The connective tissue and partial thickness double pedicle graft: a predictable method of obtaining root coverage

Area of Science:

• Periodontal Therapy
• Regenerative Dentistry
• Oral Surgery

Background:

• Predictable root coverage is a key objective in periodontal therapy.
• Recession defects pose esthetic and sensitivity challenges.

Purpose of the Study:

• To present and evaluate a connective tissue and partial thickness double pedicle graft technique for root coverage.
• To assess the predictability and outcomes of this surgical approach.

Main Methods:

• A connective tissue and partial thickness double pedicle graft was utilized.
• The technique was applied to 30 root defects in 20 patients.
• Outcomes were assessed based on percentage of root coverage, millimeters of root surface covered, bleeding on probing, plaque presence, and patient-reported esthetics.

Main Results:

• 100% root coverage was achieved in 24 out of 30 defects (80%).
• All treated defects achieved root coverage within 0.5 mm of the cemento-enamel junction.
• Mean root coverage was 97.4% (3.5 mm net coverage).
• Bleeding on probing and plaque presence decreased post-treatment.
• Patient-reported esthetics (color match, tissue contours) were acceptable in all cases.

Conclusions:

• The connective tissue and partial thickness double pedicle graft technique offers a predictable method for achieving significant root coverage.
• This approach addresses esthetic concerns and improves periodontal health indicators.
• The technique demonstrates high success rates and patient satisfaction.