scholarly journals Free gingival grafting procedure after excisional biopsy, 12-year follow-up

2016 ◽  
Vol 10 (03) ◽  
pp. 432-434 ◽  
Author(s):  
Ilker Keskiner ◽  
B. Arzu Alkan ◽  
Zekeriya Tasdemir
Keyword(s):  
Excisional Biopsy ◽  
Gingival Recession ◽  
Dentin Hypersensitivity ◽  
Root Coverage ◽  
Free Gingival Graft ◽  
Gingival Enlargement ◽  
Gingival Graft ◽  
Grafting Procedure ◽  
Exposed Root

ABSTRACTThe total removal of a lesion via excisional biopsy causes gingival recession, resulting in dentin hypersensitivity and esthetical problems. In this case report, a gingival recession defect resulting from an excisional biopsy was treated with a free gingival grafting procedure performed during the same appointment, and its 12-year follow-up was presented. A 44-year-old female patient was presented to our clinic with a firm, pedunculated, red gingival enlargement located on the labial surface of lower incisors. The exposed root surface, after the excisional biopsy, was covered with a free gingival graft. The lesion was pathologically diagnosed as pyogenic granuloma, and in the early postoperative phase, no recurrence was observed, but partial root coverage was determined. At 6-month follow-up, root coverage resulting from “creeping attachment” was observed, and this situation was maintained throughout the 12-year follow-up period. Repetitious postoperative discomfort and emotional stress for the patient may be avoided with a timesaving single appointment performing excisional biopsy and free gingival graft. Free gingival grafting procedure was used for this purpose not only to cover exposed root surfaces but also to eliminate dentin hypersensitivity and make oral hygiene procedures more effective.

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).

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.

scholarly journals Effect of magnification on root coverage surgery

2020 ◽  
Vol 19 ◽  
pp. e201669
Author(s):  
Marcella Goetz Moro ◽  
Maria Luisa Silveira Souto ◽  
Emanuel Silva Rovai ◽  
João Batista Cesar Neto ◽  
Marinella Holzhausen ◽  
...  
Keyword(s):  
Randomized Trials ◽  
Primary Outcome ◽  
Meta Analysis ◽  
Gingival Recession ◽  
Root Coverage ◽  
Randomized Controlled ◽  
Optical Magnification ◽  
Secondary Outcomes ◽  
Exposed Root

Root coverage surgery can be performed in patients with gingival recession to cover the exposed root aiming to control hypersensitivity and promotes better aesthetic. Optical magnification has been proposed as a refinement in this surgical technique to increase root coverage. This approach may lead to enhanced soft tissue stability, less post-operative discomfort, better predictability and esthetic appearance. Aim: This systematic review aimed to evaluate the effectiveness of magnification on root coverage surgery when compared to procedures performed without magnification. Methods: Randomized controlled trials with a follow-up of at least 6 months that compared surgeries for root coverage performed under optic magnification versus conventional (macro) root coverage surgery were screened. The primary outcome was mean root coverage (mm) (MRC) and secondary outcomes were percentage of root coverage (PRC) and complete root coverage (CRC). Results: Of 569 papers relevant to this review, seven were included. Meta-analysis showed that the use of magnification may favor greater PRC (7.38%, 95% CI 3.66-11.09). Conclusion: Magnification can increase PRC in root coverage surgeries. More randomized trials with the use of magnification may be necessary to verify if this benefit is clinically relevant, in order to justify the use of this device.

scholarly journals Evaluation of Connective Tissue Grafts Versus Free Gingival Grafts

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 474-478
Author(s):  
Keerthana Baskar ◽  
Nashra Kareem ◽  
Sreedevi Dharman
Keyword(s):  
Connective Tissue ◽  
Gingival Recession ◽  
P Value ◽  
Age Group ◽  
Root Coverage ◽  
Free Gingival Graft ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Tissue Grafts ◽  
Gingival Graft

Root coverage is one of the important aims of periodontal therapy. The aim of the study was to evaluate the connective-tissue grafts (CTG) and free gingival grafts (FGG) in root coverage procedures. A retrospective study of sample size 32 was conducted. These patients underwent a root coverage procedure done using grafts. The details on which graft was obtained from patient records were reviewed and analysed between June 2019 to March 2020. Excel tabulation was done, analysed and transferred to SPSS for statistical analysis. The p value was set at 0.05. In the study, it was found that CTG was used in 56.25% of the patients and FGG was used in 43.75% of the patients undergoing root coverage procedure.  It was found that Free gingival grafts (25%) were placed more commonly in females when compared to connective tissue grafts (18.75%). However, in males, connective tissue grafts (37.5%) were placed more commonly than free gingival grafts. (18.75%) The prevalence of connective tissue graft was more when compared to free gingival graft at 36-55 years of age. Connective tissue graft was done more commonly in the age group of 15-35 years. Prevalence of connective tissue grafts was more in males than in females. Within the limits of the study, it was found that connective tissue graft (CTG) procedures performed more than free gingival graft (FGG) procedures following the gold standard for root coverage in gingival recession treatment.

scholarly journals FATORES QUE INFLUENCIAM NO SUCESSO DA TÉCNICA DO RETALHO POSICIONADO CORONALMENTE

2013 ◽  
Vol 4 (2) ◽  
Author(s):  
Patricia Santos Ferreira ◽  
Renata De Araújo Barbosa ◽  
Erica Del Peloso Ribeiro ◽  
Sandro Bittencourt
Keyword(s):  
Surgical Technique ◽  
Gingival Recession ◽  
Root Surface ◽  
Bacterial Biofilms ◽  
Dentin Hypersensitivity ◽  
Periodontal Tissue ◽  
Root Coverage ◽  
Periodontal Inflammation ◽  
Keratinized Tissue ◽  
Exposed Root

Gingival recession is defined as the migration of the gingival margin apical to the cemento-enamel junction and can be caused by bacterial biofilms, primary etiological factor of periodontal inflammation, as well as the trauma of brushing. The treatment is usually a recontouring of the gingival architecture with or without associated techniques to achieve the covering of the exposed root surface and increase the amount of keratinized tissue. These procedures aim to an aesthetic improvement and treatment of dentin hypersensitivity as well as reducing the risk of caries. The coronally positioned flap is a technique widely used for achieving root coverage. The literature have reported several factors that can interfere with the success of this technique, among which are those related to periodontal tissue, the surgical technique and patient’s habits. The aim of this article was to getter the factors that could influence the outcome of coronally positioned flap technique, through a literature review.

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