Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
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Root coverage using subepithelial connective tissue graft

상피하 결합조직 이식편을 이용한 치근 피개술

  • Kim, Jeong-Hyun (Department of Periodontology, Institute of Oral Biology, School of Dentistry, Kyung Hee University) ;
  • Herr, Yeek (Department of Periodontology, Institute of Oral Biology, School of Dentistry, Kyung Hee University) ;
  • Kwon, Young-Hyuk (Department of Periodontology, Institute of Oral Biology, School of Dentistry, Kyung Hee University) ;
  • Park, Joon-Bong (Department of Periodontology, Institute of Oral Biology, School of Dentistry, Kyung Hee University) ;
  • Chung, Jong-Hyuk (Department of Periodontology, Institute of Oral Biology, School of Dentistry, Kyung Hee University)
  • 김정현 (경희대학교 치의학전문대학원 치주과학교실, 구강생물학연구소) ;
  • 허익 (경희대학교 치의학전문대학원 치주과학교실, 구강생물학연구소) ;
  • 권영혁 (경희대학교 치의학전문대학원 치주과학교실, 구강생물학연구소) ;
  • 박준봉 (경희대학교 치의학전문대학원 치주과학교실, 구강생물학연구소) ;
  • 정종혁 (경희대학교 치의학전문대학원 치주과학교실, 구강생물학연구소)
  • Published : 2008.03.31
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Abstract

Purpose: One of the main objectives of periodontal reconstructive surgery is the coverage of exposed roots that occur due to gingival recession. and Aestheic concerns are usually the reason to perform root coverage procedure. This case report was performed to evaluate the effect of root coverage using subepithelial connective tissue graft(SCTG) on Miller's Class I marginal tissue recession. Materials and Methods: One patient, with two Miller's class I marginal tissue recession on both maxiallay canines, was treated with root coverage using SCTG (modified Nelson's technique). At baseline, the following measurements were recorded: 1) recession depth; 2) width of keratinized giniga. At 9, 10 months post-surgery, all clinical measurements were repeated. Result: 1) The mean root coverage from baseline to 9, 10 months post-surgery was 92.3%. 2) The mean recession depth decreased from 6.5 mm to 0.5 mm. 3) The mean width of keratinized gingiva increased from 1.25 mm to 3.5 mm. Conclusion: Within the above results, root coverage using SCTG is an effective procedure to cover Miller's class I marginal tissue recession defect. Also, patient with aesthetic concern could be satisfied with this result.

Keywords

References

  1. Hall WB. Present status of soft tissue grafting. J Periodontol 1977;48:587-597 https://doi.org/10.1902/jop.1977.48.9.587
  2. Wennstrὅm JL, Pini Plato GP, Mucogingival therapy-Periodontal plastic surgery. In: Lindhe J. Karring T, Lang NP, ed. Clinical periodontology and implant dentistry. 4th edn. Copenhagen: Munksgaard, 2003:576-649
  3. Wennstrὅm JL. Lack of association between width of attached gingiva and developemt of soft tissue recession. A 5-year longitudinal study. J Clin Periodontol 1987;14:181- 184 https://doi.org/10.1111/j.1600-051X.1987.tb00964.x
  4. Wennstrom JL, Lindhe J, Sinclair F, Thilander B. Some periodontal tissue reactions to orthodontic tooth movement in monkeys. J Clin Periodontol 1987;14:121-129 https://doi.org/10.1111/j.1600-051X.1987.tb00954.x
  5. Maynard JG Jr, Wilson RD. Physiolosic dimensions of the periodontium significant to the restorative dentist. J Perio- don-tol 1979:50:170-174 https://doi.org/10.1902/jop.1979.50.4.170
  6. Miller PD Jr. A classification of marginal tissue recession. Int J Periodontics Restorative Dent 1985;5:8-13
  7. Jahnke PV, Sandifer JB, Gher ME, Gray JL, Richardson AC. Thick free gingival and connective tissue autografts for root coverage. J Periodontol 1993;64:315-322 https://doi.org/10.1902/jop.1993.64.4.315
  8. Wennstrom JL. Mucogingival considerations in orthodontic treatment. Semin in Orthod 1996;2:46-54 https://doi.org/10.1016/S1073-8746(96)80039-9
  9. Alkan A, Keskiner I, Yuzbasioglu E. Connective tissue grafting on resin ionomer in localized gingival recession. J Periodontol 2006;77:1446-1451 https://doi.org/10.1902/jop.2006.060021
  10. Holbrook T, Ochsenbein C. Complete coverage of the denuded root surface with a one-stage gingival graft. Int J Periodontics Restorative Dent 1983;3:8-27
  11. Miller PD. Root coverage using a free soft tissue autograft following citric acid application. III. A successful and predictable procedure in area of deep-wide recession. Int J Periodontics Restorative Dent 1985;5:15-37
  12. Ibbott CG, Oles RD, Lanverty WH. Effects of citric acid treatment on autogenous free graft coverage of localized recession. J Periodontol 1986;56:662-665
  13. Bertrand PM, Dunlap RM. Coverage of deep, wide gingival clefts with free gingival autografts: Root planing with and without citric acid demineralization. Int J Periodontics Restorative Dent 1988;8:65-77
  14. Laney JB, Saunders VG, Garnick JJ. A comparison of two techniques for attaining root coverage. J Periodontol 1992; 63:19-23 https://doi.org/10.1902/jop.1992.63.1.19
  15. Bouchard P, Nilveus R, Etienne D. Clinical evaluation of tetracycline HCL conditioning in the treatment of gingival recessions. A comparative study. J Periodontol 1997;68: 262-269 https://doi.org/10.1902/jop.1997.68.3.262
  16. Caffesse RG, De LaRosa M, Garza M et al. Citric acid demineralization and subepithelial connective tissue grafts. J Periodontol 2000;71:568-572 https://doi.org/10.1902/jop.2000.71.4.568
  17. Bouchard P, Malet J. Borghetti A. Decision-making in aesthetics: root coverage revisited. Periodontology 2000 2001; 27:97-120 https://doi.org/10.1034/j.1600-0757.2001.027001097.x
  18. Yotnuengnit P, Promsudthi A, Teparat T, Laohapand P, Yuwaprecha W. Relative connective tissue graft size affects root coverage treatment outcome in the envelope procedure. J Periodontol 2004;75:886-892 https://doi.org/10.1902/jop.2004.75.6.886
  19. Langer B. Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 1985;56:715-720 https://doi.org/10.1902/jop.1985.56.12.715
  20. Bouchard P. Etienne D, Ouhayoun JP, Nilveus R. Subepithelial connective tissue grafts in the treatment of gingival recessions. A comparative study of 2 procedures. J Periodontol 1994;65:929-936 https://doi.org/10.1902/jop.1994.65.10.929
  21. Becker J, Bissada N. Comparative effectiveness of soft tissue grafts for root coverage and gingival augmentation [abstract 2224]. J Dent Res 1997;76:291