An innovative technique for root coverage using pedicled buccal fat pad

Agarwal, Chitra; Gayathri, GV; Mehta, Dhoom Singh

doi:10.4103/0976-237x.137963

Cited by 16 publications

(13 citation statements)

References 9 publications

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“…This is the first randomized controlled clinical trial to evaluate buccal fat pad as a grafting alternative for the treatment of GRs, more specifically minor GRs (the Miller Class I and II recessions) in esthetic area. The use of buccal fat tissue as a grafting alternative has recently been outlined in case-reports describing the use of pedicled BFPG in the treatment of Miller Class IV (6,11) and Class III (7) GRs. In both cases excellent cosmetic results were reported.…”

Section: Discussionmentioning

confidence: 99%

Non-Pedicled Buccal Fat Pad Grafts to Treatment for Class I and II Gingival Recessions: A Clinical Trial

Deliberador

Trevisani²,

Storrer

et al. 2015

Braz. Dent. J.

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The aim of this study was to analyze the transplant efficiency of non-pedicled buccal fat pad graft (BFPG) for the treatment of Miller Class I or II gingival recessions (GRs) and to compare these results with those of subepithelial connective tissue graft (SCTG), which is considered the gold standard. Twelve patients with Miller Class I or II (≥2 mm) bilateral recessions in maxillary premolars or canines were selected. Recessions were randomly assigned to receive SCTG or BFPG. The clinical parameters evaluated at baseline and at 1, 3, and 6 months postoperatively included gingival index, plaque index, probing depth, GR, clinical attachment level, width of keratinized tissue, thickness of keratinized tissue and gingival margin to the acrylic guide. None of the evaluated clinical parameters differed significantly between the groups. At all evaluated postoperative time-points, both groups exhibited statistically significant differences in GR and gingival margin to the acrylic guide compared to baseline. Six months after surgery, the mean percentages of root coverage were 67.5% and 87.5% in the BFPG and SCTG groups respectively. In both groups, complete root coverage was observed in 50% of cases 6 months after surgery. The results presented herein indicate that the use of BFPG transplant has clinical similarities with SCTG and both may be considered as clinically successful methods for treating Miller Class I and II GRs.

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Section: Discussionmentioning

confidence: 99%

Non-Pedicled Buccal Fat Pad Grafts to Treatment for Class I and II Gingival Recessions: A Clinical Trial

Deliberador

Trevisani²,

Storrer

et al. 2015

Braz. Dent. J.

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“…In 2010, Kumari et al [15] used the same technique to cover a Miller Class III defect in a maxillary right molar and obtained a 4 mm gain in the attachment level. Agarwal [6] also applied the technique in a maxillary molar with class IV gingival recession and obtained clinical attachment level and keratinized tissue gain. Ercan et al [12] described two clinical cases, where the first one showed a gain of 7 mm in the attachment level, reducing the gingival recession to 4 mm.…”

Section: Discussionmentioning

confidence: 99%

“…Different surgical techniques such as free gingival graft, flap repositioning, and connective tissue graft have been used in the treatment of gingival recessions. Treatments with pedicled buccal fat pad grafts are also described in the literature with satisfactory results regarding root coverage, clinical attachment level, and keratinized tissue gain [6,7]. However, the use of nonpedicled buccal fat pad grafts is still poorly described [8].…”

Section: Introductionmentioning

confidence: 99%

Treatment of Miller Class I Gingival Recession with Using Nonpedicle Adipose Tissue after Bichectomy Surgical Technique: A Case Report

Storrer

Muller

Pissaia

et al. 2019

Case Reports in Dentistry

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Gingival recession is an oral health problem that affects a large part of the population. Several treatments are suggested in the current literature; among them is the use of buccal fat pad grafting. The objective of this case report is to describe the treatment of a Miller Class I gingival recession using a nonpedicled buccal fat pad graft immediately after performing the surgery for buccal fat pad removal (bichectomy technique). First, bilateral surgical removal of the buccal fat pad was performed with the main objective of eliminating oral mucosa biting. The recipient site was prepared to receive a portion of the fat pad that was cut and macerated in a size that was sufficient to cover the recession. The patient was followed up at 15, 30, 60, and 365 days postsurgery, and the results showed an elimination of the oral mucosa biting and complete coverage of the gingival recession. It was concluded that the nonpedicled buccal fat pad graft is another option for the treatment of Miller Class I recessions.

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“…The clinical attachment gain was 4 mm at 6 months. Finally, in 2014, Agarwal et al (11) reported a case and established this technique for treating a Miller IV recession defect. They were able to achieve partial root coverage, with a 4-mm attachment gain.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Severe Gingival Recession Using Pedicled Buccal Fat Pad: Histological and Clinical Findings

Ercan¹,

Çandırlı²,

Uysal³

et al. 2016

Clin Exp Health Sci

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Dişeti çekilmelerinin tedavisinde pek çok yöntem vardır. Ancak Miller III ve Miller IV tip dişeti çekilmeleri zayıf prognoza sahiptir. Bukkal Yağ Dokusu (BYD), kemik, kıkırdak, yağ veya kasa dönüşebilen özel bir yağ dokusudur. Bu vaka raporunda şiddetli dişeti çekilmesi olan 2 hastanın saplı BYD kullanılarak tedavisi anlatılmıştır. Uygulama esnasında cerrahi aşamada alıcı alanda tam kalınlık flep kaldırılmıştır. Saplı BYD uygun cerrahi teknikle açığa çıkarılmıştır. BYD'nin gövdesi hareketlendirilerek mukozaya yakın şekilde dikilmiştir. Küçük bir parça yağ dokusu histolojik inceleme için ayrılmıştır. Damarlı flep üst 1. büyük azı dişinin bukkal yüzeyine sıkıca yerleştirilerek dikilmiştir. Bukkal flep de koronal şekilde pozisyonlandırılarak dikilmiştir. On iki hafta sonunda her iki vakada da dişeti çekilmesi azalmıştır. Klinik periodontal parametrelerde ve mobilitede iyileşme görülmüş; her iki vakada da keratinize dişeti dokusu belirgin şekilde izlenmiştir. Üç ay sonraki gingivoplasti aşamasında elde edilen küçük bir parça dişeti, histolojik inceleme için ayrılmış ve ilk histolojik örnekte damarlı yağ dokusu izlenmiştir. Elde edilen 2. örnekte ise Tip I kollajen lifler ve fibroblastlarla birlikte epitelizasyon ve epitel içinde papilla oluşumu izlenmiştir. BYD kullanımı, üst çene azı ve küçük azı dişlerinde, dişeti sağlığına olumlu etki ederek, kök yüzeyi örtülmesini sağlayabilir. Bu konuda ileri dönük, kontrollü, klinik çalışmalara ihtiyaç vardır. Anahtar kelimeler: Bukkal yağ dokusu, dişeti çekilmesi, kök yüzeyi örtülmesi

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An innovative technique for root coverage using pedicled buccal fat pad

Cited by 16 publications

References 9 publications

Non-Pedicled Buccal Fat Pad Grafts to Treatment for Class I and II Gingival Recessions: A Clinical Trial

Non-Pedicled Buccal Fat Pad Grafts to Treatment for Class I and II Gingival Recessions: A Clinical Trial

Treatment of Miller Class I Gingival Recession with Using Nonpedicle Adipose Tissue after Bichectomy Surgical Technique: A Case Report

Treatment of Severe Gingival Recession Using Pedicled Buccal Fat Pad: Histological and Clinical Findings

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