Coronally Advanced Flap: The Post-Surgical Position of the Gingival Margin Is an Important Factor for Achieving Complete Root Coverage (original) (raw)
Related papers
The International journal of periodontics & restorative dentistry, 2021
Gingival recession accounts for apical migration of the gingival margin, resulting in exposure of the cementoenamel junction and root surface, with exposure of the root surface linked to deteriorated esthetic appearance and increased dentinal hypersensitivity. Various surgical techniques have been used to correct labial gingival recession defects. The present study evaluated and compared the results of semilunar coronally positioned flap (SCPF) alone and in conjunction with free gingival graft (FGG) for the treatment of Miller Class I and II gingival recession defects in maxillary anterior teeth. A total of 20 bilateral Miller Class I and II gingival recession sites were included and randomly allocated (n = 10 sites/group) to either the semilunar coronally positioned flap technique alone (SCPF group; control) or with FGG (SCPF+FGG group; test). Longitudinal alterations in probing depth (PD), recession width (RW), recession height (RH), width of keratinized tissue (WKT), and clinical...
Treatment of Gingival Recession Using Coronally Advanced Flap -Case Reports
2020
One of the most common esthetic concern associated with the periodontal tissues is gingival recession. Gingival recession is the exposure of root surfaces due to apical migration of the gingival tissue margins; gingival margin migrates apical to the cementoenamel junction. Although it rarely results in tooth loss, marginal tissue recession is associated with thermal and tactile sensitivity, esthetic complaints, and a tendency toward root caries. This paper views the etiology, consequences, and the available surgical procedures for the coverage of exposed root surfaces, including two case reports.
IP International Journal of Periodontology and Implantology, 2021
Gingival anatomic factors, chronic trauma, periodontitis, and tooth alignment are the main conditions leading to gingival recession. The present study was conducted to compare the root coverage of localized GR using modified coronally advanced flap (CAF) and root conditioning with 24% EDTA when performed under magnification and without magnification. This study was conducted on 30 patients with Miller’s Class I and II GR. Patients were divided into 2 groups i.e 15 in each group. Group I (Coronally advanced flap with microsurgery ) was test group and group II (Coronally advanced flap with macrosurgical approach) was control. Plaque index (PI), gingival index (GI), pocket probing depth (PD), and clinical attachment level (CAL) width of keratinized gingival, recession width and recession depth was recorded in both groups at baseline 1and 3 months for the test and control group. Visual analog scale (VAS) was used to record pain postoperatively on 3rd and 7th day of the surgery. CAF and ...
Treatment of gingival recession with coronally advanced flap procedures: a systematic review
Journal of Clinical Periodontology, 2008
The treatment of buccal gingival recessions is a common requirement due to aesthetic concern or root sensitivity. The aim of this manuscript was to systematically review the literature on coronally advanced flap (CAF) alone or in combination with tissue grafts, barrier membranes (BM), enamel matrix derivative (EMD) or other material for treating gingival recession. Randomized clinical trials on treatment of Miller Class I and II gingival recessions with at least 6 months of follow-up were identified. Data sources included electronic databases and hand-searched journals. The primary outcome variable was complete root coverage (CRC). The secondary outcome variables were recession reduction, clinical attachment gain, keratinized tissue gain, aesthetic satisfaction, root sensitivity, post-operative patient pain and complications. A total of 794 Miller Class I and II gingival recessions in 530 patients from 25 RCTs were evaluated in this systematic review. CAF was associated with mean recession reduction and CRC. The addition of connective tissue graft (CTG) or EMD enhanced the clinical outcomes of CAF in terms of CRC, while BM did not. The results with respect to the adjunctive use of acellular dermal matrix were controversial. CTG or EMD in conjunction with CAF enhances the probability of obtaining CRC in Miller Class I and II single gingival recessions.
World Journal of Dentistry
Aim: The aim of this trial was to compare the semilunar coronally position flap (SCPF) and the conventional coronally advanced flap (CAF) regarding the applied modifications in treating gingival recession. Materials and methods: Sample consisted of 16 patients with bilateral class I gingival recessions, they were treated with SCPF or CAF. Two modifications were applied: a root surface biomodification with tetracycline (TTC) and suture anchors on the contact points of the tooth. Clinical parameters and a questionnaire were used as measures to evaluate the trial. Wilcoxon test was used for statistical analysis. Results: The mean percentage of root coverage (RC) and complete RC (CRC) was 82.3 ± 15.6% (31.3%, n = 5/16) and 79.8 ± 27.7% (43.8%, n = 7/16), respectively, using SCPF and CAF. Statistically significant differences were observed in the intergroup width of keratinized tissue (WKT), thickness of keratinized tissue (TKT), vestibular depth (VD), and position of the mucogingival junction (MGJ). A significant difference was observed in wound healing index (WHI) 1 week postoperative. Full root coverage esthetic score (RES) was achieved in four teeth using SCPF and in two teeth using CAF. No statistically significant differences were observed in the intergroup in the postoperative pain and root sensitivity during the follow-up. Conclusion: Both SCPF and CAF with the mentioned modifications were effective in managing shallow gingival recessions. However, SCPF's results showed a significant gain in WKT, TKT, and VD. Clinical significance: Our findings confirm that both procedures with the mentioned modifications can be used to treat gingival recession with effectively and satisfied results for periodontist and patient. Our results suggest it is preferable to use the SCPF in case of a shallow oral vestibulum and high demanded for esthetic.
The International journal of periodontics & restorative dentistry
This article aims to describe a modification of the semilunar coronally advanced flap. A total of 12 systemically and periodontally healthy patients presenting Miller Class I gingival recession were treated with the modified semilunar coronally advanced flap technique described in this article. After 1 year of follow-up, the mean root coverage was 85.4% ± 24.7%. Significant gingival recession reduction, clinical attachment gain, and reduction in dentin sensitivity was observed 1 year after surgery. This novel semilunar coronally advanced flap technique was demonstrated to be effective for root coverage in Miller Class I gingival recessions.