scholarly journals Interproximal Papillae Reconstruction around Implant Using Subepithelial Connective Tissue Graft in Maxillary Anterior Region: A Case Series

2012 ◽  
Vol 3 (2) ◽  
Author(s):  
Satish Gupta ◽  
Vikas Deo ◽  
Cecil Williams
Keyword(s):  
Connective Tissue ◽  
Case Series ◽  
Anterior Region ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft

scholarly journals Palatal Harvesting Technique Modification for Better Control of the Connective Tissue Graft Dimensions

2013 ◽  
Vol 24 (6) ◽  
pp. 565-568 ◽  
Author(s):  
Danilo Maeda Reino ◽  
Arthur Belem Novaes Jr. ◽  
Marcio Fernando de Moraes Grisi ◽  
Luciana Prado Maia ◽  
Sergio Luis Scombatti de Souza
Keyword(s):  
Connective Tissue ◽  
Donor Site ◽  
Case Series ◽  
Gingival Recession ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Partial Thickness ◽  
Harvesting Technique ◽  
Subepithelial Connective Tissue Graft ◽  
Graft Thickness

Subepithelial connective tissue graft (SCTG) has been extensively used for a variety of clinical applications. However, the surgical procedure may not allow control of graft thickness. The purpose of this case series is to illustrate a modification to the single incision palatal harvesting technique in order to control the SCTG thickness without increasing patient discomfort. Fifty cases from thirty systemically and periodontally healthy patients with at least one multiple gingival recession were treated with coronally advanced flaps combined with a SCTG. The palatal area served as the donor site, from where a single perpendicular incision was made to obtain a full thickness flap. Next, 1-2 mm of the flap was elevated and dissected to obtain a partial thickness flap. The graft remained attached to the full-partial thickness flap. After determining the desired SCTG thickness, the graft was harvested from the palatal flap. The patients healed uneventfully at 7 days postoperatively and primary closure was obtained for all palatal donor sites. The SCTG length and width varied depending on the needs of each case, but the SCTG thickness was well controlled with only 0.24 mm standard deviation. The suggested modification granted control of the SCTG dimensions and achieved complete wound closure within a week.

Immediate Single Tooth Replacement With Subepithelial Connective Tissue Graft Using Platform Switching Implants: A Case Series

2011 ◽  
Vol 37 (5) ◽  
pp. 559-569 ◽  
Author(s):  
Seunghwan Chung ◽  
Kitichai Rungcharassaeng ◽  
Joseph Y. K. Kan ◽  
Phillip Roe ◽  
Jaime L. Lozada
Keyword(s):  
Connective Tissue ◽  
Success Rate ◽  
Case Series ◽  
Tissue Response ◽  
Tooth Replacement ◽  
Significance Level ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
Platform Switching

This case series evaluated the facial gingival stability following single immediate tooth replacement in conjunction with subepithelial connective tissue graft (SCTG). Implant success rate and peri-implant tissue response were also reported. Ten patients (6 male, 4 female), with a mean age of 52.1 (range  =  22.7 to 67.1) years, underwent immediate implant placement and provisionalization with SCTG and were evaluated clinically and radiographically at presurgery (T0), at the time of immediate tooth replacement and SCTG (T1), and 3 months (T2), 6 months (T3), and 12 months (T4) after surgery. Data were analyzed using the Friedman and Wilcoxon signed-ranks tests at the significance level of α  =  .05. At 1 year, 9 of 10 implants remained osseointegrated with the overall mean marginal bone change of −0.31 mm and a mean facial gingival level change of −0.05 mm. The modified plaque index scores showed that patients were able to maintain a good level of hygiene throughout the study. The papilla index score indicated that at T4, more than 50% of the papilla fill was observed in 89% of all sites. When proper 3-dimensional implant position is achieved and bone graft is placed into the implant-socket gap, favorable success rate and peri-implant tissue response of platform switching implants can be achieved following immediate tooth replacement in conjunction with subepithelial connective tissue graft.

scholarly journals Technical Note on Root Coverage of Lower Anterior Teeth Using a Partially Deepithelialized Connective Tissue Graft (PE-CTG) Aided by a High-Speed Handpiece

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Kyeong-Ok Lim ◽  
Byung-Ock Kim ◽  
Won-Pyo Lee
Keyword(s):  
Connective Tissue ◽  
High Speed ◽  
Healing Process ◽  
Technical Note ◽  
Anterior Region ◽  
Root Coverage ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Anterior Teeth ◽  
Subepithelial Connective Tissue Graft

Root coverage in the mandibular anterior region is challenging because of a thin gingival biotype, shallow vestibule, and high frenum attachment. Several methods have been introduced to predict the root coverage in this area. Stimmelmayr proposed a method of performing root coverage using a combination epithelialized-subepithelial connective tissue graft (CTG). However, it is difficult to precisely acquire connective tissue according to this method. Therefore, in this case report, we would like to introduce a technique to harvest a partially deepithelialized CTG (PE-CTG) aided by a high-speed handpiece, which helps in procuring the graft easily and quickly. This method could lower the patient’s morbidity at donor sites and enhance the healing process. Additionally, it could increase the amount of keratinized gingiva in the mandibular anterior region without reducing the vestibular depth. Therefore, PE-CTG using a high-speed handpiece can be a promising treatment option for the root coverage of the mandibular anterior teeth.

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