[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 8, Issue 1 (1-2019) ::
wjps 2019, 8(1): 12-17 Back to browse issues page
Free Gingival Graft as a Single Step Procedure for Treatment of Mandibular Miller Class I and II Recession Defects
Lata Goyal , Narender Dev Gupta, Namita Gupta , Kirti Chawla
AIIMS RISHIKESH
Abstract:   (1001 Views)

BACKGROUND
Gingival recession is a frequent issue encountered by both the clinician and the patient. This study was aimed to assess the predictability of the free gingival graft as a single step procedure in terms of root coverage and aesthetics in Miller Class I and II mandibular gingival recession. 
METHODS
Ten patients (4 males, 6 females) aged 25-30 years with a total of 12 mandibular sites having Miller class I and II recession were selected. All recession sites were treated with single step free gingival graft procedure. Clinical parameters like recession depth, recession width, width of attached gingiva, probing depth and clinical attachment level were recorded at baseline, 6 and 9 months. Visual analog score at 1, 6 and 9 months postoperatively was provided. 
RESULTS
There was a reduction in mean recession depth from 3.66±1.20 to 0.91±0.99 mm suggesting coverage of 82% over a period of 9 months. There was statistically significant gain in clinical attachment level and width of attached gingiva. Aesthetically, it was acceptable by patients as measured by visual analog scores. 
CONCLUSION
Free gingival graft as a single step procedure is acceptable in terms of root coverage and aesthetics.

Keywords: Perioplastic surgery, Aethetics, Gingival recession
Full-Text [PDF 1093 kb]   (1863 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2017/06/30 | Accepted: 2019/03/13 | Published: 2019/03/13
References
1. Glossary of Periodontal terms. 4th ed. Vol 44. Chicago: The American Academy of Periodontology 2001; p. 32.
2. Wennström J. Mucogingival therapy. Ann Periodontol 1996;1:671. doi: 10.1902/annals.1996.1.1.671 . [DOI:10.1902/annals.1996.1.1.671]
3. Dorfman HS, Kennedy JE, Bird WC. Longitudinal evaluation of free autogenous gingival grafts. J Clin Periodontol 1980;7:316-24. doi: 10.1111/j.1600-051x.1980.tb01974.x . [DOI:10.1111/j.1600-051X.1980.tb01974.x]
4. Miller PD, Jr. Root coverage using the free soft tissue autograft following citric acid application. III. A successful and predictable procedure in areas of deep-wide recession. Int J Periodontics Restorative Dent 1985;5:14-37.
5. Bouchard P, Malet J, Borghetti A. Decision-making in aesthetics: root coverage revisited. Periodontol 2000 2001;27:97-120. doi: 10.1034/j.1600-0757.2001.027001097.x. [DOI:10.1034/j.1600-0757.2001.027001097.x]
6. Gray JL. Commentary –when not to perform root coverage procedures. J Periodontol 2000;71:1048-50. doi: 10.1902/jop.2000.71.6.1048. [DOI:10.1902/jop.2000.71.6.1048]
7. Grupe J, Warren R. Repair of a gingival defect by a sliding flap operation. J Periodontol 1956;27:290-95. doi: 10.1902/jop.1956.27.2.92. [DOI:10.1902/jop.1956.27.2.92]
8. Bernimoulin JP, Luscher B, Muhlemann HR. Coronally repositioned periodontal flap. Clinical evaluation after one year. J Clin Periodontol 1975;2:1-13. doi: 10.1111/j.1600-051x.1975.tb01721.x . [DOI:10.1111/j.1600-051X.1975.tb01721.x]
9. Pini Prato G, Tinti C, Vincenzi G, Magnani C, Cortellini P, Clauser C. Guided tissue regeneration versus mucogingival surgery in the treatment of human buccal gingival recession. J Periodontol 1992;63:919-28. doi: 10.1902/jop.1992.63.11.919. [DOI:10.1902/jop.1992.63.11.919]
10. Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 1985;56:715-20. doi: 10.1902/jop.1985.56.12.715. [DOI:10.1902/jop.1985.56.12.715]
11. Hangorsky U, Bissada NF. Clinical assessment of free gingival graft effectiveness on the maintenance of periodontal health. J Periodontol 1980;51:274-8. doi: 10.1902/jop.1980.51.5.274. [DOI:10.1902/jop.1980.51.5.274]
12. Camargo PM, Melnick PR, Kenney EB. The use of free gingival graft for aesthetic purposes. J Periodontol 2001;27:72-96. doi: 10.1034/j.1600-0757.2001.027001072.x . [DOI:10.1034/j.1600-0757.2001.027001072.x]
13. Berlucchi I, Francetti L, Del Fabbro M, Basso M, Weinstein RL. The influence of anatomical features on the outcome of gingival recessions treated with coronally advanced flap and enamel matrix derivative: a 1-year prospective study. J Periodontol 2005;76:899-907. doi: 10.1902/jop.2005.76.6.899. [DOI:10.1902/jop.2005.76.6.899]
14. Remya V, Kishore Kumar K, Sudharsan S, Arun KV. Free gingival graft in the treatment of class III gingival recession. Indian J Dent Res 2008;19:247-52.doi: 10.4103/0970-9290.42959. [DOI:10.4103/0970-9290.42959]
15. Holbrook T, Ochsenbein C. Complete coverage of the denuded root surface with a one-stage gingival graft. Int J Periodontics Restorative Dent 1983;3:8-27.
16. Lang NP, Loe H. The relationship between the width of keratinized gingiva and gingival health. J Periodontol 1972;43:623-7. doi: 10.1902/jop.1972.43.10.623. [DOI:10.1902/jop.1972.43.10.623]
17. Bernimoulin JP, Luscher B, Muhlemann HR. Coronally repositioned periodontal flap. Clinical evaluation after one year. J Clin Periodontol 1975;2:1-13. doi: 10.1111/j.1600-051x.1975.tb01721.x. [DOI:10.1111/j.1600-051X.1975.tb01721.x]
18. Wennström JL, Pini Prato GP. Mucogingival therapy. In: Lindhe J, Karring T, Lang NP, ed. Clinical periodontology and implant dentistry. 3rd ed. Copenhagen: Munksgaard, 1997; pp. 550–96.
19. Roccuzzo M, Bunino M, Needleman I, Sanz M. Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review. J Clin Periodontol 2002;29:178-94; discussion 95-6. doi: 10.1034/j.1600-051x.29.s3.11.x. [DOI:10.1034/j.1600-051X.29.s3.11.x]
20. Miller Jr. P. Root Coverage with Free Gingival graft. Factor associated with incomplete root coverage. J Periodontal 1987;58:674-81. doi: 10.1902/jop.1987.58.10.674. [DOI:10.1902/jop.1987.58.10.674]
21. Borghetti A, Gardella JP. Thick gingival autograft for the coverage of gingival recession: a clinical evaluation. Int J Periodontics Restorative Dent 1990;10:216-29.
22. Oates TW, Robinson M, Gunsolley JC. Surgical therapies for the treatment of gingival recession. A systematic review. Ann Periodontol 2003;8:303-20. doi: 10.1902/annals.2003.8.1.303. [DOI:10.1902/annals.2003.8.1.303]
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA



XML     Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Goyal L, Gupta N D, Gupta N, Chawla K. Free Gingival Graft as a Single Step Procedure for Treatment of Mandibular Miller Class I and II Recession Defects . wjps. 2019; 8 (1) :12-17
URL: http://wjps.ir/article-1-349-en.html


Volume 8, Issue 1 (1-2019) Back to browse issues page
مجله جهانی جراحی پلاستیک World Journal of Plastic Surgery
Persian site map - English site map - Created in 0.05 seconds with 32 queries by YEKTAWEB 4009