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Changes in creeping attachment for soft tissue augmentation surgery.

Binyan Luo¹, Jianping Xiao¹, Fuhua Yan¹

¹Nanjing Stomatological Hospital, Affiliated Hospital of Medical School, Institute of Stomatology, Nanjing University, 210008, Nanjing, P.R. China.

Clinical Oral Investigations

|March 18, 2025

Summary

This summary is machine-generated.

Creeping attachment, a significant improvement in gingival recession after surgery, was observed for up to one year. Increased gingival thickness positively correlated with this attachment gain.

Keywords:

Gingival recession Keratinized gingiva Mean root coverage

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Last Updated: May 21, 2025

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Biomechanical Characterization of Human Soft Tissues Using Indentation and Tensile Testing

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Published on: December 13, 2016

Area of Science:

Periodontology
Oral Surgery
Regenerative Dentistry

Background:

Gingival recession is a common condition requiring surgical intervention.
Soft tissue augmentation aims to cover exposed root surfaces and improve gingival health.
Creeping attachment (CA) is a potential outcome following these procedures.

Purpose of the Study:

To investigate the phenomenon of creeping attachment (CA) after soft tissue augmentation surgery in sites with gingival recession.
To analyze changes in recession depth (RD), keratinized tissue height (KTH), and gingival thickness (GT) post-surgery.
To determine the correlation between increased gingival thickness and creeping attachment.

Main Methods:

Prospective observation of 58 gingival recession sites in 24 patients undergoing soft tissue augmentation.
Measurement of RD, KTH, and GT at 1, 3, 6, and 12 months post-surgery.
Calculation of CA and mean root coverage (MRC); analysis of GT increase and CA relationship.

Main Results:

Significant improvements in RD, KTH, and GT were noted by 1 month post-surgery.
Creeping attachment (CA) averaged 0.66 mm with 22.9% mean root coverage (MRC) at 1 month.
A positive correlation was found between increased gingival thickness (GT) and creeping attachment (CA) from 1 to 6 months.

Conclusions:

Soft tissue augmentation surgery leads to significant improvements in gingival parameters, stabilizing by 3 months.
Increased gingival thickness is positively associated with creeping attachment.
Creeping attachment is a sustained phenomenon, observable up to one year post-surgery, aiding clinicians' understanding.