Sub‐epithelial connective tissue graft for the management of Miller's class I and class II isolated gingival recession defect: A systematic review of the factors influencing the outcome

Yadav, Anisha; Kulloli, Anita; Shetty, Sharath; Ligade, Shruti S.; Martande, Santosh S.; Gholkar, Meenakshi J.

doi:10.1111/jicd.12325

Cited by 11 publications

(8 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Risk factors such as nicotine consumption and irregular SPT are well known and proven (Chambrone et al, ; Rasperini et al, ; Yadav et al, ) but could not be used for further calculations in this study due to the low number of cases included (Table ). In the case of the present study, a more regular participation in SPT and, thus, a possibly better control of the underlying aetiological factors would probably have led to even better results (Tatakis et al, ).…”

Section: Discussionmentioning

confidence: 99%

Clinical and patient‐centred long‐term results of root coverage using the envelope technique in a private practice setting: 10‐year results—A case series

Petsos

Eickholz

Raetzke

et al. 2020

J Clinic Periodontology

View full text Add to dashboard Cite

Aim: Evaluation of long-term results after connective tissue graft (CTG) using the envelope technique and the effect on patient-centred outcomes (Oral Health Impact Profile: OHIP) in a private practice setting. Materials and Methods:Fifteen patients (11 female, mean age: 45.0 ± 8.88 years) underwent root coverage procedure using a CTG involving maxillary Miller class I teeth. Pre-operatively, 3 and 120 ± 12 months after surgery, all patients were examined, completed OHIP questionnaire, and were asked to assess improvement and their satisfaction with the results of surgery. All procedures were performed by the same investigator.Results: Recession depth at 3 months of 1.19 ± 0.93 mm was reduced to that of 0.63 ± 0.64 mm at 120 ± 12 months after surgery (p = .117). Recession width (−1.23 ± 2.27 mm) decreased as well (p = .117), while relative root coverage increased from 48.46 ± 32.18% at 3 months to 71.22 ± 30.86% at 120 months (p = .011). The number of cases with complete root coverage increased from two (15.4%) to six (40.0%) from 3 to 120 months (p = .046). OHIP score (12.07 ± 10.15) did not change after 10 years (12.13 ± 9.86, p = .889). Ten years after surgery, 12 patients (80%) reported they would make the decision again to undergo CTG transplantation. Conclusions:Within the limitations of the study design with a high risk of bias in a practice setting, long-term stability of recession reduction, OHIP and patient-perceived satisfaction remained stable over 10 years. K E Y W O R D Sconnective tissue graft, envelope technique, Oral Health Impact Profile (OHIP), patientcentred outcomes, root coverage | 373 PETSOS ET al.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical and patient‐centred long‐term results of root coverage using the envelope technique in a private practice setting: 10‐year results—A case series

Petsos

Eickholz

Raetzke

et al. 2020

J Clinic Periodontology

View full text Add to dashboard Cite

show abstract

“…Many studies have evaluated individual aspects of the CTG procedure, such as root surface treatment, flap thickness, flap design, graft de‐epithelialization, and others . ‒ A recent systematic review assessed the effects of a broad array of such factors, concluding that CTG is a predictable procedure to achieve root coverage in Miller Class I and II recession defects and that several factors have a critical role in the outcome of root coverage. However, no study to date has directly compared grafts of different thickness and the potential impact on surgical outcomes.…”

Section: Introductionmentioning

confidence: 99%

Impact of connective tissue graft thickness on surgical outcomes: A pilot randomized clinical trial

Moisa

Connolly

Cheng

et al. 2019

Journal of Periodontology

View full text Add to dashboard Cite

Background:The aim of this study was to compare thick versus thin connective tissue grafts (CTG) for the treatment of gingival recession, over a 3-month period.Methods: Forty-two CTG procedures were performed on single tooth Miller Class I or II recession defects at either premolar or anterior sites in 30 individuals. Procedures were randomized (1:1 ratio) to CTG thickness of 1 or 2 mm (parallel group design). Primary outcomes were the change in the width of the zone of keratinized tissue and the amount of root coverage achieved 3 months postoperatively at the recipient site. Secondary outcomes included change in the thickness of keratinized tissue at 3 months and patient-reported outcomes, such as pain, bleeding, and swelling at both the recipient and donor sites at 1 week, 2 weeks, 1 month, and 3 months.Results: No significant differences were found between the two groups for any of the primary or secondary outcomes. Mean root coverage achieved was 2.1 ± 0.2 mm in the 1-mm thick group and 2.5 ± 0.2 mm in the 2-mm thick group (P = 0.33).Keratinized tissue width was increased by 2.2 ± 0.2 mm in the 1-mm thick group and by 2.7 ± 0.3 mm in the 2-mm thick group (P = 0.18). Keratinized tissue thickness was increased by 1.0 ± 0.1 mm and by 1.2 ± 0.1 mm in the 1-and 2-mm thick groups, respectively (P = 0.09).Conclusion: Within the current study limitations, our results suggest that similar root coverage and increase in the width and thickness of keratinized tissue can be achieved at 3 months whether a 1-or 2-mm thick CTG is used. K E Y W O R D Sgingival recession, patient reported outcomes, randomized clinical trial, tissue grafts 966

show abstract

“…This is also a limitation of the free connective graft in this case report. Subepithelial connective tissue grafts are considered one of the best methods for root coverage and also to increase the width and thickness of keratinized gums (Han et al, 2008;Henriques et al, 2010;Yadav et al, 2018) with good predictability due to the blood supply coming from both the periosteum and the flap that covers the graft, thus preventing its necrosis (Yadav et al, 2018). However, in the technique used in this clinical case, connective tissue was used as a technique for free gingival graft, anchored in the recipient bed, which is the only source of blood supply for the graft.…”

Section: Discussionmentioning

confidence: 99%

“…It is more likely to occur in patients with a thin tissue phenotype . (Yadav et al, 2018;Storrer et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Application of an active oxygen (blue®m) with free connective graft technique for root coverage – a case report

Stroparo

Weiss

Storrer

et al. 2021

RSD

View full text Add to dashboard Cite

Gingival recession occurs due to the migration of the gingiva in the apical direction, leading to compromising local aesthetics and root hypersensitivity. Connective tissue graft is the gold standard treatment in these cases improving both functional and aesthetics aspects.The purpose of this case is to report root coverage using the free connective tissue graftingtechnique (CTG) associated with topical application of active oxygen oral gel and mouthwash (blue®m). A 27-year-old female sought care with the main complaint of root hypersensitivity and the presence of gingival recession in the anterior region of the mandible. Clinical examination revealed the presence of type 1 gingival recession in the left mandibular central incisor. The treatment of choice was a modified graft (free connective graft). The graft and recipient bed received applications of blue®m oral gel. The patient was instructed to use blue®m mouthwash and blue®m oral gel after the surgery for 10 days. At 60 days, the patient showed satisfactory healing in the area of the free CTG, with gain of keratinized tissue and partial covering of the gingival recession. Free CTG with the support of the gel and the mouthwash with active oxygen release makes the technique viable, preventing graft necrosis and achieving root coverage and keratinized tissue.

show abstract

Sub‐epithelial connective tissue graft for the management of Miller's class I and class II isolated gingival recession defect: A systematic review of the factors influencing the outcome

Cited by 11 publications

References 20 publications

Clinical and patient‐centred long‐term results of root coverage using the envelope technique in a private practice setting: 10‐year results—A case series

Clinical and patient‐centred long‐term results of root coverage using the envelope technique in a private practice setting: 10‐year results—A case series

Impact of connective tissue graft thickness on surgical outcomes: A pilot randomized clinical trial

Application of an active oxygen (blue®m) with free connective graft technique for root coverage – a case report

Contact Info

Product

Resources

About