Impact of Tooth Location on the Treatment of Multiple Gingival Recessions with Connective Tissue Graft Associated with a Coronally Advanced Flap

Nezahat Arzu Kayar; Zeliha Aytekin

doi:10.7126/cumudj.884369

EN

Impact of Tooth Location on the Treatment of Multiple Gingival Recessions with Connective Tissue Graft Associated with a Coronally Advanced Flap

Abstract

Objectives: Coronally Advance Flap (CAF) effectiveness has been extensively evaluated, but little information is available regarding the effect of tooth position. This study aimed to evaluate the influence of tooth location on the outcomes of CAF with subepithelial connective tissue graft (SCTG) in the treatment of gingival recessions defects (GRs). Materials and Methods: Nineteen patients who patients with a mean age of 36.3 ±7.6 years (11women, 8 men), each contributing Miller Class I and II GRs, were selected. Forty-four defects were treated with a combination of a CAF and a SCTG. Gingival recession depth (RD), gingival recession width (RW), probing depth (PD), and clinical attachment level (CAL) were recorded at baseline and 12 months postoperatively Results: The mean root coverage from baseline to 1year post-surgery was 89 % for the maxillary GRs and 68 % for the mandibular GRs. RD and RW were decrease in both groups from baseline to 12 months (p<0.001), but there was no statistically significant difference between maxillary and mandibular dentition. Both treatments showed satisfactory esthetic results (RES in maxillary teeth 8.2 ±1.3 and in mandibular teeth 7.6 ± 1.1). Conclusions: The findings of the current study have shown that the CAF is an effective procedure for the treatment of multible GRs. Besides, the two groups (maxillary and mandibular GRs) showed similar significant improvements from baseline to 12 months evaluations. Keywords: Connective tissue, gingival recession, surgical flaps, tooth.

Keywords

Supporting Institution

yok

References

Referans1 Wennström JL. Mucogingival therapy. Ann Periodontol 1996;1:671-701.
Referans2 Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol 1999;4:1-6.
Referans3 Serino G, Wennström JL, Lindhe J, Eneroth L. The prevalence and distribution of gingival recession in subjects with a high standard of oral hygiene. J Clin Periodontol 1994;21:57-63.
Referans4 Chambrone L, Sukekava F, Araújo MG, Pustiglioni FE, Chambrone LA, Lima LA. Root‐coverage procedures for the treatment of localized recession‐type defects: A Cochrane systematic review. J Periodontol 2010;81:452-478.
Referans5 Zucchelli G, Mounssif I. Periodontal plastic surgery. Periodontol 2000 2015;68:333-368.
Referans6 Rajapakse PS, McCracken GI, Gwynnett E, Steen ND, Guentsch A, Heasman PA. Does tooth brushing influence the development and progression of non-inflammatory gingival recession? A systematic review. J Clin Periodontol 2007;34:1046-1061.
Referans7 Joss-Vassalli I, Grebenstein C, Topouzelis N, Sculean A, Katsaros C. Orthodontic therapy and gingival recession: a systematic review. Orthod Craniofac Res. 2010;13:127-141.
Referans8 Gillette WB, Van House RL. Ill effects of improper oral hygeine procedure. J Am Dent Assoc 1980;101:476-480.

Referans9 Chambrone L, Sukekava F, Araújo MG, Pustiglioni FE, Chambrone LA, Lima LA. Root-coverage procedures for the treatment of localized recession-type defects: a Cochrane systematic review. J Periodontol 2010;81:452-478.
Referans10 Chambrone L, Tatakis DN. Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. J Periodontol 2015;86:8-51
Referans11 Clauser C, Nieri M, Franceschi D, Pagliaro U, Pini-Prato G. Evidence-based mucogingival therapy. Part 2: Ordinary and individual patient data meta-analyses of surgical treatment of recession using complete root coverage as the outcome variable. J Periodontol 2003;74:741-756
Referans12 Eren G, Atilla G. Platelet-rich fibrin in the treatment of localized gingival recessions: a split-mouth randomized clinical trial. Clin Oral Invest 2014;18:1941-1948.
Referans13 Tonetti MS, Cortellini P, Pellegrini G, Nieri M. Xenogenic collagen matrix or autologous connective tissue graft as adjunct to coronally advanced flaps for coverage of multiple adjacent gingival recession: Randomized trial assessing non-inferiority in root coverage and superiority in oral health-related quality of life. 2018;45:78-88.
Referans14 McGuire MK, Scheyer ET, Nunn M. Evaluation of human recession defects treated with coronally advanced flaps and either enamel matrix derivative or connective tissue: comparison of clinical parameters at 10 years. J Periodontol 2012;83:1353-1362.
Referans15 Roccuzzo M, Bunino M, Needleman I, Sanz M. Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review. J Clin Periodontol 2002;29:178-194; discussion 195-176.
Referans16 Chambrone L, Chambrone D, Pustiglioni FE, Chambrone LA, Lima LA. 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;36:659-671.
Referans17 Tatakis DN, Chambrone L, Allen EP, Langer B, McGuire MK, Richardson CR et al. Periodontal soft tissue root coverage procedures: a consensus report from the AAP Regeneration Workshop. J Periodontol 2015;86:52-55.
Referans18 Chambrone L. Clinical insights about the evolution of root coverage procedures: The flap, the graft, and the surgery. J Periodontol 2019;90:9-15.
Referans19 Cairo F, Nieri M, Pagliaro U. Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review. J Clin Periodontol 2014;41:44-62.
Referans20 Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 1985;56:715-720.
Referans21 Sculean A, Cosgarea R, Stahli A, Katsaros C, Arweiler NB, Miron RJ et al. Treatment of multiple adjacent maxillary Miller Class I, II, and III gingival recessions with the modified coronally advanced tunnel, enamel matrix derivative, and subepithelial connective tissue graft: a report of 12 cases. Quintessence Int 2016;47:653-659.
Referans22 Graziani F, Gennai S, Roldán S, Discepoli N, Buti J, Madianos P et al Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions. J Clin Periodontol 2014;41:63-76.
Referans23 Hofmänner P, Alessandri R, Laugisch O, Aroca S, Salvi GE, Stavropoulos A, Sculean A. Predictability of surgical techniques used for coverage of multiple adjacent gingival recessions—A systematic review. Quintessence Int 2012:545-554.
Referans24 Pini Prato GP, Franceschi D, Cortellini P, Chambrone L. Long-term evaluation (20 years) of the outcomes of subepithelial connective tissue graft plus coronally advanced flap in the treatment of maxillary single recession-type defects. J Periodontol 2018;89:1290-1299.
Referans25 Nart J, Valles C. Subepithelial Connective Tissue Graft in Combination with a Tunnel Technique for the Treatment of Miller Class II and III Gingival Recessions in Mandibular Incisors: Clinical and Esthetic Results. Int J Periodontics Restorative Dent 2016;36:591-598.
Referans26 Pini Prato GP, Magnani C, Chambrone L. Long-term evaluation (20 years) of the outcomes of coronally advanced flap in the treatment of single recession-type defects. J Periodontol 2018;89:265-274.
Referans27 Silness J, Loe H. Periodontal disease in pregnancy. ii. correlation between oral hygiene and periodontal condtion. Acta Odontol Scand. 1964;22:121-135.
Referans28 Loe H, Silness J. Periodontal disease in pregnancy. i. prevalence and severity. Acta Odontol Scand 1963;21:533-551.
Referans29 Zucchelli G, Mele M, Mazzotti C, Marzadori M, Montebugnoli L, De Sanctis M. Coronally advanced flap with and without vertical releasing incisions for the treatment of multiple gingival recessions: a comparative controlled randomized clinical trial. J Periodontol 2009;80:1083-1094.
Referans30 Bittencourt S, Del Peloso Ribeiro E, Sallum EA, Nociti FH, Jr., Casati MZ. Surgical microscope may enhance root coverage with subepithelial connective tissue graft: a randomized-controlled clinical trial. J Periodontol 2012;83:721-730.
Referans31 Zucchelli G, De Sanctis M. Treatment of multiple recession-type defects in patients with esthetic demands. J Periodontol 2000;71:1506-1514.
Referans32 da Silva RC, Joly JC, de Lima AF, Tatakis DN. Root coverage using the coronally positioned flap with or without a subepithelial connective tissue graft. J Periodontol 2004;75:413-419.
Referans33 Jepsen K, Jepsen S, Zucchelli G, Stefanini M, de Sanctis M, Baldini N et al. Treatment of gingival recession defects with a coronally advanced flap and a xenogeneic collagen matrix: a multicenter randomized clinical trial. J Periodontol 2013;40:82-89.
Referans34 de Sanctis M, Baldini N, Goracci C, Zucchelli G. Coronally advanced flap associated with a connective tissue graft for the treatment of multiple recession defects in mandibular posterior teeth. The International journal of periodontics & restorative dentistry 2011;31:623-630.
Referans35 Goldstein M, Boyan BD, Cochran DL, Schwartz Z. Human histology of new attachment after root coverage using subepithelial connective tissue graft. J Clin Periodontol 2001;28:657-662.
Referans36 Mörmann W, Meier C, Firestone A. Gingival blood circulation after experimental wounds in man. J Clin Periodontol 1979;6:417-424.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Nezahat Arzu Kayar ^*
0000-0002-2325-2900
Türkiye

Zeliha Aytekin
0000-0002-6743-1994
Türkiye

Publication Date

May 31, 2021

Submission Date

February 21, 2021

Acceptance Date

April 1, 2021

Published in Issue

Year 2021 Volume: 24 Number: 2

DOI

https://doi.org/10.7126/cumudj.884369

IZ

https://izlik.org/JA23BC89UB

Cite

RIS / Bibtex

APA

Kayar, N. A., & Aytekin, Z. (2021). Impact of Tooth Location on the Treatment of Multiple Gingival Recessions with Connective Tissue Graft Associated with a Coronally Advanced Flap. Cumhuriyet Dental Journal, 24(2), 137-144. https://doi.org/10.7126/cumudj.884369

AMA

1.Kayar NA, Aytekin Z. Impact of Tooth Location on the Treatment of Multiple Gingival Recessions with Connective Tissue Graft Associated with a Coronally Advanced Flap. Cumhuriyet Dent J. 2021;24(2):137-144. doi:10.7126/cumudj.884369

Chicago

Kayar, Nezahat Arzu, and Zeliha Aytekin. 2021. “Impact of Tooth Location on the Treatment of Multiple Gingival Recessions With Connective Tissue Graft Associated With a Coronally Advanced Flap”. Cumhuriyet Dental Journal 24 (2): 137-44. https://doi.org/10.7126/cumudj.884369.

EndNote

Kayar NA, Aytekin Z (May 1, 2021) Impact of Tooth Location on the Treatment of Multiple Gingival Recessions with Connective Tissue Graft Associated with a Coronally Advanced Flap. Cumhuriyet Dental Journal 24 2 137–144.

IEEE

[1]N. A. Kayar and Z. Aytekin, “Impact of Tooth Location on the Treatment of Multiple Gingival Recessions with Connective Tissue Graft Associated with a Coronally Advanced Flap”, Cumhuriyet Dent J, vol. 24, no. 2, pp. 137–144, May 2021, doi: 10.7126/cumudj.884369.

ISNAD

Kayar, Nezahat Arzu - Aytekin, Zeliha. “Impact of Tooth Location on the Treatment of Multiple Gingival Recessions With Connective Tissue Graft Associated With a Coronally Advanced Flap”. Cumhuriyet Dental Journal 24/2 (May 1, 2021): 137-144. https://doi.org/10.7126/cumudj.884369.

JAMA

1.Kayar NA, Aytekin Z. Impact of Tooth Location on the Treatment of Multiple Gingival Recessions with Connective Tissue Graft Associated with a Coronally Advanced Flap. Cumhuriyet Dent J. 2021;24:137–144.

MLA

Kayar, Nezahat Arzu, and Zeliha Aytekin. “Impact of Tooth Location on the Treatment of Multiple Gingival Recessions With Connective Tissue Graft Associated With a Coronally Advanced Flap”. Cumhuriyet Dental Journal, vol. 24, no. 2, May 2021, pp. 137-44, doi:10.7126/cumudj.884369.

Vancouver

1.Nezahat Arzu Kayar, Zeliha Aytekin. Impact of Tooth Location on the Treatment of Multiple Gingival Recessions with Connective Tissue Graft Associated with a Coronally Advanced Flap. Cumhuriyet Dent J. 2021 May 1;24(2):137-44. doi:10.7126/cumudj.884369

Cited By

Evaluation of PRF Membrane with Coronally Advanced Flap with and without Vertical Releasing Incisions for the Treatment of Gingival Recessions

The Journal of Contemporary Dental Practice

https://doi.org/10.5005/jp-journals-10024-3468