Search results for "Root coverage"
showing 9 items of 9 documents
Surgical treatment of localized gingival recessions using coronally advanced flaps with or without subepithelial connective tissue graft.
2015
Background A coronally advanced flap with subepithelial connective tissue graft is the gold standard surgical treatment of gingival recessions, since it offers a higher probability of achieving complete root coverage compared with other techniques. However, optimum short- and middle-term clinical results have also been obtained with coronally advanced flaps alone. The aim of the present study was to evaluate the results obtained by the surgical treatment of localized gingival recessions using coronally advanced flaps with or without subepithelial connective tissue graft. Material and Methods The reduction of recession height was assessed, together with the gain in gingival attachment apical…
Coronally advanced flap and connective tissue graft with or without plasma rich in growth factors (PRGF) in treatment of gingival recession
2017
Background Several researchers have tried to improve the results of gingival recession treatment techniques. One of the methods is to use growth factors The present study was undertaken to evaluate the effect of CAF (coronally advanced flap) + CTG (connective tissue graft) + PRGF (plasma rich in growth factors) in the treatment of Miller Class I buccal gingival recession. Material and methods Twenty-two teeth with Miller Class I gingival recession in 6 patients 26 ‒ 47 years of age were included in a split-mouth designed randomized controlled trial (RCT). In each patient, one side was treated with CAF + CTG + PRGF (test) and the other side was treated with CAF + CTG (control). The following…
Bovine pericardium based non-cross linked collagen matrix for successful root coverage, a clinical study in human
2012
Abstract Introduction The aim of this study was to clinically assess the capacity of a novel bovine pericardium based, non-cross linked collagen matrix in root coverage. Methods 62 gingival recessions of Miller class I or II were treated. The matrix was adapted underneath a coronal repositioned split thickness flap. Clinical values were assessed at baseline and after six months. Results The mean recession in each patient was 2.2 mm at baseline. 6 Months after surgery 86.7% of the exposed root surfaces were covered. On average 0,3 mm of recession remained. The clinical attachment level changed from 3.5 ± 1.3 mm to 1,8 ( ± 0,7) mm during the observational time period. No statistically signifi…
Root coverage with connective tissue graft associated with coronally advanced flap or tunnel technique: a randomized, double-blind, mono-centre clini…
2016
Aim: The aim of this randomized clinical trial was to compare the coronally advanced flap (CAF) with the modified microsurgical tunnel technique (MMTT) for treatment of Miller class I and II recessions. Material and Methods: Forty patients with 71 gingival recessions were recruited and randomly assigned to either CAF or to MMTT. In both groups, a connective tissue graft was applied. Clinical evaluations were performed after 3, 6, and 12 months. Impressions were taken and digitally scanned three-dimensionally to evaluate the quantitative soft tissue changes in the operative region. Patient satisfaction was measured with the root coverage aesthetic score (RES). Results: After a period of 12 m…
Assessment of non-carious root surface defects in areas of gingival recession: A descriptive study.
2015
BACKGROUND The purpose of this descriptive study was to observe the distribution of four different classes of non-carious cervical root surface discrepancies in teeth with gingival recession. Additionally to explore the different treatment modalities in the literature for each of these defects. MATERIAL AND METHODS A total of 150 subjects with at least one labial gingival recession were included in the study. 1400 teeth were evaluated using 2.5 X magnification loupes and UNC -15 probe for the presence of the cemento-enamel junction and step like defects according to Pini-Prato's classification: A-, identifiable CEJ without defect; A+, identifiable CEJ with defect; B-, unidentifiable CEJ wit…
Gingival recession associated with Orthodontic treatment and root coverage
2010
Many patients seek to pursue orthodontic treatment for esthetic improvement. These patients present with mal- alignment of the anterior teeth. There was strong correlation between the severity and extent of gingival recessions and past orthodontic treatment, it was suggested that orthodontic tooth movement may lead to gingival recession. The principal objective in the treatment of gingival recession is to cover the exposed root surfaces to improve es- thetics and to reduce hypersensitivity. Different soft tissue grafting procedures have been proposed in the treatment of gingival recessions. Free gingival grafts (FGG) are a reliable method for treatment of gingival recessions: An autograft i…
Classification of Gingival Recession
2018
Gingival recession is a common finding in many patients and is clinically manifested by an apical displacement of the gingival margin in relation to the cemento-enamel junction (CEJ). Various classification systems have been proposed to classify gingival recession defects and to predict final root coverage outcomes. Among them, the Miller classification is still the most commonly used among dental practitioners and researchers. This chapter reviews the different classification systems available for gingival recession defects and explores the strengths and limitations of them.
Clinical evaluation of subepithelial connective tissue graft and guided tissue regeneration for treatment of Miller's class 1 gingival recession: com…
2013
Objectives: The present study aims to clinically compare and evaluate subepithelial connective tissue graft and the GTR based root coverage in treatment of Miller’s Class I gingival recession. Study Design: 30 patients with at least one pair of Miller’s Class I gingival recession were treated either with Subepithelial connective tissue graft (Group A) or Guided tissue regeneration (Group B). Clinical parameters monitored included recession RD, width of keratinized gingiva (KG), probing depth (PD), clinical attachment level (CAL), attached gingiva (AG), residual probing depth (RPD) and % of Root coverage(%RC). Measurements were taken at baseline, three months and six months. A standard surgi…
Complications Associated with Recession Coverage Procedures
2018
Various surgical techniques have been proposed to obtain predictable and esthetic root coverage. In general, these techniques may include the use of pedicle soft tissue grafts, free soft tissue grafts, and soft tissue graft substitutes. Overall, these surgical procedures have been shown to be safe, effective, and well-tolerated by the patients. However, as with any surgical procedure, complications and treatment failures can occur. Therefore, the clinician should have a thorough knowledge of potential complications associated with these procedures and strategies for their prevention and management. This chapter provides an overview of the most common complications and atypical healing respo…