Root coverage and pocket reduction as combined surgical procedures
| Autor: | J. Goultschin, Barbara D. Boyan, Zvi Schwartz, U. Attal, A. Hirsch, E. Chai |
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| Rok vydání: | 2002 |
| Předmět: |
Adult
Male Reconstructive surgery medicine.medical_specialty Gingival and periodontal pocket medicine.medical_treatment Statistics as Topic Gingiva Connective tissue Dentistry Esthetics Dental Tooth Cervix Epithelium Surgical Flaps Root Planing Periodontal Attachment Loss medicine Humans Periodontal Pocket Gingival Recession Tooth Root Gingival recession Reduction (orthopedic surgery) Analysis of Variance business.industry Middle Aged medicine.anatomical_structure Treatment Outcome Clinical attachment loss Connective Tissue Maxilla Periodontics Female medicine.symptom business Follow-Up Studies Forecasting |
| Zdroj: | Journal of periodontology. 72(11) |
| ISSN: | 0022-3492 |
| Popis: | One of the main objectives of periodontal reconstructive surgery is the coverage of exposed roots due to gingival recession. A large variety of mucogingival grafting procedures are available that give highly predictable and esthetically acceptable results when treating intact root surfaces. However, these procedures call for a second surgery site in the palate. The present study examines a series of cases in which connective tissue, obtained from the tuberosity during pocket reduction procedures in the posterior region of the maxilla, was used for root coverage.Forty-four teeth from 25 patients with gingival recession of 3.30 +/- 0.14 mm (mean +/- SEM) were treated with subepithelial connective tissue grafts using connective tissue obtained from the tuberosity area during pocket reduction procedures in the posterior region of the maxilla.The mean root coverage recession after treatment was 0.16 +/- 0.06 mm, with effectiveness of coverage at 95.0% +/- 1.84 and a predictability of 84.1%. Periodontal probing depth reduction at the donor site was 4.08 +/- 0.24 mm.These results indicate that the subepithelial connective tissue graft obtained from the tuberosity area during pocket reduction procedures in the posterior region of the maxilla provides a very predictable and esthetic root coverage without the need for a second surgical site. |
| Databáze: | OpenAIRE |
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