scholarly journals Therapeutic efficacy of guided tissue regeneration and connective tissue autotransplants with periosteum in the management of gingival recession

2008 ◽  
Vol 65 (10) ◽  
pp. 758-762
Author(s):  
Bojan Jovicic ◽  
Zoran Lazic ◽  
Milica Nedic
Keyword(s):  
Connective Tissue ◽  
Tissue Regeneration ◽  
Surgical Procedures ◽  
Periodontal Diseases ◽  
Statistical Significance ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Contralateral Side ◽  
Guided Tissue Regeneration ◽  
Surgical Flap

Background/Aim. Gingival recession progression in clinical practice as an ethiological factor of periodontal diseases, and symptoms of the disease have caused the development of various surgical procedures and techniques of the reconstruction of periodontal defects. The aim of this study was to verify efficacy of surgical procedures that include connective tissue autotransplants with periosteum and guided tissue regeneration for the treatment of gingival recession. Methods. The study included 20 teet with gingival recession, M?ller class II and III. Ten teeth with gingival recession were treated with resorptive membrane and coronary guided surgical flap (GTR group). On the contralateral side 10 teeth with gingival recession were treated with connective tissue autotransplants with periosteum in combination with coronary guided surgical flap (TVT group). We measured the degree of epithelial attachment (DEA), width of subgingival curettage (WGC) and vertical deepness of recession (VDR). For statistical significance we used Student's ttest. Results. The study revealed statistical significance in reducing VDR by both used treatments. Root deepness in GTR and TVT group was 63.5%, and 90%, respectively. With both surgical techniques we achieved coronary dislocation of the epithelial attachment, larger zone of gingival curettage, and better oral hygiene. Conclusion. Current surgical techniques are effective in the regeneration of deep periodontal spaces and the treatment of gingival recession. Significantly better results were achieved with the used coronary guided surgical flap than with guided tissue regeneration.

scholarly journals Therapeutic efficacy of connective tissue autotransplants with periosteum and platelet rich plasma in the management of gingival recession

2013 ◽  
Vol 70 (7) ◽  
pp. 664-669 ◽  
Author(s):  
Bojan Jovicic ◽  
Zoran Lazic ◽  
Milica Nedic ◽  
Stevo Matijevic ◽  
Aleksandra Gostovic-Spadijer
Keyword(s):  
Connective Tissue ◽  
Surgical Procedures ◽  
Platelet Rich Plasma ◽  
Statistical Significance ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Contralateral Side ◽  
Test Results ◽  
Keratinized Tissue ◽  
Student’S T

Background/Aim. Gingival recession progression in clinical practaice has influenced the development of various surgical procedures and techniques for solving esthetic imperfections and subjective difficulties coused by gingival recession. The aim of this study was to verify efficacy of surgical procedures and to compare both of surgical procedures through the keratinized tissue width. Methods. The study included 20 teeth with gingival recesion, M?ller class I and II. Ten teeth with gingival recession were treated with connective tissue autotransplants with periosteum in combination with coronary guided surgical flap (CTG group). On the contralateral side 10 teeth with gingival recession were treated with the same surgical procedures but in combination with platelet-rich plasma (CTGPRP group). We measured the keratinized tissue width. For statistical significance we used the Student's t-test. Results. The study reveled a statistical significance in reducing vertical deepress of recession by both used treatments. Root deepness in CTG and CTG-PRP group was 90% and 93.5%, respectively. With both surgical techniques we achieved larger zone of keratinized gingiva but with a wide zone of keratinized tissue in CTG - the PRP group. Conclusion. The concept regeneration technique with PRP and with the stimulating influence of platele activated growth factors results in the regeneration of deep periodontal tissue as an important prerequisite for the successful treatment of gingival recession.

scholarly journals A split mouth clinical study to compare Subepithelial connective tissue graft and Guided tissue regeneration in the treatment of Miller’s class I and II gingival recession.

2021 ◽  
Vol 6 (3) ◽  
pp. 50-57
Author(s):  
Kamal Garg ◽  
D V G Naidu ◽  
Udayan Gupta ◽  
Yogesh Garg
Keyword(s):  
Clinical Study ◽  
Connective Tissue ◽  
Tissue Regeneration ◽  
Gingival Recession ◽  
Guided Tissue Regeneration ◽  
Class I ◽  
Collagen Membrane ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft

ABSTRACT Background: Gingival recession (GR) can result in hypersensitivity, esthetic concern to the patient, and chances for root caries. The purpose of this randomized clinical study was to evaluate the effect of guided tissue regeneration (GTR) procedure using a bioabsorbable collagen membrane in comparison to autogenous Subepithelial connective tissue graft (SCTG) for root coverage in Miller’s class I and II gingival recession defects. Materials and methods: In this split mouth study, 10 patients with 20 contralateral Miller’s class I or II recession defects were randomly treated with coronally advanced flap using either Subepithelial connective tissue graft (control group)  or resorbable collagen membrane (experimental group). The clinical evaluations were done using plaque index, gingival index, height of gingival recession, probing sulcus depth and clinical attachment level at baseline, 3 and 6 months post- operatively. Results: Data analysis was done using descriptive statistics and student’s t test was used for comparisons. P value <0.01 was considered to be significant. Both the groups showed complete resolution of the defects at 6 months post operatively. Inter group comparison between both the groups at 6 months showed no statistically significant differences in any of the clinical parameters. Conclusion:  Predictable outcome were observed in both the groups and indicated that collagen based guided tissue regeneration membrane i.e. ProGide can be safely used.

scholarly journals Treatment of localized gingival recession with chorion membrane- A case report

2021 ◽  
Vol 3 (3) ◽  
pp. 129-133
Author(s):  
Sandhya T Nair ◽  
Prashantha Janam ◽  
GR Manikandan
Keyword(s):  
Case Report ◽  
Tissue Regeneration ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Guided Tissue Regeneration ◽  
Root Coverage ◽  
Coronally Advanced Flap

Aim of root coverage procedure is to restore the tissue margin to the Cemento-enamel junction. Many surgical techniques have been developed throughout the years and Guided tissue regeneration (GTR) based rootcoverage using different allograft membranes has been utilized to treat gingival recession with excellent results.This case report describes a case of gingival recession managed by chorion membrane with coronally advanced flap.

scholarly journals Utilization of two different surgical techniques in gingival recession treatment: A comparative study

2014 ◽  
Vol 142 (3-4) ◽  
pp. 155-163 ◽  
Author(s):  
Miljan Bajic ◽  
Sasa Jankovic ◽  
Iva Milinkovic ◽  
Sasa Cakic ◽  
Neda Perunovic ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Surgical Procedures ◽  
Surgical Techniques ◽  
Gingival Recession ◽  
Coin Toss ◽  
Connective Tissue Graft ◽  
Control Side ◽  
Tissue Graft ◽  
Healing Index ◽  
Tunnel Technique

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.

Treatment of Gingival Recession: Comparative Study Between Subepithelial Connective Tissue Graft and Guided Tissue Regeneration

2000 ◽  
Vol 71 (9) ◽  
pp. 1441-1447 ◽  
Author(s):  
Elizabeth P. Rosetti ◽  
Rosemary Adriana C. Marcantonio ◽  
Carlos Rossa ◽  
Eros S. Chaves ◽  
Gilberto Goissis ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Comparative Study ◽  
Tissue Regeneration ◽  
Gingival Recession ◽  
Guided Tissue Regeneration ◽  
Connective Tissue Graft ◽  
Tissue Graft ◽  
Subepithelial Connective Tissue Graft

Regenereation in periodontics

2018 ◽  
Author(s):  
Murtaza Kaderi ◽  
Mohsin Ali ◽  
Alfiya Ali ◽  
Tasneem Kaderi
Keyword(s):  
Tissue Engineering ◽  
Clinical Practice ◽  
Periodontal Disease ◽  
Disease Progression ◽  
Tissue Regeneration ◽  
Surgical Procedures ◽  
Periodontal Regeneration ◽  
Guided Tissue Regeneration ◽  
Periodontal Tissues ◽  
Extensive Documentation

The goals of periodontal therapy are to arrest of periodontal disease progression and to attain the regeneration of the periodontal apparatus. Osseous grafting and Guided tissue regeneration (GTR) are the two techniques with the most extensive documentation of periodontal regeneration. However, these techniques offer limited potential towards regenerating the periodontal tissues. Recent surgical procedures and application of newer materials aim at greater and more predictable regeneration with the concept of tissue engineering for enhanced periodontal regeneration and functional attachment have been developed, analyzed, and employed in clinical practice

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