scholarly journals Periodontal Plastic Microsurgery in the Treatment of Deep Gingival Recession after Orthodontic Movement

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Sérgio Kahn ◽  
Walmir Júnio de Pinho Reis Rodrigues ◽  
Marcos de Oliveira Barceleiro
Keyword(s):  
Adult Population ◽  
Treatment Options ◽  
Gingival Recession ◽  
Root Surface ◽  
Root Coverage ◽  
Orthodontic Movement ◽  
Keratinized Tissue ◽  
Subepithelial Connective Tissue Graft ◽  
The Aesthetic ◽  
Exposed Root

Gingival recession is a condition that affects a large portion of the young and adult population and negatively affects the aesthetic aspects of the smile. Many factors are related to its development, including orthodontic movement beyond the osseous limits. Many treatment options have been proposed to cover the exposed root surface. The aim of this article was to describe three cases where a subepithelial connective tissue graft was performed, using a microsurgical technique, in the treatment of deep gingival recession after orthodontic treatment. This technique resulted in successful root coverage and keratinized tissue gain, improving the gingival esthetic pattern.

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.

scholarly journals Penggunaan Composit Resin pada Kasus Resisi Gingiva

2012 ◽  
Vol 19 (1) ◽  
pp. 86
Author(s):  
S. Suryono
Keyword(s):  
Essential Role ◽  
Case Reports ◽  
Gingival Recession ◽  
Root Surface ◽  
Gingival Tissue ◽  
Clinical Appearance ◽  
Color Effect ◽  
The Aesthetic ◽  
Exposed Root

Background: The clinical appearance of gingival tissue play an essential role in aesthetics. Gingival morphology and color effect on the aesthetic concerns for the patient. Gingival recession can cause exposure of the underlying rootsurface and hypersensitive of the tooth. Purpose: this case reports showed the treatment of gingival recession by using gingival-shaded composite. Case and treatment: Exposed root surface is layered by gingival-shaded composite and its also improved aesthetics by replacement of the restoration. Conclusion: The use of gingival-shaded composite in the area of exposed root surface for layering improved the aesthetic and relief the sensitive denting of patient.

scholarly journals Treatment of Gingival Recession with Microinvasive Surgical Technology

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Qiong Cao ◽  
Ruohuang Lu ◽  
Jun Chen ◽  
Hao Pan ◽  
Hui Feng ◽  
...  
Keyword(s):  
Gingival Recession ◽  
Class I ◽  
Root Coverage ◽  
Clinical Attachment Loss ◽  
Attachment Loss ◽  
Surgical Technology ◽  
Keratinized Tissue ◽  
Probing Depth ◽  
Subepithelial Connective Tissue Graft ◽  
Mandibular Teeth

Objective. The purpose of this clinical research was to evaluate the result of microinvasive surgical technology: vestibular incision subperiosteal tunnel access (VISTA) and subepithelial connective tissue graft (SCTG) in multiple gingival recession. Methods. A total of 20 patients with 25 Miller I and 30 Miller III gingival recession teeth were treated with VISTA+SCTG. The data at baseline and 12 months were assessed: probing depth (PD), clinical attachment loss (CAL), gingival recession depth (RD), gingival recession width (RW), width of keratinized tissue (WKT), and gingival biotype (GB), and percentage of root coverage (RC) and complete root coverage (CRC) were calculated. Results. The average root coverage was 1.52 ± 0.70  mm in Miller I and 0.82 ± 0.79  mm in Miller III. The mean root coverage rate was 99.00 % ± 5.00 % in Miller I and 60.73 ± 37.90 % in Miller III. The width of clinical attachment loss of keratinized tissue was significantly improved. Conclusions. VISTA and SCTG are effective in the treatment of both Miller class I and III multiple gingival recessions. Gingival increment in Miller class I is better than that in III. It is the same for maxillary and mandibular teeth.

scholarly journals Er-Yag Laser Root Preparation During Subepithelial Connective Tissue Graft Procedures.

2019 ◽  
Vol 2 (2) ◽  
pp. 13-17
Author(s):  
José Ricardo Kina ◽  
Eunice Fumico Umeda Kina ◽  
Juliana Kina ◽  
Mônica Kina
Keyword(s):  
Connective Tissue ◽  
Er:Yag Laser ◽  
Gingival Recession ◽  
Root Surface ◽  
Periodontal Therapy ◽  
Root Coverage ◽  
Yag Laser ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft

Areas of gingival recession cause either an esthetic problem and or root sensitivity. Obtaining predictable root coverage has become an important part of periodontal therapy. A deep, long – standing recession promoted by ANUG was treated using subepithelial connective tissue graft technique combined with decontamination of root surface by using Er:YAG laser. Our clinical findigs suggest that this technique is a predictable procedure to treat gingival recession and promote root decontamination.

scholarly journals EFFECT OF SMOKING ON THE PERIODONTAL MICROSURGERY TECHNIQUE ON THE TREATMENT OF GINGIVAL RECESSION

2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Renata De Araújo Barbosa ◽  
Mônica Dourado ◽  
Maria Cecília Azoubel ◽  
Roberta Santos Tunes ◽  
Érica Del Peloso Ribeiro ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Gingival Recession ◽  
Root Coverage ◽  
Average Percentage ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Keratinized Tissue ◽  
Probing Depth ◽  
Subepithelial Connective Tissue Graft ◽  
Attachment Level

This paper aims to evaluate the effects of smoking on periodontal microsurgery technique using the subepithelial connective tissue graft (SCTG) for treatment of gingival recession on smokers. 14 patients nonsmokers and 12 smokers were selected, presenting Miller’s Class I and II gingival recession ≥ 2.0 mm. For both groups, the subepithelial connective tissue graft was used with the aid of a surgical microscope. The clinical parameters of width and height of the gingival recession, height and thickness of keratinized tissue, probing depth and clinical attachment level were evaluated before and six months after surgery. At the end of the study, there were obtained an average percentage of 96.66% of root coverage on nonsmokers and 82.49% on smokers (p=0.03). Complete root coverage was observed in 78,57% and 50% of patients, respectively. Therapy can benefit both groups, but smokers have less favorable outcomes to root coverage with periodontal microsurgery using the SCTG.

scholarly journals Evaluation of the effect of EDTA on root coverage at free gingival graft procedure

2018 ◽  
Vol 8 (1) ◽  
pp. 28-34
Author(s):  
Bozan Serhat İzol ◽  
Devrim Deniz Üner ◽  
Fikret İpek ◽  
Osman Fatih Arpağ
Keyword(s):  
Beneficial Effect ◽  
Gingival Recession ◽  
Root Surface ◽  
Root Coverage ◽  
Free Gingival Graft ◽  
Keratinized Tissue ◽  
Probing Depth ◽  
Pre Treatment ◽  
To Receive ◽  
Gingival Graft

Background: The present study has been designed to compare the effect of root surface biomodification with EDTA for the treatment of buccal gingival recession with free gingival graft. Materials and methods: This randomized controlled parallel clinical trial, 34 patients of 40 existing tooth Miller Class I and Class II gingival recession were treated with free gingival graft (FGG). Forty teeth with recession were assigned randomly to receive the free gingival graft with or without the application of an EDTA gel. Pre-treatment (Day 0) and post-treatment 3. and 6. months gingival recession height(GRH), gingival recession width(GRW), probing depth (PD), clinical attachment level(CAL) and width of keratinized tissue WKT were measured. Results: In FGG+EDTA group statistically significant changes from baseline were found GRH decreased from 4.7±1.5 mm to 1.3±1.2 and WKT increased from 0.9 ± 0.9 mm to 5.5±1.8 mm. Also in FGG group, GRH decreased from 4.6±1.3 mm to 1.3±1.2 mm and WKT increased from 0.9 ± 0.7 mm to 5.4±1.5 mm. For FGG and FGG+EDTA, the average root coverage 74.14% and 69.26% was found. Conclusion: In the light of these data obtained with the root surface biomodification agent EDTA have no beneficial effect for root coverage. In the light of these data obtained with the root surface biomodification agent EDTA have no beneficial effect for root coverage. Keywords: Gingival recession, free gingival graft, EDTA, root coverage

Subepithelial Connective Tissue Graft for Gingival Recession Coverage: A Case Report

2020 ◽  
Author(s):  
Anita Mehta
Keyword(s):  
Case Report ◽  
Connective Tissue ◽  
Gingival Recession ◽  
Tooth Brushing ◽  
Vulnerable Area ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Keratinized Tissue ◽  
Subepithelial Connective Tissue Graft ◽  
Dentinal Hypersensitivity

The Gingival recession is considered a multi-factorial. The etiology may be an anatomically vulnerable area, faulty tooth brushing, high frenum attachment. In cases where there is progressive recession, aesthetics concern or increasing dentinal hypersensitivity, we can do recession coverage. Depending upon the presence or absence of adequate keratinized tissue we can choose the technique. In case of adequate width of keratinized tissue, usually we can do displaced flap and in case where there is inadequate width, we can do gingival grafting.

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 Vestibular incisional subperiosteal tunnel access versus coronally advanced flap with connective tissue graft for root coverage of Miller’s class I and II gingival recession: A randomized clinical trial

2019 ◽  
Vol 11 (1) ◽  
pp. 12-20
Author(s):  
Saeed Sadat Mansouri ◽  
Omid Moghaddas ◽  
Narjes Torabi ◽  
Katayoun Ghafari
Keyword(s):  
Connective Tissue ◽  
Gingival Recession ◽  
Control Group ◽  
Root Coverage ◽  
Control Groups ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft ◽  
And Control

Background and aims. This study aimed to compare the clinical efficacy of vestibular incisional subperiosteal tunnel access (VISTA) with subepithelial connective tissue graft versus a coronally advanced flap (CAF) with subepithelial connective tissue graft for the treatment of gingival recession defects. Materials and methods. This randomized clinical trial was performed on 24 recession defects that were bilaterally Miller’s class I or II in the maxillary canine and premolar area. One quadrant in each patient was selected randomly to receive VISTA (test group) or CAF (control group) with connective tissue graft. Clinical parameters measured at baseline and at 3- and 6- month postoperative intervals included recession width (RW), recession depth (RD), keratinized tissue width (KTW), clinical attachment level (CAL) and probing depth (PD). Results. Healing was uneventful in both the test and control groups. At the 6-month follow-up, there was a significant decrease in RD, RW and CAL and an increase in KTW in both the test and control groups. The PD remained unchanged. At 3 and 6 months, no statistically significant differences were found between VISTA and CAF for root coverage and clinical attachment gain. Mean root coverage (MRC) was 70.69% and 67.22% in the test and control group, respectively. VISTA demonstrated higher frequency of complete root coverage (CRC) compared to CAF: 50% vs. 33% (P<0.05). The mean KTW was 2.4±0.7 mm at the test and 2.7±0.8 mm at the control sites (P>0.05) Conclusion. VISTA, as a minimally invasive approach, can enhance root coverage, KTW and clinical attachment gain; therefore, it can be used as a substitute for CAF with connective tissue graft as a gold standard for root coverage.

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