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.

AESTHETIC AMELIORATION OF GINGIVAL RECESSION BY MODIFIED CORONALLY ADVANCED FLAP PROCEDURE: A 6 MONTHS FOLLOW-UP INTERVENTIONAL STUDY

2021 ◽  
pp. 78-80
Author(s):  
Namburi Rajesh ◽  
Rajendran Poornima
Keyword(s):  
Gingival Recession ◽  
Class I ◽  
Clinical Parameters ◽  
Pocket Depth ◽  
Coronally Advanced Flap ◽  
Probing Pocket Depth ◽  
Anterior Teeth ◽  
Flap Procedure ◽  
Attached Gingiva

Background:In recent times, aesthetics has become a major reason for the patients to seek the dentist. Gingival recession of the anterior teeth leads to long tooth appearance thereby hampering the aesthetics. The aim of the present study is to assess the efciency of modied coronally advanced ap (MCAF) technique in combination with platelet-rich brin (PRF) for recession coverage of Miller's class I and II cases. Materials and method: 10 patients with Miller's class I or class II gingiva were treated by modied coronally advanced ap (MCAF) technique in combination with platelet-rich brin (PRF). The clinical parameters such as gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD), clinical attachment level (CAL), width of attached gingiva (WAG), thickness of attached gingiva (TAG) and the height of gingival recession (HGR) were recorded at baseline, 3 months and 6 months follow-up visits. Results: All the clinical parameters showed signicant improvement at 3 months and 6 months post-operatively when compared with the baseline values. The results obtained during the initial follow-up visit remained stable over a period of 6 months. Conclusion: MCAF is a foreseeable technique to achieve gingival recession coverage. Additionally, the use of PRF enables in improved WAG and TAG due to the release of growth factors.

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 Coronally advanced flap as a root coverage procedure in treatment of class I gingival recession defects - A report of two cases

2017 ◽  
Vol 07 (01) ◽  
pp. 069-073
Author(s):  
Anahita Punj ◽  
Amitha Ramesh
Keyword(s):  
Present Article ◽  
Surgical Procedures ◽  
Gingival Recession ◽  
Class I ◽  
Root Coverage ◽  
Gingival Margin ◽  
Coronally Advanced Flap ◽  
Tooth Roots ◽  
Flap Procedure ◽  
Male Patients

AbstractGingival recession is defined as the apical migration of the gingival margin beyond the cementenamel junction (CEJ). This results in the exposure of tooth roots which is aesthetically unpleasing and can also result in tooth hypersensitivity. A number of surgical procedures have been used to obtain root coverage. The aim of the present article was to evaluate the coverage of labial gingival recession defects with coronally advanced flap procedure in two cases with labial gingival recession.Two male patients (32 year and 52 year old) were treated for root coverage with coronally advanced flap in maxillary right first molar (16), second premolar (15) and maxillary left incisor (22) and canine (23) region respectively.In both the cases, root coverage of the labial recession defects was observed.

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 A Modified Bilaminar Technique with the Use of a Fibrin-Fibronectin System for a Single Gingival Recession: A Case Report with a Follow-Up of 3 Years

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Michele Perelli ◽  
Paolo Giacomo Arduino ◽  
Mario Semenza ◽  
Roberto Abundo ◽  
Hector Sarmiento
Keyword(s):  
Case Report ◽  
Gingival Recession ◽  
Root Coverage ◽  
Canine Tooth ◽  
Maxillary Canine ◽  
Aesthetic Result ◽  
Keratinized Tissue ◽  
Reduced Dimension ◽  
Maximum Root

This case report described a modified bilaminar technique for treating a single gingival recession. Patient presented a gingival recession in a maxillary canine. Tooth was in a buccally prominent position and soft keratinized tissue apical to the recession was reduced but still present. A split-full-split thickness trapezoidal flap was designed. Root’s surface was prepared with curettes. Epithelial-connective tissue graft was harvested from the palate with reduced dimension. After deepithelialization, the graft was placed with a fibrin-fibronectin system at the maximum root coverage level, and the flap coronally advanced and sutured. At 3-year follow-up control, the free gingival margin was still stable at the postsurgery position, with a thicker biotype corresponding to the grafted area, with no probing and a suitable aesthetic result.

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 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.

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 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.

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