Root coverage and ridge augmentation in Class IV recession using a coronally positioned free gingival graft. 1986

P D Miller, and L H Binkley

Although root coverage is not anticipated in Class IV recession, occasionally this can be accomplished if there is an edentulous area adjacent to the tooth to be grafted. This edentulous area allows the surgeon to more intimately adapt the graft to the interproximal surface of the root. A second procedure to coronally position the healed graft may be required. A case demonstrating this technique is presented.

UI MeSH Term Description Entries
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D005260 Female Females
D005882 Gingival Diseases Diseases involving the GINGIVA. Epulis,Gingivosis,Epulides,Disease, Gingival,Diseases, Gingival,Gingival Disease,Gingivoses
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
D005893 Gingivoplasty Surgical reshaping of the gingivae and papillae for correction of deformities (particularly enlargements) and to provide the gingivae with a normal and functional form, the incision creating an external bevel. (Dorland, 28th ed) Gingivoplasties
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000543 Alveoloplasty Conservative contouring of the alveolar process, in preparation for immediate or future denture construction. (Dorland, 28th ed) Alveoloplasties
D013524 Surgical Flaps Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region. Island Flap,Island Flaps,Flap, Surgical,Flaps, Surgical,Pedicled Flap,Surgical Flap,Flap, Island,Flap, Pedicled,Flaps, Island,Flaps, Pedicled,Pedicled Flaps
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

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