Root esthetic score (RES) comparisons of FGG and PE-FGG procedures in Miller class II and III recessions in mandibular anterior teeth
Abstract
Objective: Free gingival graft (FGG) is frequently chosen for the treatment of recessions in mandible. Mandibular anterior teeth are the most affected teeth and major causes of the recession are lack of keratinized tissue, high frena attachments and shallow vestibular depth. However, free grafts frequently result in a poor aesthetic appearance due to unsatisfactory chromatic, texture, tissue integration and apical disalignment of alveolar mucosa. Therefore, partly epithelialized free gingival graft (PE-FGG), with an apical de-epithelialized portion designed to overcome some of the aesthetic problems associated with the conventional FGG. The aim of this study was to compare the RES score of the PE-FGG and conventional FGG in Miller class II and III recessions.
Material and Methods: 32 patients with 32 Miller class II and III recessions in mandibular anterior teeth were chosen. Sixteen mandibular central teeth were chosen for FGG procedure and sixteen mandibular central teeth were chosen for PE-FGG procedure. All patients were periodontally healthy women.
Results: All patients completed the study and attended all recall visits. The mean RES score of the FGG and PE-FGG groups were 5,25±0,85 6,56±0,72 respectively. PE-FGG gave a better RES score and gingival color (p<0.05) than FGG but full root coverage was not achieved.
Conclusion: The PE-FGG procedure resulted in excellent gingival color and better mucogingival alignmenet and RES score than FGG and can be used instead.
Keywords
References
- Batenhorst KF, Bowers GM, Williams JE, Jr. Tissue changes resulting from facial tipping and extrusion of incisors in monkeys. Journal of periodontology 1974;45:660-668.
- Coatoam GW, Behrents RG, Bissada NF. The width of keratinized gingiva during orthodontic treatment: its significance and impact on periodontal status. Journal of periodontology 1981;52:307-313.
- Ericsson I, Lindhe J. Recession in sites with inadequate width of the keratinized gingiva. An experimental study in the dog. Journal of clinical periodontology 1984;11:95-103.
- Foushee DG, Moriarty JD, Simpson DM. Effects of mandibular orthognathic treatment on mucogingival tissues. Journal of periodontology 1985;56:727-733.
- Stetler KJ, Bissada NF. Significance of the width of keratinized gingiva on the periodontal status of teeth with submarginal restorations. Journal of periodontology 1987;58:696-700.
- Björn H. Free transplantation of gingiva propria. Sven Tandlaek Tidskr 1963;22:684-689.
- de Trey E, Bernimoulin JP. Influence of free gingival grafts on the health of the marginal gingiva. Journal of clinical periodontology 1980;7:381-393.
- Dorfman HS, Kennedy JE, Bird WC. Longitudinal evaluation of free autogenous gingival grafts. Journal of clinical periodontology 1980;7:316-324.
- Dorfman HS, Kennedy JE, Bird WC. Longitudinal evaluation of free autogenous gingival grafts. A four year report. Journal of periodontology 1982;53:349-352.
- Edel A. Clinical evaluation of free connective tissue grafts used to increase the width of keratinised gingiva. Journal of clinical periodontology 1974;1:185-196.
- Aroca S, Molnar B, Windisch P, et al. Treatment of multiple adjacent Miller class I and II gingival recessions with a Modified Coronally Advanced Tunnel (MCAT) technique and a collagen matrix or palatal connective tissue graft: a randomized, controlled clinical trial. Journal of clinical periodontology 2013;40:713-720.
- Cairo F, Pagliaro U, Nieri M. Treatment of gingival recession with coronally advanced flap procedures: a systematic review. Journal of clinical periodontology 2008;35:136-162.
- Wennstrom JL, Zucchelli, G. & Pini Prato, G. Mucogingival therapy – Periodontal plastic surgery. In: Lindhe J, Lang, N. P. & Karring, T, ed. Clinical periodontology and implant dentistry. vol. 5th edition,: Oxford: Blackwell Munksgaard., 2008:955–1028.
- Prato GP, Clauser C, Cortellini P. Periodontal plastic and mucogingival surgery. Periodontology 2000 1995;9:90-105.
- Kennedy JE, Bird WC, Palcanis KG, Dorfman HS. A longitudinal evaluation of varying widths of attached gingiva. Journal of clinical periodontology 1985;12:667-675.
- Cortellini P, Tonetti M, Prato GP. The partly epithelialized free gingival graft (pe-fgg) at lower incisors. A pilot study with implications for alignment of the mucogingival junction. Journal of clinical periodontology 2012;39:674-680.
- Cairo F, Rotundo R, Miller PD, Pini Prato GP. Root coverage esthetic score: a system to evaluate the esthetic outcome of the treatment of gingival recession through evaluation of clinical cases. Journal of periodontology 2009;80:705-710.
- Cairo F, Nieri M, Cattabriga M, et al. Root coverage esthetic score after treatment of gingival recession: an interrater agreement multicenter study. Journal of periodontology 2010;81:1752-1758.
Abstract
References
- Batenhorst KF, Bowers GM, Williams JE, Jr. Tissue changes resulting from facial tipping and extrusion of incisors in monkeys. Journal of periodontology 1974;45:660-668.
- Coatoam GW, Behrents RG, Bissada NF. The width of keratinized gingiva during orthodontic treatment: its significance and impact on periodontal status. Journal of periodontology 1981;52:307-313.
- Ericsson I, Lindhe J. Recession in sites with inadequate width of the keratinized gingiva. An experimental study in the dog. Journal of clinical periodontology 1984;11:95-103.
- Foushee DG, Moriarty JD, Simpson DM. Effects of mandibular orthognathic treatment on mucogingival tissues. Journal of periodontology 1985;56:727-733.
- Stetler KJ, Bissada NF. Significance of the width of keratinized gingiva on the periodontal status of teeth with submarginal restorations. Journal of periodontology 1987;58:696-700.
- Björn H. Free transplantation of gingiva propria. Sven Tandlaek Tidskr 1963;22:684-689.
- de Trey E, Bernimoulin JP. Influence of free gingival grafts on the health of the marginal gingiva. Journal of clinical periodontology 1980;7:381-393.
- Dorfman HS, Kennedy JE, Bird WC. Longitudinal evaluation of free autogenous gingival grafts. Journal of clinical periodontology 1980;7:316-324.
- Dorfman HS, Kennedy JE, Bird WC. Longitudinal evaluation of free autogenous gingival grafts. A four year report. Journal of periodontology 1982;53:349-352.
- Edel A. Clinical evaluation of free connective tissue grafts used to increase the width of keratinised gingiva. Journal of clinical periodontology 1974;1:185-196.
- Aroca S, Molnar B, Windisch P, et al. Treatment of multiple adjacent Miller class I and II gingival recessions with a Modified Coronally Advanced Tunnel (MCAT) technique and a collagen matrix or palatal connective tissue graft: a randomized, controlled clinical trial. Journal of clinical periodontology 2013;40:713-720.
- Cairo F, Pagliaro U, Nieri M. Treatment of gingival recession with coronally advanced flap procedures: a systematic review. Journal of clinical periodontology 2008;35:136-162.
- Wennstrom JL, Zucchelli, G. & Pini Prato, G. Mucogingival therapy – Periodontal plastic surgery. In: Lindhe J, Lang, N. P. & Karring, T, ed. Clinical periodontology and implant dentistry. vol. 5th edition,: Oxford: Blackwell Munksgaard., 2008:955–1028.
- Prato GP, Clauser C, Cortellini P. Periodontal plastic and mucogingival surgery. Periodontology 2000 1995;9:90-105.
- Kennedy JE, Bird WC, Palcanis KG, Dorfman HS. A longitudinal evaluation of varying widths of attached gingiva. Journal of clinical periodontology 1985;12:667-675.
- Cortellini P, Tonetti M, Prato GP. The partly epithelialized free gingival graft (pe-fgg) at lower incisors. A pilot study with implications for alignment of the mucogingival junction. Journal of clinical periodontology 2012;39:674-680.
- Cairo F, Rotundo R, Miller PD, Pini Prato GP. Root coverage esthetic score: a system to evaluate the esthetic outcome of the treatment of gingival recession through evaluation of clinical cases. Journal of periodontology 2009;80:705-710.
- Cairo F, Nieri M, Cattabriga M, et al. Root coverage esthetic score after treatment of gingival recession: an interrater agreement multicenter study. Journal of periodontology 2010;81:1752-1758.
Details
| Primary Language | English |
|---|---|
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | January 13, 2015 |
| Submission Date | January 13, 2015 |
| Published in Issue | Year 2015Volume: 18 Issue: 2 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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