Two-Stage Surgical Procedure with Free Gingival Graft and Coronally Advanced Flap in Treatment of Recession Type 1: A Case Series

Basem Alshujaa; Dicle Altındal; Ahmet Cemil Talmaç; Mohammad Alnasrallah

Case Report

Year 2022, Volume: 3 Issue: 2, 49 - 55, 31.12.2022

Basem Alshujaa Dicle Altındal Ahmet Cemil Talmaç Mohammad Alnasrallah

Abstract

References

1. 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(5):741–56.
2. Bouchard P, Malet J, Borghetti A. Decisionmaking in aesthetics: root coverage revisited. Periodontol 2000. 2001;27(1):97–120.
3. Rasperini G, Acunzo R, Limiroli E. Decision Making in Gingival Recession Treatment: Scientific Evidence and Clinical Experience. Clin Adv periodontics. 2011;1(1):41–52.
4. Bjorn H. Free transplantation of gingiva propria. Sven Tandlak Tidskr. 1963;22:684– 689.
5. Cohen ES. Atlas Cosmetic & Reconstructive Periodontal Surgery. Periodontology Dentistry Branches. Philadelphia: Williams and Wilkins, 1994:65‑135.
6. Imber JC, Kasaj A. Treatment of Gingival Recession: When and How? Int Dent J. 2021;71(3):178–87.
7. Zucchelli G, Mounssif I. Periodontal plastic surgery. Periodontol 2000. 2015;68(1):333–68.
8. Cairo F, Cortellini P, Nieri M, Pilloni A, Barbato L, Pagavino G, et al. Coronally advanced flap and composite restoration of the enamel with or without connective tissue graft for the treatment of single maxillary gingival recession with non-carious cervical lesion. A randomized controlled clinical trial. J Clin Periodontol. 2020 M;47(3):362–71.
9. Cairo F, Nieri M, Cincinelli S, Mervelt J, Pagliaro U. The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study. J Clin Periodontol. 2011;38(7):661–6.
10. Miller PD. A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985;5(2):8-13.
11. Pini-Prato G. The Miller classification of gingival recession: limits and drawbacks. J Clin Periodontol. 2011;38(3):243–5.
12. Nordland WP, Tarnow DP. A classification system for loss of papillary height. J Periodontol. 1998;69(10):1124–6.
13. Bernimoulin J ‐P, Lüscher B, Mühlemann HR. Coronally repositioned periodontal flap. Clinical evaluation after one year. J Clin Periodontol. 1975;2(1):1–13.
14. Camargo PM, Melnick PR, Kenney EB. The use of free gingival grafts for aesthetic purposes. Periodontol 2000. 2001;27(1):72–96.
15. Popova C, Boyarova T. Two-Step Surgical Procedure for Root Coverage ( Free Gingival Graft and Coronally Positioned Flap ). Journal of IMAB. 2007;2:21–4.
16. Bertl K, Spineli LM, Mohandis K, Stavropoulos A. Root coverage stability: A systematic overview of controlled clinical trials with at least 5 years of follow-up. Clin Exp Dent Res. 2021;7(5):692–710.
17. Santamaria MP, Neves FL da S, Silveira CA, Mathias IF, Fernandes-Dias SB, Jardini MAN, et al. Connective tissue graft and tunnel or trapezoidal flap for the treatment of single maxillary gingival recessions: a randomized clinical trial. J Clin Periodontol. 2017;44(5):540–7.
18. Prato GP, 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(11):919–28.
19. Wang HL, Al-Shammari KF. Guided tissue regeneration-based root coverage utilizing collagen membranes: Technique and case reports. Quintessence Int. 2002;33(10):715-21.
20. Hıroshı N, Tadao O, Kunıharu S, Seıdaı M, Hıdekazu K, Kazumı S, et al. Clinical Evaluation for Collagen Membrane (BioMend) in Guided Tissue Regeneration. J Japanese Soc Periodontol. 1999;41(3):320–9.
21. Rath A, Varma S, Paul R. Two-Stage Mucogingival Surgery with Free Gingival Autograft and Biomend Membrane and Coronally Advanced Flap in Treatment of Class III Millers Recession. Case Rep Dent. 2016;2016.

Two-Stage Surgical Procedure with Free Gingival Graft and Coronally Advanced Flap in Treatment of Recession Type 1: A Case Series

Year 2022, Volume: 3 Issue: 2, 49 - 55, 31.12.2022

Basem Alshujaa Dicle Altındal Ahmet Cemil Talmaç Mohammad Alnasrallah

Abstract

Gingival recession is a
multifactorial problem happened due to
various reasons and could be defined as the
apical shift of the gingival margin. It can be
easily diagnosed when root exposure occurred
as a result of previous alveolar bone loss under
the gingiva. This condition may have
important esthetic, functional, and periodontal
health implications. Esthetic concerns and
dentin hypersensitivity caused by gingival
recession are the main reasons that encourage
the patient to seek periodontal treatment. The
primary goal of any surgical approach for
treating gingival recession defects will be
complete root coverage (CRC) resulting in pain
relief and prevention of further progression.
One of the common surgical procedures for
gingival recession treatment is periodontal
mucogingival plastic surgery using free
gingival graft and subepithelial connective
tissue graft. In this case series, three cases
presenting with “Cairo recession type 1”
isolated gingival recession were treated by free
gingival graft and coronally advanced flap
without subepithelial connective tissue graft
using two-stage surgical technique. The result
after follow-up of our cases showed a
significant increase in attached gingiva, longterm root coverage (RC) has been obtained and
the complaints of patients were resolved.

Keywords

Free gingival graft, gingival recession, root coverage

References

1. 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(5):741–56.
2. Bouchard P, Malet J, Borghetti A. Decisionmaking in aesthetics: root coverage revisited. Periodontol 2000. 2001;27(1):97–120.
3. Rasperini G, Acunzo R, Limiroli E. Decision Making in Gingival Recession Treatment: Scientific Evidence and Clinical Experience. Clin Adv periodontics. 2011;1(1):41–52.
4. Bjorn H. Free transplantation of gingiva propria. Sven Tandlak Tidskr. 1963;22:684– 689.
5. Cohen ES. Atlas Cosmetic & Reconstructive Periodontal Surgery. Periodontology Dentistry Branches. Philadelphia: Williams and Wilkins, 1994:65‑135.
6. Imber JC, Kasaj A. Treatment of Gingival Recession: When and How? Int Dent J. 2021;71(3):178–87.
7. Zucchelli G, Mounssif I. Periodontal plastic surgery. Periodontol 2000. 2015;68(1):333–68.
8. Cairo F, Cortellini P, Nieri M, Pilloni A, Barbato L, Pagavino G, et al. Coronally advanced flap and composite restoration of the enamel with or without connective tissue graft for the treatment of single maxillary gingival recession with non-carious cervical lesion. A randomized controlled clinical trial. J Clin Periodontol. 2020 M;47(3):362–71.
9. Cairo F, Nieri M, Cincinelli S, Mervelt J, Pagliaro U. The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study. J Clin Periodontol. 2011;38(7):661–6.
10. Miller PD. A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985;5(2):8-13.
11. Pini-Prato G. The Miller classification of gingival recession: limits and drawbacks. J Clin Periodontol. 2011;38(3):243–5.
12. Nordland WP, Tarnow DP. A classification system for loss of papillary height. J Periodontol. 1998;69(10):1124–6.
13. Bernimoulin J ‐P, Lüscher B, Mühlemann HR. Coronally repositioned periodontal flap. Clinical evaluation after one year. J Clin Periodontol. 1975;2(1):1–13.
14. Camargo PM, Melnick PR, Kenney EB. The use of free gingival grafts for aesthetic purposes. Periodontol 2000. 2001;27(1):72–96.
15. Popova C, Boyarova T. Two-Step Surgical Procedure for Root Coverage ( Free Gingival Graft and Coronally Positioned Flap ). Journal of IMAB. 2007;2:21–4.
16. Bertl K, Spineli LM, Mohandis K, Stavropoulos A. Root coverage stability: A systematic overview of controlled clinical trials with at least 5 years of follow-up. Clin Exp Dent Res. 2021;7(5):692–710.
17. Santamaria MP, Neves FL da S, Silveira CA, Mathias IF, Fernandes-Dias SB, Jardini MAN, et al. Connective tissue graft and tunnel or trapezoidal flap for the treatment of single maxillary gingival recessions: a randomized clinical trial. J Clin Periodontol. 2017;44(5):540–7.
18. Prato GP, 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(11):919–28.
19. Wang HL, Al-Shammari KF. Guided tissue regeneration-based root coverage utilizing collagen membranes: Technique and case reports. Quintessence Int. 2002;33(10):715-21.
20. Hıroshı N, Tadao O, Kunıharu S, Seıdaı M, Hıdekazu K, Kazumı S, et al. Clinical Evaluation for Collagen Membrane (BioMend) in Guided Tissue Regeneration. J Japanese Soc Periodontol. 1999;41(3):320–9.
21. Rath A, Varma S, Paul R. Two-Stage Mucogingival Surgery with Free Gingival Autograft and Biomend Membrane and Coronally Advanced Flap in Treatment of Class III Millers Recession. Case Rep Dent. 2016;2016.

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Details

Primary Language	English
Subjects	Periodontics
Journal Section	Case Report
Authors	Basem Alshujaa Dicle Altındal Ahmet Cemil Talmaç Mohammad Alnasrallah This is me
Publication Date	December 31, 2022
Published in Issue	Year 2022 Volume: 3 Issue: 2

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APA	Alshujaa, B., Altındal, D., Talmaç, A. C., Alnasrallah, M. (2022). Two-Stage Surgical Procedure with Free Gingival Graft and Coronally Advanced Flap in Treatment of Recession Type 1: A Case Series. Van Diş Hekimliği Dergisi, 3(2), 49-55.

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