Treatment of Localized Gingival Recessions: Part II. Coronally Repositioned Flap with a Free Gingival Graft

Abstract

Fourteen teeth with localized gingival recessions were treated using a coronally repositioned flap with a free gingival graft (Bernimoulin, 1973). The second step of the procedure was performed 1 month after the free gingival graft was done. Clinical measurements of the recession, sulcus depth and keratinized gingiva were taken preoperatively and at 30, 90 and 180 days after surgery. A mean reduction in the recession of 2.73 mm was obtained after 6 months, which was equivalent to a 64% decrease of the original recession. A significant increase in the width of the keratinized gingiva, averaging 3.27 mm, was found after 6 months. All results remained stable after 30 days postoperatively. The values for gingival recession, sulcus depth and width of keratinized gingiva on the teeth adjacent to the recessions remained unchanged, since they were undisturbed by the procedure.

Evidence‐Based Mucogingival Therapy. Part 1: A Critical Review of the Literature on Root Coverage Procedures

“…When more than one study reported follow-up data on the same patients, 45,46,65,69,70 we reported the data extracted from the most recent study; in one study, 65 we chose the shorter follow-up because it covered a larger number of patients.…”

“…Trombelli et al 57 (CAF+TRC+FG/CAF+TRC) Pini-Prato et al 59 (CAF+Pol/CAF+RP) Pini-Prato et al 61 (CAF+FTens/CAF no FTens) CTG Bouchard et al 25 (CTG+TRC/CTG+CARC) Borghetti and Louise 24 (CTG+DPF/no treatment) Bouchard et al 32 (CTG+TRC/CTG+CARC) Harris 31 (FGG knife method/FGG parallel incision methods) Harris 43 (CTG/acellular dermal matrix) GTR Trombelli et al 77 (ePTFE/ePTFE+TRC+FG) Roccuzzo et al 78 Guinard and Caffesse 45 Caffesse and Guinard 65 Caffesse and Guinard 46 Kunjamma et al 8 Laney et al 14 Ricci et al 28 Harris 29 Zucchelli et al 33 Jepsen et al 34 Trombelli et al 37 Harris 38 Borghetti et al 40 Tatakis and Trombelli 41 Rosetti et al 42 Trombelli et al 58 Amarante et al 62 Sbordone et al 10 Daniel and Cheru 12 Jahnke et al 15 Paolantonio et al 17 1. If the reporting of probing depth (PD) before and after treatment is included, only 59 out of 90 articles (65.6%) would have been accepted.…”

“…We found a few mistakes in the values published by the authors (see footnotes to Tables 3 through 8), likely due to mistakes in copying the manuscript. In 26 articles, 5,6,8,12,13,15,16,18,19,25,27,32,42,[45][46][47]49,50,[52][53][54]65,66,72,73,80 the mean values had been reported without the corresponding dispersion measures (standard error, standard deviation or range), which are necessary for appropriate sample description. We were able to compute dispersion measures using the raw data reported in 8 other studies.…”

“…Numerous longitudinal human studies have been presented to support the efficacy and predictability of different surgical techniques that have been proposed to address this issue. 1 The proposals can be summarized as follows: palatal masticatory mucosa grafted onto the recession area (EFGG); 2-17 only a layer of connective tissue grafted onto the recession area (CTG); 10,12,15, use of the gingiva from adjacent teeth as a rotated and/or sliding pedicle flap to cover the exposed root surface (LPF); 8,44-52 moving the residual gingiva at the recession site in a coronal direction (CAF); 26,53-63 coronal positioning of previously grafted tissue (EFGG + CAF); 14,46,[64][65][66][67][68][69][70] and use of resorbable and non-resorbable membranes according to the principles of guided tissue regeneration (GTR). 28,29,33,34,37,38,[40][41][42]58,62, A careful review made it possible to summarize the descriptive statistics reported in the published clinical studies on root coverage and to compute the missing statistics from the published data whenever possible.…”

Treatment of Localized Gingival Recessions: Part III. Comparison of Results Obtained With Lateral Sliding and Coronally Repositioned Flaps

“…The methodology used and the results obtained with the individual techniques have been reported separately. 3,6 All data obtained were analyzed statistically to deter mine the significance of the results after the use of the lateral sliding flap and the coronally repositioned flap. The results with both techniques were compared to test the following hypotheses:…”