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A MODERN VIEW ON THE TREATMENT OF CLASS IV RECESSION ACCORDING TO MILLER
Z Khabadze1, K Inozemtseva1, Yu Bakaev1
1Department of Operative Dentistry, Peoples' Friendship University of Russia named after Patrice Lumumba (RUDN University), Institute of Medicine, Moscow, Russia.
Georgian Medical News
|December 26, 2024
Summary
This study introduces a novel double-layer tunnel technique for gingival papilla reconstruction and interproximal attachment regeneration. The technique achieved significant root coverage and long-term stability in patients with mandibular anterior region recession.
Area of Science:
- Periodontology
- Regenerative Dentistry
Background:
- Interproximal attachment is crucial in periodontology, yet studies on simultaneous root closure and attachment gain are limited.
- Existing research often focuses on root coverage alone, neglecting interproximal attachment regeneration.
Purpose of the Study:
- To present a double-layer tunnel surgical technique for gingival papilla reconstruction.
- To demonstrate the regeneration of supraalveolar interproximal attachment using this technique.
Main Methods:
- Step-by-step description of the double-layer tunnel surgical technique.
- Clinical case demonstration in a patient with multiple bilateral recessions.
- 1-year follow-up to assess outcomes.
Main Results:
- The technique was applied to four teeth with proximal, mid-vestibular, and mid-lingual recession.
- An average of 85% root coverage was achieved in the proximal region.
- Significant clinical improvement and long-term stability were observed.
Conclusions:
- The double-layer tunnel technique is feasible for treating gingival recession with papilla defects.
- This method effectively achieves gingival papilla reconstruction and interproximal attachment regeneration.
- The technique offers significant clinical improvement and long-term stability in the mandibular anterior region.
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