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coronally advanced flap

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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
#1
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
#2
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
#3
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
#4
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
#5
Karin Jepsen, Martina Stefanini, Mariano Sanz, Giovanni Zucchelli, Søren Jepsen
BACKGROUND: To compare 6 months and 3-year outcomes for root coverage by coronally advanced flap (CAF) procedures in localized gingival recessions. METHODS: Two centers that had participated in a 6 months multinational multicentre RCT were able to follow up 18 patients with 36 Miller Class I and II defects that had been treated in a split-mouth design with CAF or CAF + xenogeneic collagen matrix (CMX). Percentage of root coverage (RC), complete root coverage (CRC), width (KT) and thickness (GT) of keratinized tissue were assessed by the same blinded examiners as after 6 months...
March 17, 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
#6
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
#7
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
https://www.readbyqxmd.com/read/28253582/-the-role-of-soft-tissue-transplantation-in-the-reconstruction-of-gingival-papilla
#8
T L Chen, X H Zhang
Black triangle caused by gingival papilla loss is an ordinary clinical problem. Gingival recession and alveolar bone absorption in the area of gingival papilla lead to the increase of the vertical distance from the adjacent contact point to the alveolar ridge. Periodontal soft tissue grafts play a certain role in the gingival papilla reconstruction. This paper reviewed the effects of soft tissue grafts on the reconstruction of gingival papilla loss through following several aspects, summary of gingival papilla loss, gum soft tissue reconstruction, biological and chemical factors influencing gingival papilla reconstruction...
February 9, 2017: Zhonghua Kou Qiang Yi Xue za Zhi, Zhonghua Kouqiang Yixue Zazhi, Chinese Journal of Stomatology
https://www.readbyqxmd.com/read/28242010/coronally-advanced-flap-with-or-without-xenogeneic-collagen-matrix-results-in-similar-patient-satisfaction-and-esthetics
#9
Romina Brignardello-Petersen
No abstract text is available yet for this article.
February 24, 2017: Journal of the American Dental Association
https://www.readbyqxmd.com/read/28231619/connective-tissue-graft-and-tunnel-or-trapezoidal-flap-for-the-treatment-of-single-maxillary-gingival-recessions-a-randomized-clinical-trial
#10
Mauro Pedrine Santamaria, Felipe Lucas da Silva Neves, Camila Augusto Silveira, Ingrid Fernandes Mathias, Stephanie Botti Fernandes-Dias, Maria Aparecida Neves Jardini, Dimitris N Tatakis
BACKGROUND: Although ample evidence supports connective tissue graft (CTG) use for root coverage, there is need for research on recipient site preparation approaches. The purpose of this study was to compare the outcomes of trapezoidal coronally advanced flap (CAF) and coronally advanced tunnel flap (TUN) when used in conjunction with CTG. METHODS: Forty-two patients presenting 42 single maxillary, Miller Class I and II, gingival recession defects were randomly assigned to receive either CAF+CTG (N=21) or TUN+CTG (N=21)...
February 23, 2017: Journal of Clinical Periodontology
https://www.readbyqxmd.com/read/28196169/the-use-of-platelet-rich-fibrin-versus-subepithelial-connective-tissue-graft-in-treatment-of-multiple-gingival-recessions-a-randomized-clinical-trial
#11
Elif Öncü
The objective of this study was to evaluate the clinical effectiveness of platelet-rich fibrin (PRF) membrane used in combination with a modified coronally advanced flap (MCAF) and to compare it with the use of a subepithelial connective tissue graft (SCTG) in combination with a MCAF in treatment of Miller Class I and II bilateral multiple gingival recessions. A total of 20 patients with multiple Miller Class I and II maxillary gingival recession defects participated in this randomized, split-mouth, controlled study...
March 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/28196164/a-novel-modification-of-semilunar-coronally-advanced-flap-for-the-treatment-of-gingival-recession-case-series
#12
Mauro Pedrine Santamaria, Miki Taketomi Saito, Ingrid Fernandes Mathias, Camila Augusto Silveira, Marcio Zaffalon Casati, Enilson Antônio Sallum, Renato Correa Casarin
This article aims to describe a modification of the semilunar coronally advanced flap. A total of 12 systemically and periodontally healthy patients presenting Miller Class I gingival recession were treated with the modified semilunar coronally advanced flap technique described in this article. After 1 year of follow-up, the mean root coverage was 85.4% ± 24.7%. Significant gingival recession reduction, clinical attachment gain, and reduction in dentin sensitivity was observed 1 year after surgery. This novel semilunar coronally advanced flap technique was demonstrated to be effective for root coverage in Miller Class I gingival recessions...
March 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/28064284/surgery-modified-pi-with-triple-bonnet-flap-and-fronto-orbital-advancement
#13
Uday Singh Raswan, Sarbjit Singh Chhiber, Altaf Umar Ramzan
INTRODUCTION: Craniosynostosis is the premature fusion of one or more of the cranial sutures and can occur as part of a syndrome or as an isolated defect. Pansynostosis is a rare form of craniosynostosis that involves premature fusion of all the cranial sutures (coronal, sagittal, metopic, and occipital). Particularly in cases of late presentation, there are heightened clinical concerns, both functional and aesthetic. In untreated cases of pansynostosis and increased intracranial pressure, optic nerve damage progresses to optic atrophy and then blindness...
2017: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28000282/coverage-of-mucosal-recessions-at-dental-implants
#14
REVIEW
Anton Sculean, Vivianne Chappuis, Raluca Cosgarea
Facial peri-implant mucosal recessions represent an increasing complication in implant dentistry and may negatively affect the esthetic outcome and patient satisfaction. The aim of the present paper is to provide a review on the potential causes of facial peri-implant mucosal recessions and to provide a rationale for treatment along with possible treatment options. The available data indicate that soft tissue augmentation around dental implants is possible, but at present there is no evidence demonstrating that the augmented soft tissues are able to influence the peri-implant bone levels (e...
February 2017: Periodontology 2000
https://www.readbyqxmd.com/read/27994426/modified-coronally-advanced-flap-with-and-without-orthodontic-button-application-in-management-of-multiple-proximate-gingival-recession-defects-a-randomized-clinical-trial
#15
Sumedh Khobragade, Abhay Kolte, Rajashri Kolte, Tushar Shrirao, Anushree Potey
BACKGROUND: Gingival recession indicates oral display of the root surface due to apical movement of gingival margin. Coronally advanced flap (CAF) is often used periodontal plastic surgical technique to accomplish root coverage. The purpose of this clinical trial is to assess and compare the effectiveness of modified CAF with orthodontic button application (CAF+B) and without orthodontic button application (CAF) for the correction of multiple recession defects. MATERIALS AND METHODS: Twenty patients exhibiting bilateral multiple proximate Millers Class I and/or Class II gingival recession defects were included in the study...
October 2016: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/27977826/xenogeneic-collagen-matrix-versus-connective-tissue-graft-case-series-of-various-gingival-recession-treatments
#16
Grégoire Chevalier, Selma Cherkaoui, Hanna Kruk, Xavier Bensaïd, Marc Danan
A xenogeneic collagen matrix recently has been suggested as an alternative to connective tissue graft for the treatment of gingival recession. The matrix avoids the second surgical site, and as a consequence could decrease surgical morbidity. This new matrix was used in various clinical situations and compared to connective tissue graft (CTG) in a split-mouth design case series. A total of 17 recessions were treated with a coronally advanced flap, 9 with CTG, and 8 with the matrix. Mean recession reduction was 2...
January 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/27977825/microsurgical-instruments-in-laterally-moved-coronally-advanced-flap-for-miller-class-iii-isolated-recession-defects-a-randomized-controlled-clinical-trial
#17
Onur Ucak, Mustafa Ozcan, Gulsah Seydaoglu, M Cenk Haytac
The aim of this study was to evaluate the laterally moved coronally advanced flap (LMCAF) technique in which magnified vision was used in conjunction with microsurgical instruments (LMCAF-M), and to compare the results with conventional LMCAF technique (LMCAF-C) in Miller Class III isolated recession-type defects. A total of 50 patients with recessions located at incisors and canines were treated with LMCAF-M or LMCAF-C. Outcome parameters (complete root coverage [CRC] and mean root coverage [MRC]) were assessed 6 months postoperatively...
January 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/27891263/coverage-root-after-removing-peripheral-ossifying-fibroma-5-year-follow-up-case-report
#18
Paulo S G Henriques, Luciana S Okajima, Marcelo P Nunes, Victor A M Montalli
When lesions in soft tissue reach the gingival margin, they can produce aesthetic defects during its permanence and after its removal. Periodontal plastic surgery allows the correction of the gingival contour using different techniques. This paper is a case report of a peripheral ossifying fibroma removal in the interproximal area of teeth 21 and 22 in addition to root coverage of the affected area through two surgical phases: keratinized gingival tissue augmentation surgery with free gingival graft concurrent with removal of the lesion and, in a second stage, root coverage by performing coronally advanced flap technique with a follow-up of five years...
2016: Case Reports in Dentistry
https://www.readbyqxmd.com/read/27873018/soft-tissue-augmentation-around-osseointegrated-and-uncovered-dental-implants-a-systematic-review
#19
REVIEW
Renzo G Bassetti, Alexandra Stähli, Mario A Bassetti, Anton Sculean
OBJECTIVES: The aim was to compile the current knowledge about the efficacy of different soft tissue correction methods around osseointegrated, already uncovered and/or loaded (OU/L) implants with insufficient soft tissue conditions. Procedures to increase peri-implant keratinized mucosa (KM) width and/or soft tissue volume were considered. MATERIALS AND METHODS: Screening of two databases: MEDLINE (PubMed) and EMBASE (OVID), and manual search of articles were performed...
January 2017: Clinical Oral Investigations
https://www.readbyqxmd.com/read/27740647/combined-regenerative-and-mucogingival-treatment-of-deep-intrabony-defects-associated-with-buccal-gingival-recession-two-case-reports
#20
Giacomo Santoro, Giovanni Zucchelli, Enrico Gherlone
The case reports presented in this article describe a surgical approach for improving root coverage and regenerative parameters in deep intrabony defects associated with buccal gingival recession. A mandibular canine and a maxillary premolar were treated. The surgical technique consisted of a connective tissue graft (CTG) that was placed and sutured at the inner surface of a coronally advanced envelope flap (CAF), thickening the buccal soft tissue wall of the most coronal extension of the intrabony defect and treated with biomaterials as scaffold...
November 2016: International Journal of Periodontics & Restorative Dentistry
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