Root coverage with a modified laterally positioned flap combined with a subepithelial connective tissue graft in advanced recession
Lee Chun-Teh, Chang Po-Chun, Touchan Nawar, Royzman Daniel,
소속 상세정보
( Lee Chun-Teh ) - Harvard School of Dental Medicine Department of Oral Medicine Division of Periodontology
( Chang Po-Chun ) - National Taiwan University School of Dentistry
( Touchan Nawar ) - Private practice
( Royzman Daniel ) - Columbia University College of Dental Medicine Division of Periodontics
KMID : 0363020140440060300
Abstract
Purpose: A laterally positioned flap (LPF) combined with a subepithelial connective tissue graft (SCTG) is one of the conventional approaches for resolving gingival recession defects, with the advantages of flap flexibility and extended coverage of the tissue graft. However, thus far, evidence is lacking for the use of this technique for the treatment of advanced gingival recession defects. This report discusses three Miller class III cases with interproximal bone loss and wide and deep defects treated with a combination procedure of a modified laterally positioned flap (mLPF) and SCTG.
Methods: mLPF combined with SCTG was performed for each case. The defect size and the degree of hypersensitivity at baseline and the final appointment in each case were documented.
Results: The three cases had a mean initial defect of 7.7±1.5 mm and a mean residual defect of 1.7±1 mm at the 6-, 3-, and 36-month follow-up, respectively, after the root coverage surgery. The symptom of hypersensitivity was improved, and the patients were satisfied with the clinical outcomes.
Conclusions: The results demonstrated that the combination of mLPF with SCTG is promising for treating these advanced cases with respect to obtaining the expected root coverage with the gingival tissue.
키워드
Case reports ; Gingival recession ; Periodontics
원문 및 링크아웃 정보
등재저널 정보