Table 1 - uploaded by Andreas L. Ioannou
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Introduction: Gingival recession (GR) presents a major concern for patients, especially when associated with tooth sensitivity or esthetic concerns.
Case Presentation: This report describes the complete coverage of a class III gingival recession with the combination of a free sub-epithelial connective tissue graft (SCTG) and a laterally positioned...
Context in source publication
Context 1
... examination revealed good oral hygiene, bilateral posterior cross-bite, and generalized GR with the lower right canine showing 12mm loss of attachment on the facial aspect and limited, but clinically noticeable loss of interdental papillae on the site (~1 mm). [ Fig. 1, Table 1] Specifically, periodontal probing with a North-Carolina type probe on #27 revealed the following measurements: probing depth (PD) of 3 mm; recession depth of 9mm; recession width of 3mm; and clinical attachment loss (AL) of 12 mm. No keratinized gingiva was present on #27, while a wide band of keratinized tissue was present on the adjacent teeth. ...
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Background
Gingival recession may result in aesthetically unfavourable effects, difficulty in plaque control, increased susceptibility to root caries, and dentin hypersensitivity.
Objective
The aim of this study was to compare the use of modified semilunar techniques with connective tissue and subepithelial connective tissue grafts (Langer) for de...
Citations
... There are only few current reports in the available literature evaluating the laterally positioned flap technique in covering gingival recessions [3,17,20,22,26,44]. Most commonly, these are case reports describing the coverage of single narrow and high RD or Still man clefts, in conditions of gingival absence, shallow oral vestibule or pulling syndrome [19,22,26,[44][45][46]. This technique is also used in soft tissue reconstruction with or without connective tissue grafting after Epulis resection [44,47]. ...
The most commonly used technique for covering gingival recessions is the coronally advanced flap (CAF) technique due to its high success rate. In clinical situations where there is less keratinized tissue apical to the defect due to unfavorable anatomical conditions, a more advantageous technique for this situation should be considered, specifically the laterally positioned flap (LPF). The aim of this study was to compare the gingival thickness after gingival recession coverage using the laterally positioned flap supported by an augmented and non-augmented connective tissue graft (CTG). Thirty-four patients with 105 gingival recessions of Miller's class I and/or II were enrolled in this study. The method of choice was the laterally positioned flap. The test group was treated with previously augmented CTG harvested from the palatal mucosa while the control group was treated with a non-augmented CTG. Clinical measurements were recorded at baseline, 6, 12 and 24 months after intervention. Clinical results showed a statistically more significant percentage of average and complete gingival recession coverage in the test group. The LPF in combination with an augmented CTG proves to be an effective alternative to the CAF. Greater improvement in gingival thickness was observed in the LPF with augmented CTG than in non-augmented CTG.
