Biomaterial Database

Subepithelial connective tissue graft in the treatment of multiple gingival recession. 2007

Elzbieta Dembowska, and Agnieszka Drozdzik

Department of Periodontology, Pomeranian Medical University, Szczecin, Poland.

OBJECTIVE There is a paucity of data on the coverage of multiple recessions. The aim of this study was to compare clinical results of connective tissue graft (CTG) combined with tunnel surgical techniques in the treatment of multiple adjacent gingival recessions. METHODS The treatment outcome of 28 recessions of Miller Class I and 20 recessions of Miller Class II in 18 patients was compared. Clinical evaluation, taken before the surgery as well as 6 and 12 months afterwards, included recession height, recession width, keratinized tissue width, and probing depth. RESULTS No differences of recession coverage comparing recession class I and recession class II were found (mean coverage 99.1% and 98.9%, respectively). Twelve months after surgery, 79.2% of recession class I and 72.2% of recession class II were entirely covered. CONCLUSIONS Surgical treatment of multiple recessions using CTG in combination with the tunnel technique resulted in significant root coverage of both class I and class II recessions, and increased keratinized gingival width.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D010159	Palate	The structure that forms the roof of the mouth. It consists of the anterior hard palate (PALATE, HARD) and the posterior soft palate (PALATE, SOFT).	Incisive Papilla,Incisive Papillas,Palates,Papilla, Incisive,Papillas, Incisive
D003238	Connective Tissue	Tissue that supports and binds other tissues. It consists of CONNECTIVE TISSUE CELLS embedded in a large amount of EXTRACELLULAR MATRIX.	Connective Tissues,Tissue, Connective,Tissues, Connective
D005260	Female		Females
D005500	Follow-Up Studies	Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.	Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D005889	Gingival Recession	Exposure of the root surface when the edge of the gum (GINGIVA) moves apically away from the crown of the tooth. This is common with advancing age, vigorous tooth brushing, diseases, or tissue loss of the gingiva, the PERIODONTAL LIGAMENT and the supporting bone (ALVEOLAR PROCESS).	Gingival Atrophy,Atrophy of Gingiva,Gingiva Atrophies,Gingiva Atrophy,Gingival Atrophies,Gingival Recessions,Recession, Gingival,Recessions, Gingival
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D014092	Tooth Root	The part of a tooth from the neck to the apex, embedded in the alveolar process and covered with cementum. A root may be single or divided into several branches, usually identified by their relative position, e.g., lingual root or buccal root. Single-rooted teeth include mandibular first and second premolars and the maxillary second premolar teeth. The maxillary first premolar has two roots in most cases. Maxillary molars have three roots. (Jablonski, Dictionary of Dentistry, 1992, p690)	Root, Tooth,Roots, Tooth,Tooth Roots