Journal of Periodontal and Implant Science

  • 제38권3호
  • /
  • Pages.483-492
  • /
  • 2008
  • /
  • 2093-2278(pISSN)
  • /
  • 2093-2286(eISSN)
대한치주과학회 (Korean Academy of Periodontology)
권호 표지

치근피개술의 임상적 효과 비교

A Comparison of Clinical Effect for Root Coverage

  • 한종수 (단국대학교 치과대학 치주과학교실) ;
  • 홍기석 (단국대학교 치과대학 치주과학교실) ;
  • 정진형 (단국대학교 치과대학 치주과학교실) ;
  • 임성빈 (단국대학교 치과대학 치주과학교실)
  • Han, Jong-Soo (Department of Periodontology, School of Dentistry, Dan Kook University) ;
  • Hong, Ki-Seok (Department of Periodontology, School of Dentistry, Dan Kook University) ;
  • Chung, Chin-Hyung (Department of Periodontology, School of Dentistry, Dan Kook University) ;
  • Lim, Sung-Bin (Department of Periodontology, School of Dentistry, Dan Kook University)
  • 발행 : 2008.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to compare clinical effect of the Langer & Langer technique, the modified Langer & Langer technique and Bruno technique. Material and Methods: 30 patients who have gingiva recession(Miller class I or class II) were carried root coverage. Langer & Langer technique(14 patients/32 tooth), modified Langer & Langer technique(5 patients/10 tooth) and Bruno technique(11 patients/18 tooth) was carried. At baseline and average 3 months after operation, it was estimated clinical index(Pocket depth, gingiva recession, clinical attachment level, keratinized gingiva, scar tissue, root coverage rate) by Williams style probe. Result: Root coverage rate is indicated Langer & Langer technique(8S%), Modified Langer & Langer technique(86%) and Bruno technique(90%). Conclusion: All three of the procedures were effective in gingival recession and improved clinical parameters.

키워드

참고문헌

  1. Miller PD. A classification of marginal tissue recession. Int J Periodont Rest Dent 1985;5:8-13
  2. Miller PD. Periodontal plastic surgical technique for regeneration. In: Polson AM Periodontal Regeneration. Current status and direction. Chicago: Quintessence; 1994;53-70
  3. Wennstrom J. Mucogingival therapy. Ann Periodontol 1996;1:671-701 https://doi.org/10.1902/annals.1996.1.1.671
  4. Bouchard P, Malet J, Borghetti A. Decision-making in aesthetics: Root coverage revisited. Periodontol 2000 2001;27: 97-120 https://doi.org/10.1034/j.1600-0757.2001.027001097.x
  5. Sullivan HC, Atkins JH. Free autogenous gingival grafts. III. Utilization of grafts in the treatment of gingival recession. Periodontics 1968;6:152-159
  6. Miller PD. Root coverage using a free soft tissue autograft following citric acid application. Part I. Technique. Int J Periodont Rest Dent 1982;2:65-70
  7. Holbrook T, Ochsenbein C. Complete coverage of the denuded root surface with a one stage gingival graft. Int J Periodont Rest Dent 1985;5:15-37
  8. Corn H, Marks MH. Gingival grafting for deep-wide recession-A status report. Part I. Rationale, case selection & root preparation. Compend Contin Educ Dent 1983;4:53-69
  9. Corn H, Marks MH. Gingival grafting for deep-wide recession-A status report. Part II. Surgical problems. Compend Contin Educ Dent 1983;4:167-182
  10. Miller PD. Root coverage using a free soft tissue autograft following citric acid application. Part II. Treatment of the carious root. Int J Periodont Resto Dent 1983;3:39
  11. Miller PD. Root coverage using a free soft tissue autograft following citric acid application. Part III : A successful and predictable procedure in areas of deep-wide recession. Int J Periodont Rest Dent 1985;5:14-37
  12. Borghetti A, Gardella J. Thick gingival autograft for the coverage of gingival recession: A clinical evaluation. Int J Periodont Rest Dent 1990;10:217-229
  13. Tolmie PN, Rubins RP, Buck GS, Vagianos V, Lanz JC. The predictability of root coverage by way of free gingival autograft and citric acid application: An evaluation by multiple clinicians. Int J Periodont Rest Dent 1991;11:261-277
  14. Paul L, Michaelides, Suzan G, Wilson. An autogenous gingival graft technique. Int J Periodont Rest Dent 1994;14: 113-125
  15. Kirk L, Pasquinelli. The histology of New attachment utilizing a thick autogenous soft tissue graft in an area of deep recession. A case report. Int J Periodont Rest Dent 1995;15:249-257
  16. Grupe H, Warren R. Repair of gingival defects by a sliding flap operation. J Periodontol 1956;27:92-99 https://doi.org/10.1902/jop.1956.27.2.92
  17. Guinard EA, Caffesse RG. Treatment of localized gingival recessions. III. Comparison of results obtained with lateral sliding and coronal repositioned flaps. J Periodontol 1978;49:351-356 https://doi.org/10.1902/jop.1978.49.7.351
  18. Shiloach J. The clinical effect of citric acid and laterally positioned pedicle grafts in the treatment of denuded root surface. A pilot study. J Periodontol 1980;51:652-654 https://doi.org/10.1902/jop.1980.51.11.652
  19. Tarnow DP. Semilunar coronally repositioned flap. J Clin Periodontol 1986;3:182-185
  20. Harris RJ, Harris AW. The coronally positioned pedicle graft with inlaid margin. A predictable method of obtaining root coverage of shallow defects. Int J Periodont Rest Dent 1994;25:229-241
  21. Langer B, Calagna LJ. The subepithelial connective tissue graft. A new approach to the enhancement of anterior cosmetics. Int J Periodont Rest Dent 1982;2:22-34
  22. Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 1985;56:715-720 https://doi.org/10.1902/jop.1985.56.12.715
  23. Nelson SW. The subpedicle connective tissue graft: A bilaminar reconstructive procedure for the coverage of denuded root surfaces. J Periodontol 1987;58:95-102 https://doi.org/10.1902/jop.1987.58.2.95
  24. Harris RJ. The connective tissue and partial-thickness double pedicle graft: A predictable method of obtaining root coverage. J Periodontol 1992;63:477-486 https://doi.org/10.1902/jop.1992.63.5.477
  25. Jahnke PV, Sandifer JB, Gher ME, Gray JL, Richardson CA. Thick free gingival and connective tissue autografts for root coverage. J Periodontol 1993;64:315-322 https://doi.org/10.1902/jop.1993.64.4.315
  26. Tinti C, Vincenzi G, Cortellini P, Pini Prato GP, Clauser C. Guided tissue regeneration in the treatment of human facial recession. A 12 case report. J Periodontol 1992;63:554-560 https://doi.org/10.1902/jop.1992.63.6.554
  27. Trombelli L, Schincaglia G, Scapoli C, Calura G. Healing response of human buccal gingival recessions treated with expanded polytetrafluoroethylene membranes: A retrospective report. J Periodontol 1995;66:14-22 https://doi.org/10.1902/jop.1995.66.1.14
  28. Raetzke PB. Covering localized areas of root exposure employing the "envelope" technique. J Periodontol 1985;56: 397-402 https://doi.org/10.1902/jop.1985.56.7.397
  29. Harris RJ. The connective tissue with partial-thickness double pedicle graft: the result of 100 consecutively treated defects. J Periodontol 1994;65:448-461 https://doi.org/10.1902/jop.1994.65.5.448
  30. Bruno JF. Connective tissue graft technique assuring wide root coverage. Int J Periodont Rest Dent 1994;14:127-137
  31. Tolga F, Tozum H, Gencay K et al. Treatment of gingival recession: Comparison of two techniques of subepithelial connective tissue graft. J Periodontol 2005;76:1842-1848 https://doi.org/10.1902/jop.2005.76.11.1842
  32. Michele P. Treatment of gingival recessions by combined periodontal regenerative technique, Guided tissue regeneration, and subpedicle connective tissue graft. A comparative clinical study. J Periodontol 2002;73:53-62 https://doi.org/10.1902/jop.2002.73.1.53
  33. Harris RJ, Miller RJ, Harris CR, Miller LH. A comparison of three techniques to obtain root coverage on mandibular incisors. J Periodontol 2005;76:1758-1767 https://doi.org/10.1902/jop.2005.76.10.1758
  34. Harris RJ. Connective tissue grafts combined with either double pedicle grafts or coronally positioned pedicle graft: The results of 266 consecutively treated defects in 200 patients. Int J Periodont Rest Dent 2002;22:463-471