scholarly journals Tunnel technique with connective tissue graft versus coronally advanced flap with enamel matrix derivate for root coverage: 5‐year results of an RCT using 3D digital measurement technology for volumetric comparison of soft tissue changes

2021 ◽  
Author(s):  
Otto Zuhr ◽  
Dodji Akakpo ◽  
Peter Eickholz ◽  
Kirstin Vach ◽  
Markus B. Hürzeler ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Measurement Technology ◽  
Digital Measurement ◽  
Enamel Matrix ◽  
Root Coverage ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tunnel Technique ◽  
Tissue Changes ◽  
Soft Tissue Changes

scholarly journals Palatal soft‐tissue changes after connective tissue graft harvesting – Tridimensional evaluation

2019 ◽  
Vol 30 (S19) ◽  
pp. 444-444
Author(s):  
Sara Ramos ◽  
Tiago Marques ◽  
Santos Nuno ◽  
Tiago Borges ◽  
Andrè Correia ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Connective Tissue ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Tissue Changes ◽  
Soft Tissue Changes

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 Tunnel technique with enamel matrix derivative in addition to subepithelial connective tissue graft compared with connective tissue graft alone for the treatment of multiple gingival recessions: a randomized clinical trial

2020 ◽  
Vol 24 (12) ◽  
pp. 4475-4486
Author(s):  
Bartłomiej Górski ◽  
Renata Górska ◽  
Joanna Wysokińska-Miszczuk ◽  
Tomasz Kaczyński
Keyword(s):  
Connective Tissue ◽  
Enamel Matrix Derivative ◽  
Clinical Parameters ◽  
Enamel Matrix ◽  
Root Coverage ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Tunnel Technique ◽  
Subepithelial Connective Tissue Graft ◽  
Matrix Derivative

Abstract Objectives The aim of this study was to compare outcomes of the modified coronally advanced tunnel technique (MCAT) combined with subepithelial connective tissue graft (SCTG) with or without enamel matrix derivative (EMD), in the treatment of gingival recession types 1 and 2. Materials and methods A total of 20 patients with 150 multiple gingival recessions (GR) were included in the study. On one side, MCAT was combined with SCTG and EMD (tests), whereas MCAT with SCTG was applied on the contralateral side (controls). Clinical parameters were measured at baseline and 6 months after surgery. Visual analog scales (VAS) and questionnaires were used to assess patient-reported outcomes and the root coverage esthetic score (RES) for professional esthetic evaluation. Results MCAT+SCTG+EMD was not superior with regard to root coverage. At 6 months, average root coverage (ARC) was 87.4% for SCTG+EMD-treated and 90.9% for SCTG-treated defects (p = 0.4170). Complete root coverage (CRC) was observed in 86.7% (tests) and 85.3% (controls) of the cases (p = 0.9872). Significantly less pain was reported using VAS (p = 0.0342) post-operatively in the SCTG+EMD group. Professional assessment of esthetic outcomes using RES showed a significant difference (9.25 versus 8.71, p = 0.0103) in favor of the test group. Conclusions Both treatment modalities were equally effective in treatment of multiple GR and led to similar improvements in clinical parameters. However, the application of EMD as an adjunct resulted in less post-operative pain and better professionally assessed esthetic outcomes. Clinical relevance Patients’ early morbidity and 6-month esthetic outcomes following GR coverage with MCAT might be influenced by means of EMD utilization.

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