scholarly journals Complex Treatment III class of gum recession

2020 ◽  
Vol 18 (3) ◽  
pp. 82-86
Author(s):  
L. A. Ananieva ◽  
G. S. Runova
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Gingival Recession ◽  
Anterior Region ◽  
Standard Protocol ◽  
Complex Treatment ◽  
Free Gingival Graft ◽  
One Stage ◽  
Donor Area ◽  
Gingival Graft

The recessions of the 3 Miller class are the most difficult in the prediction of the result during surgical treatment. Such recession in the anterior region of the mandible is often combined with a small vestibule of the oral cavity. The treatment of combined pathology in the standard protocol was provided in 2 stages: correction of small vestibule of the oral cavity and elimination of the recession by the method of the coronal advanced flap.Aim. To develop the protocol of one-stage operation for patients with III miller class gum recession in combination with small vestibule.Materials and metods. Surgical protocole. after conducting anesthesia at the region of the lower teeth held tunnel access to the region of teeth with gingival recession, formed split-thikness flap, discharge below the periodontal line connection 3 mm, mobilization of the flap.The flap is fixed with sutures Polyprophylene 6-0. Taken from the palatal free gingival graft. Placed in the region of holding vestibuloplasty fixed to the periosteum of the simple suture and suturing the donor area in the palate.Results. The patients were found to have closing of the recession, the increase in the area keratinisation gums and keeping of the vestibule in the recovery area.Conclusions. The development of a new one-stage treatment of recession 3 class at Miller in combination with vestibuloplasty allows you to more quickly treat patients with this pathology.

scholarly journals Platelet Rich Fibrin as Wound Coverage of Donor Site in Free Gingival Graft

2018 ◽  
Vol 2 (1) ◽  
pp. 26-29
Author(s):  
Shweta Agrawal ◽  
Pramod Kumar Koirala ◽  
Shalini Pradhan ◽  
Ranjita Shrestha Gorkhali
Keyword(s):  
Wound Healing ◽  
Pain Perception ◽  
Donor Site ◽  
Gingival Recession ◽  
Root Coverage ◽  
Wound Coverage ◽  
Platelet Rich Fibrin ◽  
Free Gingival Graft ◽  
Keratinized Tissue ◽  
Gingival Graft

Free gingival graft is one of the technique used for root coverage so as to increase the inadequate keratinized tissue. The donor tissue is most frequently taken from the palate and generally the donor site is not covered or protected. Platelet rich fibrin is one of the good option for the wound coverage of donor site after free gingival graft so as to reduce the pain perception to patient and faster wound healing. The case report includes two cases with gingival recession, treated on the same day with free gingival graft with the use of platelet rich fibrin in the donor site in case 1 and without platelet rich fibrin in case 2 respectively which were compared for pain perception and wound healing postoperatively at 24 hours, 3 days, 5 days, 7 days and 14 days. There was less pain perception and discomfort in the donor site with the use of platelet rich fibrin and enhanced healing compared to donor site without platelet rich fibrin.

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 Use of autogenous platelet rich plasma and 3D collagen matrix Fibromatrix for soft tissue regeneration in the treatment of Miller Class I gingival recessions

2020 ◽  
Vol 22 ◽  
pp. 02022
Author(s):  
Rushana Farkhshatova ◽  
Larisa Gerasimova ◽  
Milyausha Kabirova
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Soft Tissues ◽  
Platelet Rich Plasma ◽  
Statistical Processing ◽  
Collagen Matrix ◽  
Gingival Recession ◽  
Class I ◽  
Anterior Maxilla ◽  
3D Collagen

Background: Evaluation of the effectiveness of the integrated use of autogenous platelet plasma and 3D collagen matrix Fibromatrix for the regeneration of soft tissues of the oral cavity in the surgical treatment of Miller Class I gingival recession. Materials and Method: 25 patients were examined and treated. All patients underwent surgical treatment of gingival recession using two-layer techniques of eliminating gingival recession with «3D collagen matrix FibroMATRIX» for the regeneration of soft tissues of the oral cavity and autologous platelet plasma. In all cases, the rehydration of the collagen matrix was carried out in autogenous platelet plasma for 2 minutes. The result was evaluated after 7th day, 14th day, 1 and 3 months. Statistical processing of the studies was carried out in GraphPadPrism v.6.0, using the t-test, Mann-Whitney. Differences were considered significant at p <0.05. Results: Assessment of gingival recession closure and its significant (p <0.05) increase, corresponding to 85% efficiency after treatment in both groups of patients, no significant differences were found in both groups. The best clinical results were achieved in eliminating gingival recessions in the anterior maxilla, showing its 100% efficiency. Conclusions: The combined use of autogenous platelet plasma and 3D collagen matrix Fibromatrix for the regeneration of soft tissues of the oral cavity is an effective method for treating Miller Class I gingival recession.

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.

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.

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