Root Coverage Using the Coronally Positioned Flap With or Without a Subepithelial Connective Tissue Graft

Silva, Robert Carvalho da; Joly, Júlio César; Lima, Antônio Fernando Martorelli de; Tatakis, Dimitris N.

doi:10.1902/jop.2004.75.3.413

Cited by 143 publications

(213 citation statements)

References 21 publications

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“…[16][17][18][19] In this study, the proportions of STTh loss in groups I and II were 64.7% and 58.8% respectively, in accordance with the results observed with CTG use. 15,16,18,20 Over an observation period of 6 months, mCM use thus seems to yield results equivalent to CTG use.…”

Section: Discussionsupporting

confidence: 90%

Use of Collagen Matrix for Augmentation of the Peri-implant Soft Tissue at the Time of Immediate Implant Placement

Zafiropoulos¹,

Gordon

2017

The Journal of Contemporary Dental Practice

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Aim:The aim of this study was to determine the treatment outcome of the use of a porcine monolayer collagen matrix (mCM) to augment peri-implant soft tissue in conjunction with immediate implant placement as an alternative to patient's own connective tissue. Materials and methods:A total of 27 implants were placed immediately in 27 patients (14 males and 13 females, with a mean age of 52.2 years) with simultaneous augmentation of the soft tissue by the use of a mCM. The patients were randomly divided into two groups: Group I: An envelope flap was created and mCM was left coronally uncovered, and group II: A coronally repositioned flap was created and the mCM was covered by the mucosa. Soft-tissue thickness (STTh) was measured at the time of surgery (T0) and 6 months postoperatively (T1) using a customized stent. Cone beam computed tomographies (CBCTs) were taken from 12 representative cases at T1. A stringent plaque control regimen was enforced in all the patients during the 6-month observation period.Results: Mean STTh change was similar in both groups (0.7 ± 0.2 and 0.7 ± 0.1 mm in groups I and II respectively). The comparison of STTh between T0 and T1 showed a statistically significant increase of soft tissue in both groups I and II as well as in the total examined population (p < 0.001). The STTh change as well as matrix thickness loss were comparable in both groups (p > 0.05). The evaluation of the CBCTs did not show any signs of resorption of the buccal bone plate. Conclusion:Within the limitations of this study, it could be concluded that the collagen matrix used in conjunction with immediate implant placement leads to an increased

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Section: Discussionsupporting

confidence: 90%

Use of Collagen Matrix for Augmentation of the Peri-implant Soft Tissue at the Time of Immediate Implant Placement

Zafiropoulos¹,

Gordon

2017

The Journal of Contemporary Dental Practice

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“…In the present systematic review there were no difference in GR reduction between the connective tissue graft and the coronally advanced flap which may raise concern over the conclusion that the former is indeed the gold standard. Despite this fact it should be noted that only two studies were available for analysis 5,49 as well as the overall comparisons (i.e., mean root coverage, complete root coverage and gain in the width of keratinized tissue) achieved by this and previous reviews 18,19 indicated better results for SCTG.…”

Section: Discussionmentioning

confidence: 83%

“…[22][23][24][25][26][27][28][29][30][31][32][33][34] Three RCTs reported the results from samples containing less than 10 patients per group at final examination, 13,35,36 two studies were classified as randomized non-controlled trials, 37,38 two presented a follow-up period <6 months, 39,40 two did not present a patientbased analysis 41,42 and one included recession areas containing teeth with restorations. 43 Of the 23 included studies, 5,12,15,44-63 fifteen had a splitmouth group study design 5,15,[44][45][46][40][41][42][43][44][45][46][47][48][49][50][51][52][53]57,58,[60][61][62]63 and seventeen were conducted at university dental clinics 5,12,44,…”

Section: Study Characteristicsmentioning

confidence: 99%

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

Chambrone

Pustiglioni

et al. 2008

Journal of Dentistry

210

204

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“…Also, a randomized case-control study aimed to find out whether the tested surgical approach makes the treated sites less susceptible to future recession, should evaluate the changes in keratinized tissue dimensions in milimeters. 18,19 As MAGR include ≥2 teeth, width of each GR should be considered in such studies to verdict on the predictability of the tested technique in various clinical conditions. Additionally, survey on cosmetic evaluation of the treatment outcome should be carried out with an approved system such as 'root coverage aesthetic score (RES)', especially in studies with a follow-up period ≥1 year.…”

Section: Discussionmentioning

confidence: 99%

Is Leukocyte- and Platelet-Rich Fibrin Membrane An Alternative For The Treatment of Multiple Adjacent Gingival Recessions: A Case Series and Review of the Literature

Torumtay¹,

Özat²,

Doğan³

2013

BSBD

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bsbd@balikesir.edu.tr www.bau-sbdergisi.com ÖZET Çoklu dişeti çekilmeleri, ilişkili kozmetik veya patolojik sorunların yanı sıra tedavi sonuçlarının öngörülebilirliği açısından da klinisyenler için zorlu durumlardır. Bu anlamda pek çok cerrahi teknik ve materyal önerilmiş olsa da, hangi yaklaşımın ne oranda öngörülebilir başarı sağladığı tam olarak açıklığa kavuşturulmamıştır. Önerilen teknikler arasında tek başına veya koronale pozisyone flep ile kombine subepitelyal bağ doku grefti tam kök yüzey örtülemesi açısından daha başarılı bulunsa da, donör dokunun sınırlı olması, ikinci cerrahi saha gerekliliği ve ilgili postoperatif rahatsızlıktan ötürü daha az invaziv ve kolay tekniklere yönelik araştırmalar devam etmiştir. Bu çalışmalarda yer alan trombosit konsantratlarının kullanımı, yakın dönem klinik ve histolojik veriler ile desteklenmiş, yumuşak doku iyileşmesini geliştirmeye yönelik bir yaklaşımdır. Lökosit ve trombositten zengin fibrin (L-PRF), hazırlama basitliği, uygulama kolaylığı ve tamamen otojenik yapısı ile oral ve periodontal cerrahide kullanılan trombosit konsantratları içinde öne çıkmaktadır. Bu çalışmanın amacı, çoklu dişeti çekilmelerinin tedavisi ile ilgili literatürü gözden geçirmek ve Miller sınıf 1&2 bilateral çoklu dişeti çekilmelerinin tedavisinde koronale pozisyone flep ile kombine uygulanan subepitelyal bağ doku grefti ve L-PRF yaklaşımlarının erken dönem klinik başarı açısından karşılaştırıldığı bir olgu serisini sunmaktı.Anahtar Kelimeler: Çoklu dişeti çekilmesi, bağ doku grefti, lökosit ve trombositten zengin fibrin. SUMMARYMultiple adjacent gingival recessions (MAGR) are challenging for clinicians in respect to cosmetic and pathologic problems and predictability of treatment results as well. Although several surgical techniques and materials have been proposed, the question of 'which approach promises predictable clinical success' has not been clarified. Among proposed techniques, subepithelial connective tissue graft (SECTG) alone or in combination with coronally advanced flap (CAF) has demonstrated better results for complete root coverage but due to donor tissue limitation, requirement of a second surgical site and related postoperative discomfort, research for less invasive and easy techniques has proceeded. As a topic of these studies, use of platelet concentrations targets enhanced wound healing in soft tissues as supported by recent clinical and histological data. Leukocyte-and platelet-rich fibrin (L-PRF) steps ahead among platelet concentrations used in oral and periodontal surgeries due to the features of easy preparation, simple application and utterly autogenic structure. The aim of this paper was to revise the literature regarding the treatment of MAGR and to present a case series consisting an early-term clinical comparison of SECTG versus L-PRF, both combined with CAF, performed for the treatment of bilateral Miller Class 1&2 MAGR.

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Root Coverage Using the Coronally Positioned Flap With or Without a Subepithelial Connective Tissue Graft

Abstract: The results indicate that both surgical approaches are effective in addressing root coverage. However, when an increase in gingival dimensions (keratinized tissue width, gingival/mucosal thickness) is a desired outcome, then the combined technique (CPF + SCTG) should be used.

Cited by 143 publications

References 21 publications

Use of Collagen Matrix for Augmentation of the Peri-implant Soft Tissue at the Time of Immediate Implant Placement

Use of Collagen Matrix for Augmentation of the Peri-implant Soft Tissue at the Time of Immediate Implant Placement

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

Is Leukocyte- and Platelet-Rich Fibrin Membrane An Alternative For The Treatment of Multiple Adjacent Gingival Recessions: A Case Series and Review of the Literature

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