Pedicled buccal fat pad graft for root coverage in severe gingival recession defect

ABSTRACTAim of study: The aim of this study was to Compare the effectiveness of Non-pedicled buccal fat pad versus Platelet rich fibrin in treatment of Miller class II gingival recession using vistubular Incision Subperiosteal Tunnel Access TechniquePatients and methods:This study was conducted on 40 patients with class II gingival recession in anterior or premolar segment. The entire patients were selected from the out patient clinic of the Oral Medicine, Oral Diagnosis, and Periodontology Department. Faculty of Dentistry, Minya University.Forty patients with gingival recession class II were divided randomly into two groups:Group I: (20 defect) using VISTA technique with Non- pedicled buccal fat pad (NPBFP), Group II: (20 defect) using VISTA technique with platelet rich fibrin (PRF).Results: In both groups all clinical parameters were statistically significant from pre-operative period till 6 months follow up period. In the comparison between the two groups after 6 months follow up period, there were no statistically significant difference between two groups regarding all clinical parameters except percentage of root coverage; there was significant increase in percentage of root coverage after 3 and 6 months follow up period in group II with p value was less than 0.05.Conclusion: Both PRF membrane and NPBFP are effective in the management of Class II gingival recession defects using VISTA technique. PRF group has better results regarding percentage of root coverage than NPBPF group after 3 and 6 months follow up.

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Use of Pedicled Buccal Fat Pad in Root Coverage of Severe Gingival Recession Defect

Journal of Periodontology ◽

10.1902/jop.2008.070176 ◽

2008 ◽

Vol 79 (7) ◽

pp. 1271-1279 ◽

Cited By ~ 13

Author(s):

Sally A. El Haddad ◽

Mona Y. Abd El Razzak ◽

Mohammad El Shall

Keyword(s):

Gingival Recession ◽

Root Coverage ◽

Fat Pad ◽

Buccal Fat Pad

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Evaluation of root coverage with pedicled buccal fat pad in class III and class IV gingival recession defects

Journal of Family Medicine and Primary Care ◽

10.4103/jfmpc.jfmpc_1104_19 ◽

2020 ◽

Vol 9 (3) ◽

pp. 1656

Author(s):

K Monika ◽

Lokesh Sunkala ◽

N Sandeep ◽

K Keerthi ◽

BVimal Bharathi ◽

...

Keyword(s):

Gingival Recession ◽

Class Iii ◽

Root Coverage ◽

Fat Pad ◽

Buccal Fat Pad ◽

Class Iv

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Two-Year Clinical Evaluation of Pedicled Buccal Fat Pad Alone and with Emdogain for Root Coverage of Severe Gingival Recession Defects: A Case Series

The International Journal of Periodontics & Restorative Dentistry ◽

10.11607/prd.2630 ◽

2017 ◽

Vol 37 (6) ◽

pp. 901-907

Author(s):

Sally El-Haddad ◽

Mohammad El-Shall

Keyword(s):

Clinical Evaluation ◽

Case Series ◽

Gingival Recession ◽

Root Coverage ◽

Fat Pad ◽

Buccal Fat Pad

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An innovative technique for root coverage using pedicled buccal fat pad

Contemporary Clinical Dentistry ◽

10.4103/0976-237x.137963 ◽

2014 ◽

Vol 5 (3) ◽

pp. 386 ◽

Cited By ~ 5

Author(s):

Chitra Agarwal ◽

GV Gayathri ◽

DhoomSingh Mehta

Keyword(s):

Root Coverage ◽

Fat Pad ◽

Buccal Fat Pad ◽

Innovative Technique

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Root coverage with buccal fat pad placed on restored cervical abrasion: Case report with three-year follow-up

Journal of Indian Society of Periodontology ◽

10.4103/jisp.jisp_312_17 ◽

2018 ◽

Vol 22 (2) ◽

pp. 182

Author(s):

Sagrika Shukla ◽

HarpreetSingh Grover ◽

Ashi Chug ◽

Kuldeep Singh

Keyword(s):

Case Report ◽

Root Coverage ◽

Fat Pad ◽

Buccal Fat Pad

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Treatment of Miller Class I Gingival Recession with Using Nonpedicle Adipose Tissue after Bichectomy Surgical Technique: A Case Report

Case Reports in Dentistry ◽

10.1155/2019/1049453 ◽

2019 ◽

Vol 2019 ◽

pp. 1-5

Author(s):

Carmen Lucia Mueller Storrer ◽

Leonardo Luiz Muller ◽

Janes Francio Pissaia ◽

Carla Frehner Andrade ◽

Claudia Roberta Tenório Trevisani ◽

...

Keyword(s):

Case Report ◽

Oral Mucosa ◽

Gingival Recession ◽

Class I ◽

Surgical Removal ◽

Fat Pad ◽

Buccal Fat Pad ◽

Recipient Site ◽

Oral Health Problem ◽

To Receive

Gingival recession is an oral health problem that affects a large part of the population. Several treatments are suggested in the current literature; among them is the use of buccal fat pad grafting. The objective of this case report is to describe the treatment of a Miller Class I gingival recession using a nonpedicled buccal fat pad graft immediately after performing the surgery for buccal fat pad removal (bichectomy technique). First, bilateral surgical removal of the buccal fat pad was performed with the main objective of eliminating oral mucosa biting. The recipient site was prepared to receive a portion of the fat pad that was cut and macerated in a size that was sufficient to cover the recession. The patient was followed up at 15, 30, 60, and 365 days postsurgery, and the results showed an elimination of the oral mucosa biting and complete coverage of the gingival recession. It was concluded that the nonpedicled buccal fat pad graft is another option for the treatment of Miller Class I recessions.

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Non-Pedicled Buccal Fat Pad Grafts to Treatment for Class I and II Gingival Recessions: A Clinical Trial

Brazilian Dental Journal ◽

10.1590/0103-6440201300432 ◽

2015 ◽

Vol 26 (6) ◽

pp. 572-579 ◽

Cited By ~ 3

Author(s):

Tatiana Miranda Deliberador ◽

Claudia Tenório Trevisani ◽

Carmen Lucia Mueller Storrer ◽

Felipe Rychuv Santos ◽

João César Zielak ◽

...

Keyword(s):

Class I ◽

Clinical Parameters ◽

Root Coverage ◽

Fat Pad ◽

Buccal Fat Pad ◽

Gingival Margin ◽

Level Width ◽

Keratinized Tissue ◽

Probing Depth ◽

Postoperative Time

The aim of this study was to analyze the transplant efficiency of non-pedicled buccal fat pad graft (BFPG) for the treatment of Miller Class I or II gingival recessions (GRs) and to compare these results with those of subepithelial connective tissue graft (SCTG), which is considered the gold standard. Twelve patients with Miller Class I or II (≥2 mm) bilateral recessions in maxillary premolars or canines were selected. Recessions were randomly assigned to receive SCTG or BFPG. The clinical parameters evaluated at baseline and at 1, 3, and 6 months postoperatively included gingival index, plaque index, probing depth, GR, clinical attachment level, width of keratinized tissue, thickness of keratinized tissue and gingival margin to the acrylic guide. None of the evaluated clinical parameters differed significantly between the groups. At all evaluated postoperative time-points, both groups exhibited statistically significant differences in GR and gingival margin to the acrylic guide compared to baseline. Six months after surgery, the mean percentages of root coverage were 67.5% and 87.5% in the BFPG and SCTG groups respectively. In both groups, complete root coverage was observed in 50% of cases 6 months after surgery. The results presented herein indicate that the use of BFPG transplant has clinical similarities with SCTG and both may be considered as clinically successful methods for treating Miller Class I and II GRs.

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