Aim: The aim of the present study was to compare the treatment of gingival recession defects using a coronally-advanced flap procedure with or without placental membrane.
Methods: Sixty teeth in 15 patients with single and multiple Miller's class I and II gingival recession defects bilaterally in the anterior and premolar region of the maxilla and mandible were divided into two groups. In group I (control), 30 recession defects were treated with coronally-advanced flap alone using Zucchelli's technique. In group II (test), 30 recession defects were treated with coronally-advanced flap along with placental membrane. Probing depth, height of the gingival recession (HGR), clinical attachment level (CAL), width of the gingival recession, and width of the keratinized tissue (WKT) were recorded at baseline and 3 and 6 months after the surgical procedures.
Results: There was a statistically-significant reduction in the HGR, gain in the CAL, and WKT in group II compared to group I.
Conclusion: Coronally-advanced flap with placental allograft provides a reliable technique for root coverage when compared to coronally-advanced flap alone.
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http://dx.doi.org/10.1111/jicd.12340 | DOI Listing |
The integrity and phenotype of periodontal soft tissues significantly influence the outcome of surgical periodontal regenerative therapy. In cases with thin gingival phenotype, treating infrabony defects surgically can worsen gingival recession and loss of papillae. This report outlines a surgical approach for addressing infrabony defects at sites with gingival recession and thin phenotype.
View Article and Find Full Text PDFThis case report introduced a new technique to manage buccal deep isolated recession with loss of keratinized tissue. This technique is indicated where there is a good amount of keratinized tissue lateral to the defect and deep vestibule. In this case report, a 27-year-old male patient was referred to a periodontal surgery clinic for the management of an 8 mm buccal recession with loss of keratinized tissue related to auto-transplanted maxillary molar that caused discomfort to the patient.
View Article and Find Full Text PDFJ Indian Soc Periodontol
December 2024
Department of Periodontology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Background: For a periodontist, treating recession is always a proud moment and a challenging task. The current trial aimed at comparing and clinically evaluating semilunar coronally repositioned flap (SCRF) and coronally advanced flap (CAF) procedures combined with platelet-rich fibrin (PRF) in the management of Miller's Class I recession defects.
Materials And Methods: Thirty-six recession sites were randomly divided into the CAF or SCRF groups.
J Indian Soc Periodontol
December 2024
Department of Periodontics, Thai Moogambigai Dental College and Hospital, Chennai, Tamil Nadu, India.
Objectives: Comparative assessment of the effectiveness of coronally advanced flap (CAF) with subepithelial connective tissue graft (SCTG) and the envelope technique with SCTG in Miller's Class I recession utilizing soft tissue-cone-beam computed tomography (ST-CBCT) and root coverage esthetic score (RES).
Materials And Methods: Twenty patients were randomly assigned to Group I (CAF + SCTG) and Group II (envelope technique + SCTG) using the coin toss method, with 10 patients in each group. Recession height (RH) and width (RW), probing pocket depth (PD), clinical attachment level (CAL), and keratinized tissue height (HKT) were assessed at baseline and 6 months.
Dent Res J (Isfahan)
November 2024
Department of Periodontology, Dental Student's Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.
Background: This systematic review and meta-analysis aimed to assess the efficacy of autologous platelet concentrate (APCs) in comparison with coronally-advanced flap alone or in combination with connective tissue graft or other biomaterials or bioactive agents for root coverage (RC) of Miller's Class I and II gingival recession defects by measuring the keratinized mucosa width (KMW).
Materials And Methods: This systematic review and meta-analysis was conducted in accordance with the preferred reporting items for systematic reviews and meta-analysis guidelines. An electronic search of the literature was conducted in PubMed, EMBASE, Scopus, Cochrane, Web of Science, Magiran, Scientific Information Database, and Irandoc for randomized clinical trials (RCTs) that used APCs for RC in their intervention group.
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