scholarly journals Root Coverage with an Acellular Dermal Allograft: A Three-Month Case Report

1999 ◽  
Vol 1 (3) ◽  
pp. 9-16 ◽  
Author(s):  
Edward B. Fowler ◽  
Lawrence G. Breault
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Surgical Procedure ◽  
Acellular Dermal Matrix ◽  
Gingival Recession ◽  
Root Coverage ◽  
Dermal Matrix ◽  
Case Presentation ◽  
Adequate Quantity ◽  
Acellular Dermal

Abstract Treatment of gingival recession has been a common practice in periodontics for years. As esthetic demands of periodontal patientsincrease, more root coverage procedures will be performed to satisfy esthetic demands. Often patients present with multiple areas requiring treatment. Palatal anatomy may limit the amount of autogenous tissue that can be harvested, limiting the number of procedures that can be performed. A patient may not desire to have additional tissue transplanted from the palate, due to increased pain and morbidity associated with multiple transplant procedures. The following is a case presentation of multiple adjacent recession defects. The patient presented with a shallow palate from which one side would not yield an adequate quantity of connective tissue. Furthermore, the patient declined to have both sides of his palate harvested simultaneously. As an alternative, an acellular dermal matrix allograft was utilized to correct these gingival defects negating the requirement for a second palatal surgical procedure.

Use of acellular dermal matrix graft in the treatment of gingival recessions: a case report

2004 ◽  
Vol 27 (2) ◽  
pp. 107-110 ◽  
Author(s):  
Ana Emília Pontes ◽  
Arthur Novaes Júnior ◽  
Márcio Grisi ◽  
Sérgio Souza ◽  
Mário Taba Júnior
Keyword(s):  
Case Report ◽  
Surgical Procedure ◽  
Pediatric Patients ◽  
Acellular Dermal Matrix ◽  
Root Coverage ◽  
Dermal Matrix ◽  
Case Presentation ◽  
Mucogingival Surgery ◽  
Acellular Dermal

Case presentation in which a 12-years-old boy presented with two large gingival recessions on the maxillary central incisors, secondary to a lateral luxation. In the surgical procedure, an acellular dermal matrix graft (ADMG) was placed as a substitute for a free gingival graft.Twelve months later, complete root coverage was achieved, showing that ADMG, a biomaterial recently developed for mucogingival surgery, can be successfully used in the treatment of gingival recessions in pediatric patients.

scholarly journals ROOT COVERAGE USING THE SUBEPITHELIAL CONNECTIVE TISSUE GRAFT OR THE ACELLULAR DERMAL MATRIX FOR THE TREATMENT OF GINGIVAL RECESSION: A CLINICAL STUDY

2018 ◽  
Vol 9 ◽  
pp. 20
Author(s):  
Shula Zuleika Sumana ◽  
Sri Lelyati C Masulili ◽  
Robert Lessang
Keyword(s):  
Connective Tissue ◽  
Acellular Dermal Matrix ◽  
Gingival Recession ◽  
Root Coverage ◽  
Dermal Matrix ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Operative Data ◽  
Subepithelial Connective Tissue Graft ◽  
Acellular Dermal

Objective: This study aims to evaluate periodontal clinical conditions after treatment for gingival recession (GR) using subepithelial connective tissue graft (SCTG) and acellular dermal matrix (ADM).Methods: Ten patients with Miller’s Class I and II recessions that had been treated with SCTG or ADM at the Periodontics Outpatient Department at Universitas Indonesia were selected for this study. The pre-operative data for GR, clinical attachment levels (CAL), and attached gingiva (AG) were retrieved from the patients’ medical records. The patients were recalled and the post-operative data were recorded.Results: The application of SCTG and ADM yields significant changes to GR, CAL, and AG levels. A comparison of two groups at the post-operative assessment stage showed no statistically significant differences, in terms of GR, CAL, and AG.Conclusion: SCTG and ADM yield similar outcomes in the treatment of GR. As such, ADM may be suggested as an alternative to SCTG for root coverage.

scholarly journals Comparison of acellular dermal matrix allograft (ADMA) and a subepithelial connective tissue graft (SCTG) for the treatment of gingival recession

2020 ◽  
Vol 12 (1) ◽  
pp. 11-17
Author(s):  
Niloofar Jenabian ◽  
Mohadese Yazdanpanahbahabadi ◽  
Parya Haghpanah Aski ◽  
Ali Bijani
Keyword(s):  
Connective Tissue ◽  
Test Group ◽  
Acellular Dermal Matrix ◽  
Gingival Recession ◽  
Root Coverage ◽  
Dermal Matrix ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
Acellular Dermal

Background. This study aimed to evaluate the effect of acellular dermal matrix allograft (ADMA) for the treatment of gingival recession as a substitute for subepithelial connective tissue graft (SCTG). Methods. In this controlled clinical trial, 18 teeth were selected in nine subjects with bilateral gingival recession. One side was treated with SCTG and a coronally displaced flap as the control group, and the other side was treated with ADMA and a coronally displaced flap as the test group. Probing pocket depth (PPD), clinical attachment level, vertical recession depth, recession width, gingival thickness, keratinized tissue width, and the root coverage percentage were measured before the surgery and at 1-, 3-, and 6-month postoperative intervals. The healing index, pain index, and patient satisfaction were also investigated. The data were analyzed with a general linear model (GLM) repeated measures and paired t-test. Results. All the parameters improved except for PPD; however, a comparison between the groups did not reveal statistically significant differences. Only root coverage percentage and pain index were significantly lower in the test group. The average percentage of root coverage in the control and test groups were 82.01±16.62% and 64.44±9.4%, respectively. Conclusion. Both methods resulted in improvements in the clinical results. However, the use of the ADMA led to less pain and root coverage in comparison with the SCTG method.

Treatment of Exposed Bone With Acellular Dermal Matrix in a Smoker Patient After Dental Implant Surgery: A Case Report

2019 ◽  
Vol 46 (3) ◽  
pp. 245-249
Author(s):  
Levent Cigerim
Keyword(s):  
Case Report ◽  
Dental Implant ◽  
Acellular Dermal Matrix ◽  
Gingival Recession ◽  
Dermal Matrix ◽  
Attached Gingiva ◽  
Exposed Bone ◽  
Dermal Cells ◽  
Dental Implant Surgery ◽  
Acellular Dermal

Acellular dermal matrix is a biocompatible material derived from human and animal connective tissue. This material is created by a chemical process in which all epidermal and dermal cells are removed but the bioactive dermal matrix is left intact. The bioactive dermal matrix has the capability to promote natural revascularization and cell repopulation and to undergo tissue remodeling as it contains elastin, collagen, bioactive proteins, and blood vessel channels. Recently, ADM materials have successfully been used as grafts in numerous surgical procedures to increase the size of the attached gingiva surrounding the teeth and implants, to fill in gingival recession defects to enhance root coverage, to manage soft-tissue ridge deformities, and to repair oronasal fistulae. The aim of this case report is to evaluate the use of the acellular dermal matrix in a 45-year-old patient with an area of exposed bone after the placement of a dental implant.

Comparative Clinical Evaluation of Acellular Dermal Matrix Allograft and Connective Tissue Graft for the Treatment of Gingival Recession

2006 ◽  
Vol 7 (2) ◽  
pp. 63-70 ◽  
Author(s):  
M.E. Rahmani ◽  
Mohammad A. Rigi Lades
Keyword(s):  
Connective Tissue ◽  
Clinical Evaluation ◽  
Acellular Dermal Matrix ◽  
Gingival Recession ◽  
Dermal Matrix ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Post Surgery ◽  
Attached Gingiva ◽  
Acellular Dermal

Abstract Aims “Gingival recession is a condition reported to occur due to abnormal periodontal anatomy, poor hygiene, excessive occlusal forces, toothbrush abrasion, and even iatrogenic or factitious causes. Though various surgical techniques are available to treat this problem, the most common is the palatal soft tissue autograft. Recently, an acellular dermal matrix allograft (ADMA) has been available as a substitute for the palatal tissue harvest. The aim of this study is to compare the ADMA with the conventional subepithelial connective tissue graft (SCTG) in the treatment of gingival recession.” Methods and Materials Fourteen patients with 20 gingival recessions of Miller's grade I and II were selected and randomized in two groups of control (SCTG) and test (ADMA). In each group ten recession defects were treated. The following parameters were measured at baseline and then at six months post surgery: recession height (RH), recession width (RW), probing depth (PD), attached gingiva (AG), keratinized gingiva (KG), and clinical attachment level (CAL). All parameters were analyzed using the two-sample t-test. Data analysis was performed using SPSS (version 11) software. Results The following mean changes (mm) occurred in SCTG and ADMA, respectively: 2.60±0.97 and 2.90±0.81 decrease in RH; 1.70±1.01 and 1.65±0.67 decrease in RW; 2.50±0.97 and 2.95±0.69 increase in KG; 2.25±0.92 and 2.65±0.85 increase in AG; 2.60±1.08 and 2.75±0.92 decrease in CAL; and finally 0.05±0.50 and 0.10±0.46 decrease in PD for the SCTG and ADMA groups, respectively. The percentage of root coverage for the two groups was 70.12%±22.81% and 72.08%±14.12%, respectively. The changes from baseline to the six-month visit were significant for both groups in terms of all parameters but PD. However, the differences in mean changes were not significant between the two groups in any of the parameters. Conclusion These findings imply the ADMA and SCTG techniques could produce the same results when used for the successful treatment of gingival recessions. In addition the ADMA could be used as an adequate alternative treatment modality for conventional techniques. Citation Rahmani ME, Lades MAR. Comparative Clinical Evaluation of Acellular Dermal Matrix Allograft and Connective Tissue Graft for the Treatment of Gingival Recession. J Contemp Dent Pract 2006 May;(7)2:063-070.

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