scholarly journals A Preliminary Clinical Comparison of the Use of Fascia Lata Allograft and Autogenous Connective Tissue Graft in Multiple Gingival Recession Coverage Based on the Tunnel Technique

2016 ◽  
Vol 25 (3) ◽  
pp. 587-598 ◽  
Author(s):  
Wojciech Bednarz ◽  
Jacek Żurek ◽  
Thomas Gedrange ◽  
Marzena Dominiak
2017 ◽  
Vol 2017 ◽  
pp. 1-6
Author(s):  
Victor Fabrizio Cabrera Pazmiño ◽  
Miguel Agusto Riquelme Rodas ◽  
Carlos David Barrios Cáceres ◽  
Guillermo Gustavo Renault Duarte ◽  
Melanie Vanesa Cano Azuaga ◽  
...  

The aim of this study was to evaluate and compare, clinically, the efficiency of the subepithelial connective tissue graft (SCTG) and platelet-rich fibrin (L-PRF) using the tunnel technique to cover the multiple gingival recessions on anterior teeth, in the same patient. Within the limits of this study, we conclude that both SCTG and L-PRF proved to be reliable options for the treatment of gingival recessions, efficiently supporting the biological and aesthetic demand, stimulating the periodontal tissues’ health, and bringing reliable and highly predictable results.


2014 ◽  
Vol 142 (3-4) ◽  
pp. 155-163 ◽  
Author(s):  
Miljan Bajic ◽  
Sasa Jankovic ◽  
Iva Milinkovic ◽  
Sasa Cakic ◽  
Neda Perunovic ◽  
...  

Introduction. Gingival recession is a displacement of gingival margin apically to cementenamel junction. Objective. The aim of this study was to compare the results achieved with two different surgical procedures used in gingival recession treatment. Methods. Ten patients with bilateral buccal recession on maxillary canines or premolars were included in the study. Professional teeth cleaning was performed before surgery. Recession on the experimental side was treated with connective tissue graft in combination with coronally advanced, split thickness flap (tunnel technique). Control side recession was treated with connective tissue graft in combination with trapezoidal coronally advanced, full thickness flap. Coin toss was used for side decision. The following parameters were evaluated before surgery and 6 months post-op: Vertical Recession Dimension, Clinical Attachment Level, Apico-coronal width of the keratinized tissue, Healing index (Laundry), RES index, and Patient evaluation of esthetic results. Student?s t-test was used for statistical analysis. Results. Six months after surgery, mean root coverage was 91.5?14.1% and 90.1?14.6% on the experimental and on the control side, respectively. RES index, Healing index (Laundry) and Patient Subjective evaluation of esthetic results showed significantly better results (p?0.05). Conclusion. Both surgical procedures produce highly successful clinical results based on evaluated parameters, but this tunnel technique provides significantly better esthetic results.


2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Marcelo Imano ◽  
Paula Porto Spada ◽  
Juliana Marchioro Souza Macalossi ◽  
Tatiana Miranda Deliberador

Facial and dental esthetics are the objectives of dental treatment, and, for this, it is necessary that specialties such as periodontics and orthodontics work together. The objective of this article is to report a clinical case with the solution of localized gingival recession after orthodontic treatment, using tunneled subepithelial connective tissue grafts with follow-up for 1 year. The patient underwent orthodontic treatment for 1 year. Prior to the start of treatment, a gingival recession of 5 mm was already present on tooth 31. One month after the completion of treatment, the patient was subjected to a tunneled subepithelial connective tissue graft, with the purpose of covering the exposed root. We observed the effectiveness of the procedure and patient satisfaction with the results obtained. The subepithelial connective tissue graft was successful in this case, and the collaboration of specialists is important to provide the best treatment for the patient.


2018 ◽  
Vol 14 (4) ◽  
pp. 344-352
Author(s):  
Bartosz Matejkowski ◽  
Agnieszka Bogusławska-Kapała ◽  
Izabela Strużycka

Gingival recessions are a more and more common pathology of multifactorial aetiology. They may affect individual teeth or be generalised. Studies have shown that the incidence of gingival recession increases with age. Recession is accompanied by loss of the connective tissue attachment and exposure of tooth root surfaces, what may lead to tooth hypersensitivity, root caries, non-carious defects, impaired control of the dental plaque and unsatisfactory aesthetic outcomes. <b>Aim.</b> The aim of the paper was to present treatment of a female patient with advanced gingival recessions in the area of upper canines with a modified tunnel technique, with a free connective tissue graft taken from the palate. <b>Material and methods.</b> Treatment included a surgical method of gingival recession treatment consisting of a modified tunnel technique, with a free connective tissue graft harvested from the palate that was introduced via a tunnel into the donor site. <b>Results.<b> 2 years after the procedure recession coverage and increased zone of the attached gingiva was observed. <b>Conclusions.</b> The modified tunnel connective tissue graft technique used to treat the gingival recession allowed to achieve satisfactory aesthetic outcomes and effective elimination of hypersensitivity, and it reduced the risk of tooth caries.


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