Evaluating the efficacy of human placental amnion membrane in combination with modified coronally advanced flap technique in the management of gingival recession: An interventional study

2021 ◽  
Vol 7 (1) ◽  
pp. 24-28
Author(s):  
Rajendran Poornima ◽  
◽  
Mohanapriya Asokachandran
Keyword(s):  
Gingival Recession ◽  
Interventional Study ◽  
Coronally Advanced Flap ◽  
Flap Technique ◽  
Amnion Membrane

scholarly journals Modified coronally advanced flap design in management of isolated gingival recession: Saddle flap technique

2020 ◽  
Vol 24 (5) ◽  
pp. 486
Author(s):  
SelvarajRaja Rajeswari ◽  
TriveniM Gowda ◽  
AB Tarun Kumar ◽  
PotluriLeela Ravishankar ◽  
KapaBhargavi Preeti ◽  
...  
Keyword(s):  
Gingival Recession ◽  
Coronally Advanced Flap ◽  
Flap Technique ◽  
Flap Design

scholarly journals Patient-centered evaluation of microsurgical management of gingival recession using coronally advanced flap with platelet-rich fibrin or amnion membrane: A comparative analysis

2016 ◽  
Vol 10 (01) ◽  
pp. 121-133 ◽  
Author(s):  
Sumit Kumar Agarwal ◽  
Rajesh Jhingran ◽  
Vivek Kumar Bains ◽  
Ruchi Srivastava ◽  
Rohit Madan ◽  
...  
Keyword(s):  
Gingival Recession ◽  
Root Coverage ◽  
Platelet Rich Fibrin ◽  
Group Iii ◽  
Coronally Advanced Flap ◽  
Group I ◽  
Microsurgical Approach ◽  
Amnion Membrane ◽  
Group Ii ◽  
Experimental Group

ABSTRACT Objective: To evaluate the efficacy of coronally advanced flap (CAF) procedure under microsurgical approach for the management of Miller's Class I and II gingival recession defects with the use of either platelet-rich fibrin (PRF) or amnion membrane (AM) in comparison to CAF alone. Materials and Methods: A total of 45 sites with Miller's Class I or II gingival recession defect were randomly distributed for: Experimental Group I (CAF with PRF) sites (n = 15) which were treated with the microsurgical approach using CAF along with PRF; experimental Group II (CAF with AM) sites (n = 15) were treated with the microsurgical approach using CAF along with AM; control Group III (CAF alone) sites (n = 15) were treated with the microsurgical approach using CAF alone. Vertical gingival recession (VGR), horizontal gingival recession (HGR), gingival thickness (GT) (using transgingival probing [TGP] and ultrasonography [USG]) and patients’ response and acceptance were documented at baseline, 3 months and 6 months after surgical interventions. Results: CAF alone and in combination with PRF or AM, were effective techniques for root coverage with average VGR values of 1.47 ± 0.92 mm (56%), 0.67 ± 1.23 mm (36%) and 0.60 ± 1.06 mm (33%) in Group I (CAF with PRF), Group II (CAF with AM), and Group III (CAF alone), respectively. Complete coverage (100%) was obtained in 33.3% sites of Group I (CAF with PRF), 26.6% sites of Group II (CAF with AM) and 13.3% in Group III (CAF alone). Patients’ response and acceptance for surgical treatment modality in terms of patient esthetic score and decrease in hypersensitivity score was highest for Group I (CAF with PRF), whereas patient comfort score was highest for Group II (CAF with AM). At 6 months follow-up, significant increase in GT measurements (using TGP and USG) in Group I (CAF with PRF), whereas, nonsignificant increase for Group II (CAF with AM) and no change or decrease for Group III (CAF alone) as compared to baseline was observed. Conclusion: The present study observed enhancement in root coverage when PRF or AM are used in conjunction with CAF as compared to CAF alone. These results are based on 6-month followup. Therefore, the long-term evaluation may be necessary to appreciate the clinical effect of autologous PRF and AM.

scholarly journals Double Papilla Graft with Amnion Membrane for Root Coverage of Isolated Recession

2016 ◽  
Vol 7 (4) ◽  
pp. 213-216
Author(s):  
Ruchi Srivastava ◽  
Zeba R Siddiqui ◽  
Rajesh Jhingran ◽  
Vivek K Bains
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Soft Tissues ◽  
Gingival Recession ◽  
Root Coverage ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Soft Tissue Problems ◽  
Amnion Membrane

ABSTRACT Gingival recession is one of the most common soft tissue problems, especially when it hinders the esthetics of a patient. Gingival recession can further lead to root caries, sensitivity, and difficulty in plaque control. Moreover, exposed roots are prone to abrasion and erosion. Periodontal plastic surgery is one of the emerging fields, which helps to meet such soft tissue problems. Currently, a variety of techniques are being used for root coverage, like pedicle grafts, coronally advanced flap, free mucosal graft, epithelial connective tissue graft, guided tissue regeneration, and acellular dermal matrix. This article highlights a case that was successfully managed by double papilla graft technique in combination with amnion membrane for root coverage of Miller class II recession defect in the mandibular canine region. In this technique, the soft tissues adjacent to the recession area were positioned over the recession defect. The main advantage of this technique is that the flap remains attached at its base so that it retains its own blood supply during transfer to a new position. It also preserves the interdental papilla, thus preserving the gingival height. As an alternative to the epithelial connective tissue graft, amnion membrane has the advantage of no invasive palatal wound, regenerative potential, and improved esthetic results. This procedure is highly sensitive and had predictable results, with a clinically significant amount of root coverage. How to cite this article Srivastava R, Siddiqui ZR, Jhingran R, Bains VK. Double Papilla Graft with Amnion Membrane for Root Coverage of Isolated Recession. World J Dent 2016;7(4):213-216.

scholarly journals Vestibular incisional subperiosteal tunnel access versus coronally advanced flap with connective tissue graft for root coverage of Miller’s class I and II gingival recession: A randomized clinical trial

2019 ◽  
Vol 11 (1) ◽  
pp. 12-20
Author(s):  
Saeed Sadat Mansouri ◽  
Omid Moghaddas ◽  
Narjes Torabi ◽  
Katayoun Ghafari
Keyword(s):  
Connective Tissue ◽  
Gingival Recession ◽  
Control Group ◽  
Root Coverage ◽  
Control Groups ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
And Control

Background and aims. This study aimed to compare the clinical efficacy of vestibular incisional subperiosteal tunnel access (VISTA) with subepithelial connective tissue graft versus a coronally advanced flap (CAF) with subepithelial connective tissue graft for the treatment of gingival recession defects. Materials and methods. This randomized clinical trial was performed on 24 recession defects that were bilaterally Miller’s class I or II in the maxillary canine and premolar area. One quadrant in each patient was selected randomly to receive VISTA (test group) or CAF (control group) with connective tissue graft. Clinical parameters measured at baseline and at 3- and 6- month postoperative intervals included recession width (RW), recession depth (RD), keratinized tissue width (KTW), clinical attachment level (CAL) and probing depth (PD). Results. Healing was uneventful in both the test and control groups. At the 6-month follow-up, there was a significant decrease in RD, RW and CAL and an increase in KTW in both the test and control groups. The PD remained unchanged. At 3 and 6 months, no statistically significant differences were found between VISTA and CAF for root coverage and clinical attachment gain. Mean root coverage (MRC) was 70.69% and 67.22% in the test and control group, respectively. VISTA demonstrated higher frequency of complete root coverage (CRC) compared to CAF: 50% vs. 33% (P<0.05). The mean KTW was 2.4±0.7 mm at the test and 2.7±0.8 mm at the control sites (P>0.05) Conclusion. VISTA, as a minimally invasive approach, can enhance root coverage, KTW and clinical attachment gain; therefore, it can be used as a substitute for CAF with connective tissue graft as a gold standard for root coverage.

scholarly journals Root Coverage with Coronally Advanced Flap with Connective Tissue Graft: Literature Review and Case Report

2017 ◽  
Vol 19 (2) ◽  
pp. 25
Author(s):  
Francisco J. Jiménez Bolaños DDS ◽  
Marcelino Fernández Murillo
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Gingival Recession ◽  
Root Coverage ◽  
Patient Reports ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Cast Doubt ◽  
Aesthetic Results

The root coverage procedure to treat gingival recessions is the best line of treatment, being the most used the coronal advanced flap.  There have been multiple clinical and aesthetic results that cast doubt on whether this procedure by adding a connective tissue graft will be a more predictable and more aesthetic regarding defect removal. In this case report a patient 24-year-old male refers hypersensitivity and aesthetic discomfort in the area of gingival recession.  An autologous graft with a coronal flap advancement of connective tissue will be used. After six months of healing the patient reports improvements in: sensitivity, plaque control and aesthetics.

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