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coronally advanced flap

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https://www.readbyqxmd.com/read/28893718/alternatives-to-connective-tissue-graft-in-the-treatment-of-localized-gingival-recessions-a-systematic-review
#1
Khadija Amine, Yasser El Amrani, Siham Chemlali, Jamila Kissa
AIM: The aim of this Systematic Review (SR) was to assess the clinical efficacy of alternatives procedures; Acellular Dermal Matrix (ADM), Xenogeneic Collagen Matrix (XCM), Enamel Matrix Derivative (EMD) and Platelet Rich Fibrin (PRF), compared to conventional procedures in the treatment of localized gingival recessions. MATERIAL AND METHODS: Electronic searches were performed to identify randomized clinical trials (RCTs) on treatment of single gingival recession with at least 6 months of follow-up...
September 8, 2017: Journal of Stomatology, Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28839418/patient-centered-microsurgical-management-of-gingival-recession-using-coronally-advanced-flap-with-either-platelet-rich-fibrin-or-connective-tissue-graft-a-comparative-analysis
#2
Archana Kumar, Vivek Kumar Bains, Rajesh Jhingran, Ruchi Srivastava, Rohit Madan, Iram Rizvi
PURPOSE: To evaluate autologous platelet-rich fibrin (PRF) and autogenous connective tissue graft (CTG) in gingival recession defects in conjunction with coronally advanced flap (CAF) using a microsurgical technique. MATERIALS AND METHODS: Forty-five Class I and II recession defects were randomly equally (n = 15) divided into three groups: Group I sites treated with CAF with PRF, Group II sites treated with CAF with CTG, and Group III sites treated with CAF alone using microsurgical approach...
April 2017: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/28798422/long-term-stability-of-root-coverage-by-coronally-advanced-flap-procedures
#3
(no author information available yet)
Is it of any clinical relevance to use in combination with a coronally advanced flap a xenograft, when there is only an additional 0.3 mm root coverage?
August 11, 2017: British Dental Journal
https://www.readbyqxmd.com/read/28758301/periodontal-plastic-surgery-of-gingival-recessions-at-single-and-multiple-teeth
#4
REVIEW
Francesco Cairo
This manuscript aims to review periodontal plastic surgery for root coverage at single and multiple gingival recessions. Techniques are assessed based on biological principles, surgical procedures, prognosticative factors and expected clinical and esthetic outcomes. The use of coronally advanced flap, laterally sliding flap, free gingival graft, the tunnel grafting technique, barrier membranes, enamel matrix derivative, collagen matrix and acellular dermal matrix are evaluated. The clinical scenario and practical implications are analyzed according to a modern evidence-based approach...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28753100/xenogenous-collagen-matrix-and-or-enamel-matrix-derivative-for-treatment-of-localized-gingival-recessions-a-randomized-clinical-trial-part-i-clinical-outcomes
#5
João Paulo Sangiorgio, Felipe Lucas da Silva Neves, Manuela Rocha Dos Santos, Isabela Lima França-Grohmann, Renato Corrêa Viana Casarin, Márcio Zaffalon Casati, Mauro Pedrine Santamaria, Enilson Antonio Sallum
BACKGROUND: Considering xenogeneic collagen matrix (CM) and enamel matrix derivative (EMD) characteristics, it is suggested that their combination could promote superior clinical outcomes in root coverage procedures. Thus, the aim of this parallel, double-blinded, dual-centre, randomized clinical trial was to evaluate the clinical outcomes after treatment of localized gingival recession by coronally advanced flap (CAF) combined with CM and/or enamel matrix derivative (EMD). METHODS: Sixty-eight patients presenting one Miller Class I or II gingival recessions were randomly assigned to receive either CAF (n=17); CAF + CM (n=17); CAF+EMD (n=17) or CAF+CM+EMD (n=17)...
July 28, 2017: Journal of Periodontology
https://www.readbyqxmd.com/read/28753098/xenogenous-collagen-matrix-and-or-enamel-matrix-derivative-for-treatment-of-localized-gingival-recessions-a-randomized-clinical-trial-part-ii-patient-reported-outcomes
#6
Manuela Rocha Dos Santos, João Paulo Menck Sangiorgio, Felipe Lucas da Silva Neves, Isabela Lima França-Grohmann, Francisco Humberto Nociti, Karina Gonzales Silverio Ruiz, Mauro Pedrine Santamaria, Enilson Antonio Sallum
BACKGROUND: Gingival recession (GR) might be associated with patient discomfort due to cervical dentin hypersensitivity (CDH) and esthetics dissatisfaction. The aim is to evaluate the effect of root coverage procedure with xenogeneic collagen matrix (CM) and/or enamel matrix derivative (EMD) in combination with the coronally advanced flap (CAF) on CDH, esthetics and quality of life of patients with GR. METHODS: Sixty-eight participants with single Miller I/II GRs were treated with CAF (n = 17), CAF + CM (n = 17), CAF + EMD (n = 17) and CAF + CM + EMD (n = 17)...
July 28, 2017: Journal of Periodontology
https://www.readbyqxmd.com/read/28689528/five-year-follow-up-of-a-coronally-advanced-flap-over-grafted-bone-and-restorative-composite-in-maxillary-recession-defect
#7
Syeda Mahvash Hussain, Farhan Raza Khan
Periodontal plastic surgery has become a predictable method of managing gingival recession defects. In the current case report, a five-year follow-up of a coronally advanced flap surgery with bone graft along with endodontics and fixed prosthodontic rehabilitation is reported in the maxillary anterior sextant of a middle aged female. The present case demonstrates that deep and wide gingival defects can be treated with coronally positioned surgical flap without a connective tissue graft. Amultidisciplinary management approach was adopted in this case that yielded predictable outcome...
June 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/28667741/coronal-advanced-flap-in-combination-with-a-connective-tissue-graft-is-the-thickness-of-the-flap-a-predictor-for-root-coverage-a-prospective-clinical-study
#8
Teresa Garces-McIntyre, Josep Maria Carbonell, Lluís Vallcorba, Antonio Santos, Cristina Valles, José Nart
AIM: Evaluate if there is any relationship between the flap thickness (FT) and the presence of complete root coverage (CRC) when performing coronally advanced flaps in combination with a connective tissue graft (CTG). MATERIALS AND METHODS: Prospective clinical study, in which multiple Miller class I and II recessions were treated with a coronally advanced flap and a CTG standardized at 1 mm of thickness. Individual stents permitted repeated measurements of conventional periodontal parameters at the same point...
July 1, 2017: Journal of Clinical Periodontology
https://www.readbyqxmd.com/read/28658928/staged-approach-for-advanced-gingival-recession-free-gingival-autograft-followed-by-coronally-advanced-flap-with-prf-membrane
#9
Sowmiya Lingeshwaran, Ramakrishnan Theyagarajan, Ambalavanan Namasivayam
No abstract text is available yet for this article.
May 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28631541/semilunar-coronally-advanced-periodontal-flap-to-increase-soft-tissue-coverage-of-a-maxillary-fourth-premolar-in-a-dog
#10
Allen Skinner, Brook Niemiec
A 7-year-old, 31.3 kg spayed female Golden Retriever dog was presented for the treatment of Miller Class I gingival recession at the right maxillary fourth premolar (108). A semilunar coronally advanced periodontal flap was performed at this tooth and created an increase of approximately 3 mm of soft tissue coverage of the tooth. This method may have benefits over traditional periodontal advancement flaps in that there is no need for suturing, can be done more quickly, maintains lateral blood supply to the flap, and likely has decreased risk of surgical site dehiscence...
June 2017: Journal of Veterinary Dentistry
https://www.readbyqxmd.com/read/28609505/creation-of-a-zone-of-immobile-connective-tissue-with-acellular-dermal-matrix-allografts
#11
Ramzi V Abou-Arraj, Maninder Kaur, Philip J Vassilopoulos, Nicolaas C Geurs
Acellular dermal matrix allografts (ADMs) have been hypothesized to create a zone of immobile connective tissue (ICT) extending apical to the mucogingival junction (MGJ). This 12-month prospective randomized trial investigated the presence of ICT after the use of two commercially available ADMs with coronally advanced flaps in the treatment of Miller Class I and II recession defects. This study demonstrated that the use of either type of ADM resulted in predictable root coverage and a zone of ICT extending apical to the MGJ by 1...
July 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/28609501/coronally-advanced-flap-technique-to-treat-class-i-and-ii-gingival-recession-in-combination-with-connective-tissue-graft-or-equine-collagen-matrix-a-retrospective-study
#12
Giacomo Tarquini
This retrospective study aimed to compare the effectiveness of an equine collagen matrix (ECM) with that of a subepithelial connective tissue graft (CTG) in patients affected by Class I and II gingival recessions treated with a coronally advanced flap (CAF) technique. Records of 50 consecutive patients were analyzed. Recession depth, probing depth, keratinized tissue width, and percentage of root coverage had been recorded at baseline and at the 1-year follow-up. The number of patients that achieved complete root coverage was also assessed...
July 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/28462406/effectiveness-of-radio-waves-application-in-modern-general-dental-procedures-an-update
#13
Arslan Qureshi, Sergio Varela Kellesarian, Michael A Pikos, Fawad Javed, Georgios E Romanos
OBJECTIVE: The purpose of the present study was to review indexed literature and provide an update on the effectiveness of high-frequency radio waves (HRW) application in modern general dentistry procedures. DATA SOURCES: Indexed databases were searched to identify articles that assessed the efficacy of radio waves in dental procedures. RESULTS: Radiosurgery is a refined form of electrosurgery that uses waves of electrons at a radiofrequency ranging between 2 and 4 MHz...
April 28, 2017: Quintessence International
https://www.readbyqxmd.com/read/28402343/use-of-allograft-with-platelet-concentrate-in-the-treatment-of-multiple-miller-class-iii-gingival-recession-defects-report-of-three-cases
#14
Yumi Ogata, Minh Bui, Terrence J Griffin, Yong Hur
Three patients with multiple Miller Class III recession defects with substantial bone loss were treated with hard tissue augmentation with the goal to prevent future recessions. The surgery involved a full-thickness mucoperiosteal coronally advanced flap, bone grafting, and primary flap closure. Freeze-dried bone allograft (FDBA) in combination with plasma rich in growth factors (PRGF) was grafted during the procedure. After more than 6 months, the treated sites showed soft tissue maturation and esthetic tissue blending...
May 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/28396887/comparison-of-enamel-matrix-derivative-emdogain-and-subepithelial-connective-tissue-graft-for-root-coverage-in-patients-with-multiple-gingival-recession-defects-a-randomized-controlled-clinical-study
#15
Angeliki Alexiou, Ioannis Vouros, Georgios Menexes, Antonis Konstantinidis
OBJECTIVE: The purpose of the present study was to compare the clinical efficiency of enamel matrix derivative (EMD) placed under a coronally advanced flap (CAF; test group), to a connective tissue graft (CTG) placed under a CAF (control group), in patients with multiple recession defects. METHOD AND MATERIALS: Twelve patients with multiple Miller's Class I or II gingival recessions in contralateral quadrants of the maxilla were selected. The primary outcome variable was the change in depth of the buccal recession (REC), at 6 months (T6) after surgery...
2017: Quintessence International
https://www.readbyqxmd.com/read/28338039/coronally-advanced-flap-combined-with-connective-tissue-graft-treatment-of-choice-for-root-coverage-following-recession
#16
COMMENT
Ed Madeley, Brett Duane
Data sourcesMedline, The Cochrane Database Trials Register, Embase, supplemented by handsearching of five prominent periodontal journals, references from reviewed papers and contact with experts in the field of mucogingival surgery.Study selectionRandomised controlled trials (RCTs) with or without a split-mouth design, on human patients. RCTs had to compare at least two different surgical interventions on clearly specified recession defects, be over six months in duration and have clearly specified clinical measurements regarding root coverage...
March 2017: Evidence-based Dentistry
https://www.readbyqxmd.com/read/28331369/comparison-of-conventional-and-semilunar-coronally-positioned-flap-techniques-for-root-coverage-in-teeth-with-cervical-abrasion-restored-with-pink-resin
#17
Felipe Rychuv Santos, Carmen Lucia Mueller Storrer, Emanuelle Juliana Cunha, Lucienne M Ulbrich, Camilo Andress Villabona Lopez, Tatiana Miranda Deliberador
Gingival recession is the most common mucogingival defect, characterized by apical migration of the gingival margin from the cementoenamel junction and root exposure. Several surgical techniques are reported for the treatment of gingival recession. Here we present a comparison of the conventional (coronally advanced flap) and semilunar coronally positioned flap techniques for root coverage in teeth with cervical abrasion restored with pink resin that mimics the color of the gingiva. Although the conventional technique is more predictable, we found that both techniques were effective in achieving satisfactory and esthetic root coverage...
2017: Clinical, Cosmetic and Investigational Dentistry
https://www.readbyqxmd.com/read/28304210/long-term-stability-of-root-coverage-by-coronally-advanced-flap-procedures
#18
Karin Jepsen, Martina Stefanini, Mariano Sanz, Giovanni Zucchelli, Søren Jepsen
BACKGROUND: This study compared 6-month and 3-year outcomes for root coverage (RC) by coronally advanced flap (CAF) procedures in localized gingival recessions. METHODS: Two centers, that had participated in a 6-month multinational multicenter randomized clinical trial (RCT), followed up 18 patients with 36 Miller Class I and II defects that had been treated in a split-mouth design with CAF procedures or CAF + xenogeneic collagen matrix (CMX). Percentage of RC, complete root coverage (CRC), width, and thickness of keratinized tissue were assessed by the same masked examiners as after the 6-month RCT...
July 2017: Journal of Periodontology
https://www.readbyqxmd.com/read/28298827/sub-epithelial-connective-tissue-graft-for-root-coverage-in-nonsmokers-and-smokers-a-pilot-comparative-clinical-study
#19
Chini Doraswamy Dwarakanath, Bheemavarapu Divya, Gottumukkala Naga Venkata Satya Sruthima, Gautami Subadra Penmetsa
BACKGROUND: Gingival recession is a common condition and is more prevalent in smokers. It is widely believed that root coverage procedures in smokers result in less desirable outcome compared to nonsmokers', and there are few controlled studies in literature to support this finding. Therefore, the purpose of this study was to evaluate and compare the outcome of root coverage with sub-epithelial connective tissue graft (SCTG) in nonsmokers and smokers. MATERIALS AND METHODS: A sample of twenty subjects, 10 nonsmokers and 10 smokers were selected each with at least 1 Miller's Class I or II recession on a single rooted tooth...
July 2016: Journal of Indian Society of Periodontology
https://www.readbyqxmd.com/read/28274039/evaluation-of-gengigel%C3%A2-application-in-the-management-of-furcation-with-coronally-advanced-flap-through-surgical-re-entry-a-split-mouth-clinical-study
#20
Sugandha Gupta, Suresh D Kediege, Akanksha Gupta, Kanu Jain
INTRODUCTION: One of the challenging and unique periodontal problem of Grade II furcation defect has been managed through different treatment modalities in the past. A successful approach is based on complete closure of the defect. Different regenerative approaches have been tried. AIM: This study was carried out with an aim to evaluate the role of Gengigel® (0.8% hyaluronic acid) as a potential material for regeneration of lost attachment apparatus. MATERIALS AND METHODS: A total of 20 sites with Grade II furcation defects from 10 patients were selected using random sampling technique...
January 2017: Journal of Clinical and Diagnostic Research: JCDR
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