Stimulating periosteum prior to grafting procedure

Year 2015, Volume: 1 Issue: 3, 90 - 93, 01.07.2015

Santhosh Kumar Kunal Gupta

https://doi.org/10.5455/umj.20150421111328

Abstract

Background: Gingival recession is the apical shift in the gingival margin causing denudation of the root surface. Receded gingiva can produce tooth hypersensitivity, root caries and aesthetic distress. The treatment plan for the gingival recession should begin with non-surgical therapy. In case of hypersensitive dentin, it is ideally treated by prescribing desensitising toothpaste. If the root surface exposure causes aesthetic distress; root coverage is the treatment of choice. Goldman introduced stimulated mucoperiosteal pedicle graft for root coverage procedure. The concept of stimulated periosteum is used to reactivate the periosteum by controlled surgical trauma. The reactivated periosteum will activate the progenitors in the local site in turn helping in the regeneration. Conclusion: This paper describes in brief the stimulation of the periosteum for activation of progenitors during a root coverage procedure.

Keywords

Stimulation, periosteum, progenitors, regeneration

References

• 1. Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc 2003: 134: 220–225. Litonjua LA, Andreana S, Bush PJ, Cohen RE. Toothbrushing and gingival recession. Int Dent J 2003;53:67–72.
• 2. Oates T. W, Robinson M & Gunsolley J. C. Surgical therapies for the treatment of gingival recession - A systematic review. Ann Periodontol 2003;8:303–20.
• 3. Leknes K. N, Amarante E. S, Price D. E, Boe O. E, Skavland R. J. & Lie T. Coronally positioned flap procedures with or without a biodegradable membrane in the treatment of human gingival recession - A 6-year follow-up study. J Clin Periodontol 2005;32:518–29.
• 4. Bittencourt, S, Del Peloso Ribeiro E, Sallum E. A, Sallum A. W, Nociti F. H. Jr. & Casati M. Z. Comparative 6-month clinical study of a semilunar coronally positioned flap and subepithelial connective tissue graft for the treatment of gingival recession. J Periodontol 2006;77:174–81.
• 5. Santhosh Kumar, Gautham Suresh P, K. Meena Anand. A Novel Single-Stage Procedure for Increasing the Width of Attached Gingiva and Eliminating the Aberrant Frenal Attachment. J Dent (Shiraz) 2015 Mar; 16(1):58-61.
• 6. Roccuzzo M, Bunino M, Needleman I & Sanz M. Periodontal plastic surgery for treatment of localized gingival recessions: a systematic review. J Clin Periodontol 2002;29:178–94.
• 7. Pagliaro U, Nieri M, Franceschi D, Clauser C & Pini-Prato G. Evidence-based mucogingival therapy. Part 1: a critical review of the literature on root coverage procedures. J Periodontol 2003;74:709–40.
• 8. Miller P D. A classification of marginal tissue recession. Int J Periodont Rest 1985;5:8–13.
• 9. H. Smukler and H. M. Goldman. Laterally repositioned stimulated osteoperiosteal pedicle grafts in the treatment of denuded root. A preliminary report. Journal of Periodontology 1979;50(8):379- 383.
• 10. Henry M. goldman and hyman smukler. Controlled surgical stimulation of periosteum. Journal of Periodontology 1978;49(10):518-522