A 3‐Year Longitudinal Evaluation of Subpedicle Free Connective Tissue Graft for Gingival Recession Coverage

Abstract

These results indicate that the connective tissue graft with a partial thickness coronal advancement pedicle is a predictable method for root coverage and, provided that optimal maintenance care is provided, the clinical outcomes gained by this technique can be well maintained.

Can subepithelial connective tissue grafts be considered the gold standard procedure in the treatment of Miller Class I and II recession-type defects?

“…68 The dental literature is limited as to when and if this migration ever stops, how it progresses, and the ideal point for evaluation. 69,70 Previous reports have demonstrated a subsequent coronal creeping attachment at the recipient site 6-18 months later in areas where a SCTG was placed. 69,70 However, it was not possible for us to evaluate the effect of this migration in the amount of GR (GR change) obtained.…”

Alterations in Location of the Mucogingival Junction 5 Years After Coronally Repositioned Flap Surgery

“…At the end of the 18-month period, there was almost 5 mm increase in the width of keratinized gingiva that was maintained for the entire 4-year period. Lee et al 26 longitudinally evaluated the reduction of gingival recession through the use of a subepithelial free conligament tissue will form a connective tissue similar to the end of gingiva with the potential to induce keratinization of the covering epithelium. 27,28 and 2) the tendency of the MGJ to regain its "genetically" defined position following its coronal "dislocation" with the CRF procedure used to achieve root coverage.…”

“…Figure 8 shows the mean values of LGM and WKG obtained from long-term studies in comparison with our study. In studies evaluating CRF together with free connective tissue graft, 8,25,26 long-term increase in width of keratinized gingiva was associated with an apical shift of the MGJ.…”

Soft tissue grafting to improve implant esthetics

“…Short-term and long-term results of root coverage with connective tissue grafts on intact roots tended to improve with time (“creeping reattachment” as reported by Lee et al14) that usually takes 9–12 months to be achieved, but around dehisced dental implants, the author noticed that the phenomenon of “creeping reattachment” did not occur, mainly in my opinion, due to the lack of buccal bone and the inability of connective tissue fibers to attach to a titanium surface compared with cementum. Adverse postoperative events are usually swelling, moderate pain, and rarely hematoma or postoperative bleeding 15.…”