On the value of the 2017 classification of phenotype and gingival recessions

Prato, Giovanpaolo Pini; Gianfilippo, Riccardo Di

doi:10.1002/jper.20-0487

Cited by 13 publications

(22 citation statements)

References 31 publications

(50 reference statements)

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“…Regarding host‐related factors, a 20‐year study on CAF+CTG showed how baseline recession diagnosis, narrow KT, and cervical abrasion negatively affected stability of the gingival margin 8 . Previous literature clearly established that surface characteristics play a crucial role on outcomes after root coverage, and a classification of cervical defects (CDs) was developed to facilitate diagnosis as well as treatment of recessions with cervical abrasion defects 15,16 . The proposed four classes rely on the visibility of the CEJ (A: detectable; B: non detectable) and on the presence of surface discrepancies (+: presence of root steps; ‐: absence of root steps).…”

Section: Discussionmentioning

confidence: 99%

Double Connective Tissue Graft to Treat Deep Coronal‐Radicular Abrasion: A 19‐Year Follow‐Up Case Report

Franceschi

Prato²,

Gianfilippo

2021

Clin Adv Periodontics

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Introduction When gingival recession is combined with cervical abrasion, root coverage outcomes are less predictable due to the challenging adaptation of the connective tissue graft (CTG) to the marked root step. Removing additional tooth structure can improve soft‐tissue adaptation with the downside of a possible increase in dental hypersensitivity or pulpitis. Therefore, the aim of this report was to demonstrate a surgical technique using two grafts which does not require any further modification of the root surface, in order to successfully treat recession associated with deep cervical abrasion. Case Presentation A case of gingival recession associated with a deep root step and cemento‐enamel junction alteration (B+; abrasion depth > 1 mm) was successfully treated via a bilaminar grafting technique using two CTG layers covered by a coronally advanced flap (CAF). The tooth surface was polished and did not receive any grinding, blending, planing, or other alterations. Complete recession coverage, complete abrasion coverage, and resolution of baseline sensitivity were achieved 1 year after surgical intervention and were maintained for 19 years with further coronal displacement of the gingival margin due to creeping attachment. Conclusions The double CTG technique showed optimal clinical results in terms of coverage and resolution of hypersensitivity of a recession associated with a deep cervical abrasion. No additional removal of dental tissue was needed, and the clinical outcomes were stably maintained over a long‐term follow‐up.

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Section: Discussionmentioning

confidence: 99%

Double Connective Tissue Graft to Treat Deep Coronal‐Radicular Abrasion: A 19‐Year Follow‐Up Case Report

Franceschi

Prato²,

Gianfilippo

2021

Clin Adv Periodontics

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“…Non-carious cervical lesions can be able to reduce the chances of root coverage by causing modification to the root surface and creating steps (concavity) in dentin [4]. By altering the morphology of the root surface, the root concavities limit the biologic limits for root coverage during grafting procedures [10].…”

Section: Figure 2: Picture Showing Types Of Recession Classification ...mentioning

confidence: 99%

Mucogingival Conditions and Deformities Revisited. Review of their Current Classification and their Impact on Health and Function of Teeth

Obiechina¹

2022

J Dental Sci Res Rep

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Mucogingival conditions and Deformities involve defects in the morphology, position, quantity of soft tissue and bone that support teeth, edentulous sites and dental implants. They significantly affect the supporting tissue around teeth and implants, and can affect the esthetics, health and function of them. The goal of this article is to review Mucogingival conditions and Deformities and their impact on teeth.

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“…Para Prato et al (2021) no procedimento de recobrimento radicular, é indispensável que o cirurgião dentista leve em consideração o fenótipo gengival de seu paciente, a gengiva da área doadora e receptora no processo cirúrgico pois os mesmos têm bastante influência no sucesso do caso.…”

Section: Relato De Casounclassified

Cirurgia plástica periodontal para recobrimento de recessões múltiplas: Relato de caso / Periodontal plastic surgery for recovery of multiple recessions: Case report

Oliveira¹,

Pires²

2021

BJDV

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As recessões gengivais consistem na migração do tecido marginal em direção apical, causando insatisfação com a estética dental, além de hipersensibilidade dentinária. As cirurgias plásticas periodontais por meio do recobrimento radicular têm como meta reduzir esses incômodos. O objetivo desse estudo é apresentar um relato de caso de recobrimento radicular de recessões gengivais em dentes posteriores pela técnica de retalho reposicionado coronalmente de Zucchelli e De Sanctis associada ao enxerto de tecido conjuntivo subepitelial para obtenção de mucosa queratinizada. Paciente 35 anos, gênero feminino, normosistêmica compareceu à clínica de periodontia da Universidade Nilton Lins relatando hipersensibilidade dentinária e insatisfação com a estética dos dentes posteriores. O tratamento foi iniciado por procedimentos periodontais básicos e correção do fator causal. A etapa cirúrgica iniciou-se com incisão e retalho em envelope para remoção do tecido conjuntivo subepitelial da área doadora de palato e enxertado no leito receptor com estabilização por meio de sutura em colchoeiro. A cirurgia ocorreu sem intercorrências, após 15 dias foram removidas as suturas e observou-se que a cicatrização ocorreu de maneira satisfatória, na sessão seguinte foram realizadas 2 sessões de laserterapia para controle da dor. Após três meses observou-se completa cicatrização, aumento de tecido queratinizado e adaptação cervical. Portanto, na técnica cirúrgica empregada foi possível observar o recobrimento parcial da recessão, assim como o aumento de tecido queratinizado na região, com um resultado estético satisfatório e melhora na função com a diminuição da hipersensibilidade dentinaria.

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On the value of the 2017 classification of phenotype and gingival recessions

Cited by 13 publications

References 31 publications

Double Connective Tissue Graft to Treat Deep Coronal‐Radicular Abrasion: A 19‐Year Follow‐Up Case Report

Double Connective Tissue Graft to Treat Deep Coronal‐Radicular Abrasion: A 19‐Year Follow‐Up Case Report

Mucogingival Conditions and Deformities Revisited. Review of their Current Classification and their Impact on Health and Function of Teeth

Cirurgia plástica periodontal para recobrimento de recessões múltiplas: Relato de caso / Periodontal plastic surgery for recovery of multiple recessions: Case report

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