Coronally advanced flap versus the pouch technique combined with a connective tissuegraft to treat Miller's class I gingival recession: a randomized controlled trial

Abstract

Both surgical techniques are relevant in treating Miller's class I recession. The pouch technique seems to increase the height of KT better and provides good gingival-related aesthetic outcomes.

Root Coverage with Coronally Advanced Flap with Connective Tissue Graft: Literature Review and Case Report

“…En este caso clínico se comprueba que con la técnica de avance coronal tipo sobre más injerto de tejido conectivo autólogo se logró realizar un cubrimiento radicular completo, por lo que se concluye que este procedimiento es ideal a la hora de resolver recesiones gingivales Cl de Miller o RT1 (10).…”

“…Al realizar un cubrimiento radicular completo se mejorarán las consecuencias causadas por la exposición radicular como los son la hipersensibilidad dental, disconformidad estética y dificultad en el control de placa (10).…”

“…Dentro de los biomateriales o factores biológicos están: plasma y fibrina rico en plaquetas, la regeneración tisular guiada, proteínas derivadas de la matriz del esmalte, matrices dérmicas acelulares y fibroblastos dérmicos de células humanas (10). Por ejemplo, Zuchelli y colaboradores comprobaron que al realizar un colgajo desplazado coronalmente en conjunto con injerto de tejido conectivo se disminuyó significativamente la recesión, aumentó la probabilidad de tener un recubrimiento radicular completo, aumentó la altura del tejido queratinizado y se obtuvieron mejores resultados en un periodo de 5 años en comparación con la técnica del colgajo desplazado coronalmente sin injerto de tejido conectivo (13).…”

Coverage of Miller class I and II gingival recessions treated with subepithelial connective tissue graft, acellular dermal matrix, and enamel matrix proteins. Pilot study

“…One of the most used surgical techniques is subepithelial connective tissue graft combined with different bilaminar techniques 3,6 . The connective tissue graft, being an autologous material, has shown more predictable results in root coverage and aesthetics and is regarded as the "gold standard" 3,6 .…”

“…One of the most used surgical techniques is subepithelial connective tissue graft combined with different bilaminar techniques 3,6 . The connective tissue graft, being an autologous material, has shown more predictable results in root coverage and aesthetics and is regarded as the "gold standard" 3,6 . However, there are some disadvantages, such as the need for two surgical areas, one for obtaining the graft and the second in the area receiving the graft, which causes greater surgical time and inconvenience to the patient during the postoperative period 4,5 .…”