Periodontal Conditions of Sites Treated With Gingival Augmentation Surgery Compared With Untreated Contralateral Homologous Sites: An 18‐ to 35‐Year Long‐Term Study

Abstract

Sites treated with GAPs resulted in coronal displacement of GM with RecRed up to complete root coverage, whereas contralateral untreated sites showed a tendency to increase in existing recession or develop new recession during the 18- to 35-year follow-up.

Biologic Remodeling of Periodontal Dimensions of Areas Treated With Gingival Augmentation Procedure: A 25‐Year Follow‐Up Observation

“…No further coronal migration of the GM occurred between 18 and 35 years, showing that creeping attachment seemed to become exhausted during the last 8 years of observation 7 . Nevertheless, the keratinized tissue (KT) width decreased slightly over time from 1‐year post‐surgery (5.3 mm) to the end of the follow‐up period (4.7 mm) 7 . This controversial remodeling pattern could be explained, at least in part, by a parallel coronal shifting of the MGJ.…”

“…Recently, Agudio et al 7 in a long‐term study (18 to 35 years) reported that sites with gingival recession (GR) and absence or a reduced amount of attached gingiva treated with free gingival graft (FGG) augmentation procedures showed a coronal shift of the GM, achieving significant GR reduction up to complete root coverage. This outcome has been explained by the so‐called “creeping attachment” that was continuous during periods of time ranging from 10 to 27 years 7 . No further coronal migration of the GM occurred between 18 and 35 years, showing that creeping attachment seemed to become exhausted during the last 8 years of observation 7 .…”

“…This outcome has been explained by the so‐called “creeping attachment” that was continuous during periods of time ranging from 10 to 27 years 7 . No further coronal migration of the GM occurred between 18 and 35 years, showing that creeping attachment seemed to become exhausted during the last 8 years of observation 7 . Nevertheless, the keratinized tissue (KT) width decreased slightly over time from 1‐year post‐surgery (5.3 mm) to the end of the follow‐up period (4.7 mm) 7 .…”

Effect of gingival augmentation procedure (free gingival graft) on reducing the risk of non‐carious cervical lesions: A 25‐ to 30‐year follow‐up study

“…Several surgical procedures have been developed to treat GR and increase the amount of keratinized tissue (KT). Short‐term studies show (i.e., 6 to 12 months) significant recession reduction (up to complete root coverage) and KT gain may be achieved with root coverage therapy whereas long‐term studies reveal that the gingival margin remains stable for most of the sites/patients . In addition, several root coverage techniques, such as free gingival graft (FGG) and coronally advanced flap plus subepithelial connective tissue graft (SCTG), provide a significant increase of KT after surgery, and improve the toothbrushing procedures …”

Epithelized Free Autograft-A Case Report Series with Different Healing Outcomes

“…However, in some patients treatment might be required as the same condition may lead to exposure of an unacceptable amount of root surface, fear of losing a tooth if the patient is observant of receding gums and an inability to effectively perform plaque control in localized area. A study done by Lang & Loe at al [3]reported that plaque-free areas with 1 mm or more of attached gingiva were inflamed despite effective oral hygiene and recently in a long term study done for 18 to 35 years found that sites treated with gingival augmentation procedures experience a decrease in attachment loss in contrast to untreated sites [4].…”