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Related Experiment Videos

Root coverage and pocket reduction as combined surgical procedures.

A Hirsch1, U Attal, E Chai

  • 1Department of Periodontics, Hebrew University Hadassah Faculty of Dental Medicine, Jerusalem, Israel.

Journal of Periodontology
|January 5, 2002
PubMed
Summary

This study shows that connective tissue grafts from the maxillary tuberosity effectively cover exposed roots in periodontal surgery. This method avoids a second surgical site, offering predictable and esthetic root coverage.

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Area of Science:

  • Periodontal reconstructive surgery
  • Mucogingival grafting
  • Esthetic dentistry

Background:

  • Gingival recession exposes tooth roots, necessitating periodontal reconstructive surgery.
  • Existing mucogingival grafting procedures offer predictable results but require a secondary surgical site, typically the palate.
  • This study investigates an alternative donor site for connective tissue grafts.

Purpose of the Study:

  • To evaluate the efficacy of using connective tissue from the maxillary tuberosity for root coverage in patients with gingival recession.
  • To assess the predictability and esthetic outcomes of this grafting technique.
  • To determine if this method eliminates the need for a separate palatal donor site.

Main Methods:

  • Subepithelial connective tissue grafts were harvested from the tuberosity area during maxillary pocket reduction procedures.

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  • Forty-four teeth in 25 patients with an average gingival recession of 3.30 mm were treated.
  • The study analyzed root coverage, effectiveness, predictability, and periodontal probing depth reduction at the donor site.

    • Main Results:

    • Mean root coverage achieved was 0.16 mm, with an effectiveness of 95.0% and predictability of 84.1%.
    • Periodontal probing depth reduction at the tuberosity donor site averaged 4.08 mm.
    • The procedure demonstrated high success rates for root coverage.

    Conclusions:

    • Connective tissue grafts from the maxillary tuberosity provide predictable and esthetic root coverage.
    • This technique successfully avoids the need for a second surgical site, simplifying the treatment process.
    • The findings support the use of tuberosity-harvested grafts as a viable option in periodontal reconstructive surgery.