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Periodontal plastic pioneering procedures revisited
Rameshwari Singhal1, Vipin Agarwal2, B P Khattak3
1Assistant Professor, Department of Periodontics, Faculty of Dental Sciences, King George's Medical University, Lucknow, India.
Journal of Oral Biology and Craniofacial Research
|March 5, 2015
Summary
Both lateral pedicle grafts and free mucosal grafts effectively treat localized gingival recession, improving root coverage and increasing keratinized gingiva width. These established periodontal plastic surgery techniques offer reliable esthetic results.
Area of Science:
- Periodontal Plastic Surgery
- Gingival Recession Treatment
Background:
- Numerous periodontal plastic procedures exist for localized gingival recessions.
- Clinicians face challenges in selecting optimal treatment modalities due to various available techniques and materials.
- Pioneering techniques offer cost-effective and esthetic solutions for recession cases.
Purpose of the Study:
- To compare the efficacy of lateral pedicle graft versus free mucosal graft in treating localized gingival recessions.
- To evaluate root coverage and changes in the apico-coronal length of keratinized gingiva (ACKG).
Main Methods:
- Twenty-two subjects with localized gingival recessions were divided into two equal groups.
- Group A received a lateral pedicle graft; Group B received a free mucosal graft.
- Clinical parameters including recession dimensions and ACKG were measured at baseline, 30, and 90 days. Root coverage percentage was calculated.
Main Results:
- Both surgical techniques demonstrated effectiveness in recession coverage and increasing ACKG.
- Average root coverage was 65.0 ± 25.2% for the lateral pedicle graft group.
- Average root coverage was 61.6 ± 20.5% for the free mucosal graft group.
Conclusions:
- Lateral pedicle grafts and free mucosal grafts are effective for root coverage in localized gingival recession.
- These techniques also contribute to an increase in the apico-coronal length of keratinized gingiva.
- Both methods remain significant components of periodontal plastic surgery.
