Yıl 2022,
Cilt: 3 Sayı: 2, 49 - 55, 31.12.2022
Basem Alshujaa
,
Dicle Altındal
,
Ahmet Cemil Talmaç
,
Mohammad Alnasrallah
Kaynakça
- 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
Yıl 2022,
Cilt: 3 Sayı: 2, 49 - 55, 31.12.2022
Basem Alshujaa
,
Dicle Altındal
,
Ahmet Cemil Talmaç
,
Mohammad Alnasrallah
Öz
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.
Kaynakça
- 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.