Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
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The evaluation of clinical outcomes on various procedures using subepithelial connective tissue graft for coverage of gingival recession

치은 퇴축 화복을 위한 상피하 결합조직 이식을 동반하는 다양한 치근피개술에 대한 임상적 평가

  • Kim, Seong-Won (Department of Periodontology, School of Dentistry, Kyung Hee University) ;
  • Herr, Yeek (Department of Periodontology, School of Dentistry, Kyung Hee University) ;
  • Kwon, Young-Hyuk (Department of Periodontology, School of Dentistry, Kyung Hee University) ;
  • Park, Joon-Bong (Department of Periodontology, School of Dentistry, Kyung Hee University) ;
  • Chung, Jong-Hyuk (Department of Periodontology, School of Dentistry, Kyung Hee University) ;
  • Shin, Seung-Il (Department of Periodontology, School of Dentistry, Kyung Hee University)
  • 김성원 (경희대학교 치의학전문대학원 치주과학교실) ;
  • 허익 (경희대학교 치의학전문대학원 치주과학교실) ;
  • 권영혁 (경희대학교 치의학전문대학원 치주과학교실) ;
  • 박준봉 (경희대학교 치의학전문대학원 치주과학교실) ;
  • 정종혁 (경희대학교 치의학전문대학원 치주과학교실) ;
  • 신승일 (경희대학교 치의학전문대학원 치주과학교실)
  • Published : 2008.12.31
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Abstract

Purpose: The subepithelial connective tissue graft(SCTG) has been proven to be a highly predictable treatment modality for coverage of gingival recession. This case report was performed to evaluate the effect of various root coverage procedures using SCTG on gingival recession. Materials and Methods: Three patients presents with Miller's class I recession defect on the maxillary canine. Each other SCTG(coronally advanced flap, Bruno's Tech., envelope Tech.) were performed for root coverage. Clinical parameters assessed included recession depth, recession width, and keratinized gingival width. Measurements were taken at baseline and 2 months and follow up end. Results: The average of root coverage was 4 mm(100% of the pre-operative recession depth) at the 2, 5 months examination. The average increase of keratinized tissue between the baseline and the 2 months amounted to 3.2mm. Conclusion: Within the above results, various root coverage using SCTG is an effective procedure to Miller's class I recession defect and patient could be satisfied aesthetic requirement.

Keywords

References

  1. Miller PD Jr. A classification of marginal tissue recession. Int J Periodontics Restorative Dent 1985;5(2):8-13
  2. Jahnke PV, Sandifer JB, Gher ME et al. Thick free gingival and connective tissue autografts for root coverage. J Periodontol 1993 Apr;64(4):315-322 https://doi.org/10.1902/jop.1993.64.4.315
  3. Bouchard P, Malet J, Borghetti A. Decision-making in aesthetics: root coverage revisited. Periodontol 2000 2001;27: 97-120. Review https://doi.org/10.1034/j.1600-0757.2001.027001097.x
  4. Mele M, Zucchelli G, Montevecchi M et al. Bilaminar technique in the treatment of a deep cervical abrasion defect. Int J Periodontics Restorative Dent 2008 Feb;28(1): 63-71
  5. Zucchelli G, Amore C, Sforzal NM et al. Bilaminar techniques for the treatment of recession-type defects. A comparative clinical study. J Clin Periodontol 2003 Oct;30(10): 862-870 https://doi.org/10.1034/j.1600-051X.2003.00397.x
  6. Wennstrom JL, Zucchelli G. Increased gingival dimensions. A significant factor for successful outcome of root coverage procedures? A 2-year prospective clinical study. J Clin Periodontol 1996 Aug;23(8):770-777 https://doi.org/10.1111/j.1600-051X.1996.tb00608.x
  7. Baldi C, Pini-Prato G, Pagliaro U et al. Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19-case series. J Periodontol 1999 Sep;70(9):1077-1084 https://doi.org/10.1902/jop.1999.70.9.1077
  8. Bruno JF. Connective tissue graft technique assuring wide root coverage. Int J Periodontics Restorative Dent 1994 Apr;14(2):126-137
  9. Raetzke PB. Covering localized areas of root exposure employing the "envelope" technique. J Periodontol 1985 Jul;56(7):397-402 https://doi.org/10.1902/jop.1985.56.7.397
  10. Zucchelli G, Testori T, De Sanctis M. Clinical and anatomical factors limiting treatment outcomes of gingival recession: a new method to predetermine the line of root coverage. J Periodontol 2006 Apr;77(4):714-721 https://doi.org/10.1902/jop.2006.050038
  11. Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 1985 Dec;56(12):715-720 https://doi.org/10.1902/jop.1985.56.12.715
  12. Pini Prato G, Pagliaro U, Baldi C et al. Coronally advanced flap procedure for root coverage. Flap with tension versus flap without tension: a randomized controlled clinical study. J Periodontol 2000 Feb;71(2):188-201 https://doi.org/10.1902/jop.2000.71.2.188
  13. Pini Prato GP, Baldi C, Pagliaro U et al. Coronally advanced flap procedure for root coverage. Treatment of root surface: root planning versus polishing. J Periodontol 1999 Sep;70(9):1064-1076 https://doi.org/10.1902/jop.1999.70.9.1064
  14. Pini Prato GP, Baldi C, Nieri M et al. Coronally advanced flap: the post-surgical position of the gingival margin is an important factor for achieving complete root coverage. J Periodontol 2005 May;76(5):713-722 https://doi.org/10.1902/jop.2005.76.5.713
  15. Bartold PM, Narayanan AS. Biology of the periodontal connective tissues. Carol Stream, IL: Quintessence, 1998:62