Periodontal Plastic Surgery

2019 ◽  
pp. 1-3
Keyword(s):  
Plastic Surgery ◽  
Surgical Procedures ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Alveolar Ridge ◽  
Periodontal Tissues ◽  
Attached Gingiva ◽  
Horizontal Augmentation ◽  
Periodontal Plastic Surgery ◽  
Crown Lengthening

Periodontal Plastic Surgery comprises a limited number of surgical procedures which focus on the establishment of normal morphology and architecture of periodontal tissues in order to achieve aesthetical, biological and functional outcomes. The main surgical techniques concern the correction of morphology, position and amount of gingiva and in some cases the reconstruction and augmentation of alveolar ridge. Those surgical procedures include the treatment of gingival recession, surgical crown lengthening, augmentation of the width of attached gingiva and,the vertical or horizontal augmentation of alveolar ridge. Each surgical technique is followed by determined indications, contra-indications, advantages, disadvantages and, predictability.

scholarly journals Surgical management of gingival recession using autogenous soft tissue grafts

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Peter Windisch ◽  
Balint Molnar
Keyword(s):  
Soft Tissue ◽  
Plastic Surgery ◽  
Gold Standard ◽  
Standard Treatment ◽  
Treatment Approach ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Tissue Grafts ◽  
Periodontal Plastic Surgery ◽  
Soft Tissue Grafts

Abstract One of the chief goals of periodontal plastic surgery is establishment of ideal pink esthetics through the reconstruction of gingival recessions. A gold standard treatment approach for coverage of gingival recession with predictable esthetic outcomes is the transplantation of autogenous soft tissue grafts. Various surgical techniques can be used in combination with autogenous soft tissue grafts for gingival recession coverage.

scholarly journals Therapeutic efficacy of connective tissue autotransplants with periosteum and platelet rich plasma in the management of gingival recession

2013 ◽  
Vol 70 (7) ◽  
pp. 664-669 ◽  
Author(s):  
Bojan Jovicic ◽  
Zoran Lazic ◽  
Milica Nedic ◽  
Stevo Matijevic ◽  
Aleksandra Gostovic-Spadijer
Keyword(s):  
Connective Tissue ◽  
Surgical Procedures ◽  
Platelet Rich Plasma ◽  
Statistical Significance ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Contralateral Side ◽  
Test Results ◽  
Keratinized Tissue ◽  
Student’S T

Background/Aim. Gingival recession progression in clinical practaice has influenced the development of various surgical procedures and techniques for solving esthetic imperfections and subjective difficulties coused by gingival recession. The aim of this study was to verify efficacy of surgical procedures and to compare both of surgical procedures through the keratinized tissue width. Methods. The study included 20 teeth with gingival recesion, M?ller class I and II. Ten teeth with gingival recession were treated with connective tissue autotransplants with periosteum in combination with coronary guided surgical flap (CTG group). On the contralateral side 10 teeth with gingival recession were treated with the same surgical procedures but in combination with platelet-rich plasma (CTGPRP group). We measured the keratinized tissue width. For statistical significance we used the Student's t-test. Results. The study reveled a statistical significance in reducing vertical deepress of recession by both used treatments. Root deepness in CTG and CTG-PRP group was 90% and 93.5%, respectively. With both surgical techniques we achieved larger zone of keratinized gingiva but with a wide zone of keratinized tissue in CTG - the PRP group. Conclusion. The concept regeneration technique with PRP and with the stimulating influence of platele activated growth factors results in the regeneration of deep periodontal tissue as an important prerequisite for the successful treatment of gingival recession.

scholarly journals Cirurgia minimamente invasiva x cirurgia convencional na taxa de recobrimento radicular e previsibilidade estética: Uma revisão integrativa

2021 ◽  
Vol 10 (5) ◽  
pp. e17610514314
Author(s):  
Silvano Santos Pinheiro ◽  
Francisco de Assis de Souza Junior ◽  
Isaías Lopes de Medeiros ◽  
Bruno Cesar de Vasconcelos Gurgel ◽  
Euler Maciel Dantas ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Plastic Surgery ◽  
Web Of Science ◽  
Gingival Recession ◽  
Root Coverage ◽  
Minimally Invasive Surgical ◽  
Periodontal Plastic Surgery

A cirurgia minimamente invasiva (CMI), é um termo que descreve procedimentos cirúrgicos pouco invasivos com ou sem instrumentos de ampliação, porém ainda não existe evidência científica se existe maior previsibilidade estética e de taxa de recobrimento radicular nas CMI em relação a cirurgia para recobrimento radicular convencional. Desta forma, foi realizada uma revisão integrativa da literatura utilizando-se a seguinte estratégia de busca: (microsurgery OR surgical AND minimally invasive surgical OR surgery AND gingival recession AND periodontal plastic surgery OR surgical AND root coverage). nas bases de dados SciELO, PubMed, Scopus, Web of Science, Science Direct, BVS e Google Acadêmico utilizando-se de artigos publicados entre os períodos de 2011 à 2019. No total foram encontrados 546 artigos e após a seleção mediante os critérios de inclusão permaneceram 05 artigos para o estudo, todos ensaios clínicos randomizados. As informações avaliadas dos artigos foram seus objetivos, tamanho da amostra, técnicas cirúrgicas realizadas, o tempo de acompanhamento e os resultados e conclusão. Com base nas análises, pode-se concluir que a CMI não necessita do uso de instrumentos de magnificação. A tunelização realizada para recobrimento radicular proporciona melhores resultados como ganho tecidual e estético em relação ao Retalho tracionado coronalmente (RTC), principalmente para as classes I e II de Miller. O uso de enxerto conjuntivo associado a CMI aumentou a previsibilidade de resultados satisfatórios.

Application of Kazanjian’s vestibuloplasty in the prevention of gingival recession in children – a report of two cases

2019 ◽  
Vol 24 (1) ◽  
Author(s):  
Piotr Sobiech ◽  
Marcin Szerszeń ◽  
Julia Wiśniewska
Keyword(s):  
Surgical Treatment ◽  
Surgical Procedures ◽  
Young Patients ◽  
Normal Structure ◽  
Gingival Recession ◽  
Mandibular Incisor ◽  
Stomatognathic System ◽  
Attached Gingiva ◽  
Spontaneous Reversal ◽  
Extreme Care

The period of teeth replacement and the development of stomatognathic system are characterised by intense changes in the periodontium. The position of frenulum and the width of the attached gingiva begin to stabilise, but early abnormalities may contribute to disorders in normal structure and aesthetics. Mandibular incisor gingival recessions occurring in children during this period are not uncommon. Despite the possibility of spontaneous reversal with the development of the stomatognathic system, some patients require surgical treatment. Rapid intervention is necessary to prevent periodontal abnormalities from becoming permanent and to avoid greater destruction. We describe 2 cases of young patients undergoing vestibuloplasty by the Kazanjian technique. The choice of this approach was based on the surgical protocol, which could be used in a relatively cooperative patient. Surgical procedures in children must be rapid and generate predictable and safe treatment outcomes. It is also important that convalescence after the procedure does not limit patient’s functioning and requires no extreme care from the patient. The effects are fully satisfactory in terms of both aesthetics and health.

scholarly journals Therapeutic efficacy of guided tissue regeneration and connective tissue autotransplants with periosteum in the management of gingival recession

2008 ◽  
Vol 65 (10) ◽  
pp. 758-762
Author(s):  
Bojan Jovicic ◽  
Zoran Lazic ◽  
Milica Nedic
Keyword(s):  
Connective Tissue ◽  
Tissue Regeneration ◽  
Surgical Procedures ◽  
Periodontal Diseases ◽  
Statistical Significance ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Contralateral Side ◽  
Guided Tissue Regeneration ◽  
Surgical Flap

Background/Aim. Gingival recession progression in clinical practice as an ethiological factor of periodontal diseases, and symptoms of the disease have caused the development of various surgical procedures and techniques of the reconstruction of periodontal defects. The aim of this study was to verify efficacy of surgical procedures that include connective tissue autotransplants with periosteum and guided tissue regeneration for the treatment of gingival recession. Methods. The study included 20 teet with gingival recession, M?ller class II and III. Ten teeth with gingival recession were treated with resorptive membrane and coronary guided surgical flap (GTR group). On the contralateral side 10 teeth with gingival recession were treated with connective tissue autotransplants with periosteum in combination with coronary guided surgical flap (TVT group). We measured the degree of epithelial attachment (DEA), width of subgingival curettage (WGC) and vertical deepness of recession (VDR). For statistical significance we used Student's ttest. Results. The study revealed statistical significance in reducing VDR by both used treatments. Root deepness in GTR and TVT group was 63.5%, and 90%, respectively. With both surgical techniques we achieved coronary dislocation of the epithelial attachment, larger zone of gingival curettage, and better oral hygiene. Conclusion. Current surgical techniques are effective in the regeneration of deep periodontal spaces and the treatment of gingival recession. Significantly better results were achieved with the used coronary guided surgical flap than with guided tissue regeneration.

When Gingival Recession Is Rescued By Periodontal Plastic Surgery: A Clinical Case Report

2017 ◽  
Vol 2 (2) ◽  
Keyword(s):  
Case Report ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Root Surface ◽  
Root Coverage ◽  
Patient Reported ◽  
Term Evaluation ◽  
Periodontal Plastic Surgery

Gingival recession is the most common mucogingival defect. It is characterized by the exposure of the tooth root surface resulting from displacement of the gingival margin below the cementoenamel junction. The denuded root surfaces compromise dental and gingival aesthetics with dentine hypersensitivity, caries proclivity, cervical abrasion and oral hygiene disability. When deciding root coverage, settled surgical techniques have been proposed and each procedure challenges to expand on limitations of the others. The purpose of this case report is to assess the esthetic correction of localized gingival recession using combined coronally positioned flap with connective tissue graft techniques. Long term evaluation, extended to two years after surgical treatment, is performed. The part of the prophylactic management to prevent potential future recessions is also enhanced. Significant increasing in keratinized and attached gingival tissues and reduction of height and width of recession were obtained. Gain of root coverage was 100% with great improvement in attachment level. Prevention of recession was accomplished and the results were stable after two years follow up. Patient-reported outcomes were satisfaction and esthetic appearance.

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 Utilization of two different surgical techniques in gingival recession treatment: A comparative study

2014 ◽  
Vol 142 (3-4) ◽  
pp. 155-163 ◽  
Author(s):  
Miljan Bajic ◽  
Sasa Jankovic ◽  
Iva Milinkovic ◽  
Sasa Cakic ◽  
Neda Perunovic ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Surgical Procedures ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Coin Toss ◽  
Connective Tissue Graft ◽  
Control Side ◽  
Tissue Graft ◽  
Healing Index ◽  
Tunnel Technique

Introduction. Gingival recession is a displacement of gingival margin apically to cementenamel junction. Objective. The aim of this study was to compare the results achieved with two different surgical procedures used in gingival recession treatment. Methods. Ten patients with bilateral buccal recession on maxillary canines or premolars were included in the study. Professional teeth cleaning was performed before surgery. Recession on the experimental side was treated with connective tissue graft in combination with coronally advanced, split thickness flap (tunnel technique). Control side recession was treated with connective tissue graft in combination with trapezoidal coronally advanced, full thickness flap. Coin toss was used for side decision. The following parameters were evaluated before surgery and 6 months post-op: Vertical Recession Dimension, Clinical Attachment Level, Apico-coronal width of the keratinized tissue, Healing index (Laundry), RES index, and Patient evaluation of esthetic results. Student?s t-test was used for statistical analysis. Results. Six months after surgery, mean root coverage was 91.5?14.1% and 90.1?14.6% on the experimental and on the control side, respectively. RES index, Healing index (Laundry) and Patient Subjective evaluation of esthetic results showed significantly better results (p?0.05). Conclusion. Both surgical procedures produce highly successful clinical results based on evaluated parameters, but this tunnel technique provides significantly better esthetic results.

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