Bone-added Periodontal Plastic Surgery: a New Approach in Esthetic Dentistry

Overview

Journal Ann Surg Innov Res

Publisher Biomed Central

Specialty Biomedical Engineering

Date 2015 Mar 13

PMID 25763099

Authors

Gholam Ali Gholami

Hadi Gholami

Reza Amid

Mahdi Kadkhodazadeh

Amir Reza Mehdizadeh

Navid Youssefi

Affiliations

Soon will be listed here.

Abstract

This article proposes a combined technique including bone grafting, connective tissue graft, and coronally advanced flap to create some space for simultaneous bone regrowth and root coverage. A 23 year-old female was referred to our private clinic with a severe class II Miller recession and lack of attached gingiva. The suggested treatment plan comprised of root coverage combined with xenograft bone particles. The grafted area healed well and full coverage was achieved at 12-month follow-up visit. Bone-added periodontal plastic surgery can be considered as a practical procedure for management of deep gingival recession without buccal bone plate.

References

OLeary T, Drake R, Naylor J . The plaque control record. J Periodontol. 1972; 43(1):38. DOI: 10.1902/jop.1972.43.1.38. View

Cummings L, Kaldahl W, Allen E . Histologic evaluation of autogenous connective tissue and acellular dermal matrix grafts in humans. J Periodontol. 2005; 76(2):178-86. DOI: 10.1902/jop.2005.76.2.178. View

Greenstein G, Greenstein B, Cavallaro J, Elian N, Tarnow D . Flap advancement: practical techniques to attain tension-free primary closure. J Periodontol. 2009; 80(1):4-15. DOI: 10.1902/jop.2009.080344. View

McGuire M, Cochran D . Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue. Part 2: Histological evaluation. J Periodontol. 2003; 74(8):1126-35. DOI: 10.1902/jop.2003.74.8.1126. View

Sugarman E . A clinical and histological study of the attachment of grafted tissue to bone and teeth. J Periodontol. 1969; 40(7):381-7. DOI: 10.1902/jop.1969.40.7.381. View

Roccuzzo M, Bunino M, Needleman I, Sanz M . Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review. J Clin Periodontol. 2003; 29 Suppl 3:178-94; discussion 195-6. DOI: 10.1034/j.1600-051x.29.s3.11.x. View

Carnio J, Camargo P, Kenney E, Schenk R . Histological evaluation of 4 cases of root coverage following a connective tissue graft combined with an enamel matrix derivative preparation. J Periodontol. 2003; 73(12):1534-43. DOI: 10.1902/jop.2002.73.12.1534. View

Langer B, Langer L . Subepithelial connective tissue graft technique for root coverage. J Periodontol. 1985; 56(12):715-20. DOI: 10.1902/jop.1985.56.12.715. View

Rosetti E, Marcantonio R, Rossa Jr C, Chaves E, Goissis G, Marcantonio Jr E . Treatment of gingival recession: comparative study between subepithelial connective tissue graft and guided tissue regeneration. J Periodontol. 2000; 71(9):1441-7. DOI: 10.1902/jop.2000.71.9.1441. View

10.

Goldstein M, Boyan B, Cochran D, Schwartz Z . Human histology of new attachment after root coverage using subepithelial connective tissue graft. J Clin Periodontol. 2001; 28(7):657-62. DOI: 10.1034/j.1600-051x.2001.028007657.x. View

11.

Paolantonio M . Treatment of gingival recessions by combined periodontal regenerative technique, guided tissue regeneration, and subpedicle connective tissue graft. A comparative clinical study. J Periodontol. 2002; 73(1):53-62. DOI: 10.1902/jop.2002.73.1.53. View

12.

Pasquinelli K . The histology of new attachment utilizing a thick autogenous soft tissue graft in an area of deep recession: a case report. Int J Periodontics Restorative Dent. 1995; 15(3):248-57. View

13.

Nozawa T, Sugiyama T, Satoh T, Tanaka K, Enomoto H, Ito K . Connective tissue-bone onlay graft with enamel matrix derivative for treatment of gingival recession: a case report. Int J Periodontics Restorative Dent. 2003; 22(6):559-65. View

14.

Sedon C, Breault L, Covington L, Bishop B . The subepithelial connective tissue graft: part II. Histologic healing and clinical root coverage. J Contemp Dent Pract. 2005; 6(2):139-50. View

15.

Roman A, Campian R, Domsa I, Soanca A, Gocan H . Subepithelial connective tissue graft for root coverage: clinical case reports and histologic evaluation. Rom J Morphol Embryol. 2010; 51(4):793-7. View

16.

Majzoub Z, Landi L, Grusovin M, Cordioli G . Histology of connective tissue graft. A case report. J Periodontol. 2002; 72(11):1607-15. DOI: 10.1902/jop.2001.72.11.1607. View

17.

Oates T, Robinson M, Gunsolley J . Surgical therapies for the treatment of gingival recession. A systematic review. Ann Periodontol. 2004; 8(1):303-20. DOI: 10.1902/annals.2003.8.1.303. View

18.

McGuire M, Scheyer E, Schupbach P . Growth factor-mediated treatment of recession defects: a randomized controlled trial and histologic and microcomputed tomography examination. J Periodontol. 2009; 80(4):550-64. DOI: 10.1902/jop.2009.080502. View

19.

Maurer S, Leone C . Use of a serially layered, double connective tissue graft approach to enhance maxillary anterior esthetics. Int J Periodontics Restorative Dent. 2001; 21(5):497-503. View

20.

Chambrone L, Chambrone D, Pustiglioni F, Chambrone L, Lima L . Can subepithelial connective tissue grafts be considered the gold standard procedure in the treatment of Miller Class I and II recession-type defects?. J Dent. 2008; 36(9):659-71. DOI: 10.1016/j.jdent.2008.05.007. View