
Periodontal Disease ◽  
Gingival Recession ◽  
Cochrane Library ◽  
Mechanical Trauma ◽  
Root Coverage ◽  
Coronally Advanced Flap ◽  
Term Efficacy ◽  
Long Term Follow Up

Gingival recession is a dramatic soft tissue finding in teeth affected by periodontal disease and remains one of the most common aesthetic concerns associated with periodontal tissue. The etiology of the condition is multifactorial but is commonly associated with alveolar morphology, tooth brushing, mechanical trauma and periodontal disease. With greater understanding of the dynamics of healing along with an awareness of aesthetics various periodontal procedures have been introduced to deal with problems of gingival recession. The long-term stability of the outcomes obtained with the surgical treatment of single and multiple gingival recessions has been evaluated in a few studies. Of the vast repertoire of mucogingival procedures for gingival recession management, long term studies of more than 5 years is present only for coronally advanced flap with or without connective tissue grafts. There are many other novel techniques in literature with little or no evidence to prove its long term efficacy. Various studies published during the last 30 years were identified through a search of the PubMed/Medline, Science Direct and Cochrane Library databases. “Follow up”, “root coverage”, root coverage procedures, root coverage techniques were the key words used for the search. In this review we have grouped the efficacy of various root coverage techniques based on their short and long term follow up. The review emphasises the value of meticulous follow up in order to validate efficacy of root coverage techniques. It also discusses the factors responsible for stability of results.

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