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PubMed · 11759869

Root coverage and pocket reduction as combined surgical procedures.

A Hirsch·U Attal·E Chai·J Goultschin·B D Boyan·Z Schwartz
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Abstract

BACKGROUND: One of the main objectives of periodontal reconstructive surgery is the coverage of exposed roots due to gingival recession. A large variety of mucogingival grafting procedures are available that give highly predictable and esthetically acceptable results when treating intact root surfaces. However, these procedures call for a second surgery site in the palate. The present study examines a series of cases in which connective tissue, obtained from the tuberosity during pocket reduction procedures in the posterior region of the maxilla, was used for root coverage. METHODS: Forty-four teeth from 25 patients with gingival recession of 3.30 +/- 0.14 mm (mean +/- SEM) were treated with subepithelial connective tissue grafts using connective tissue obtained from the tuberosity area during pocket reduction procedures in the posterior region of the maxilla. RESULTS: The mean root coverage recession after treatment was 0.16 +/- 0.06 mm, with effectiveness of coverage at 95.0% +/- 1.84 and a predictability of 84.1%. Periodontal probing depth reduction at the donor site was 4.08 +/- 0.24 mm. CONCLUSIONS: These results indicate that the subepithelial connective tissue graft obtained from the tuberosity area during pocket reduction procedures in the posterior region of the maxilla provides a very predictable and esthetic root coverage without the need for a second surgical site.

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AdultAnalysis of VarianceConnective TissueEpitheliumEsthetics, DentalFemaleFollow-Up StudiesForecastingGingivaGingival RecessionHumansMaleMiddle AgedPeriodontal Attachment LossPeriodontal PocketRoot PlaningStatistics as TopicSurgical FlapsTooth CervixTooth RootTreatment OutcomeJournal ArticleResearch Support, Non-U.S. Gov't

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A Hirsch, U Attal, E Chai, J Goultschin, B D Boyan, Z Schwartz. 2001. Root coverage and pocket reduction as combined surgical procedures.. https://doi.org/10.1902/jop.2001.72.11.1572

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