Free Gingival Graft as a Single Step Procedure for Treatment of Mandibular Miller Class I and II Recession Defects

Namita Gupta,Kirti Chawla,Lata Goyal,Narender Dev Gupta

doi:10.29252/wjps.8.1.12

Abstract

Gingival recession is a frequent issue encountered by both the clinician and the patient. This study was aimed to assess the predictability of the free gingival graft as a single step procedure in terms of root coverage and aesthetics in Miller Class I and II mandibular gingival recession.Ten patients (4 males, 6 females) aged 25-30 years with a total of 12 mandibular sites having Miller class I and II recession were selected. All recession sites were treated with single step free gingival graft procedure. Clinical parameters like recession depth, recession width, width of attached gingiva, probing depth and clinical attachment level were recorded at baseline, 6 and 9 months. Visual analog score at 1, 6 and 9 months postoperatively was provided.There was a reduction in mean recession depth from 3.66±1.20 to 0.91±0.99 mm suggesting coverage of 82% over a period of 9 months. There was statistically significant gain in clinical attachment level and width of attached gingiva. Aesthetically, it was acceptable by patients as measured by visual analog scores.Free gingival graft as a single step procedure is acceptable in terms of root coverage and aesthetics.

Highlights

Patient’s growing interest in aesthetics has lead to refinement in the goals of mucogingival surgery
Results suggest the success of free gingival graft as a procedure for recession in terms of root coverage and esthetics in the studied population
Results of this study suggested free gingival graft to be a successful procedure both in terms of root coverage and aesthetics

Summary

Introduction

Patient’s growing interest in aesthetics has lead to refinement in the goals of mucogingival surgery. Gingival recession is a frequent issue encountered by both the clinician and the patient It is defined as apical displacement of gingival margin from the cementoenamel junction.[1] Main indication of root coverage includes aesthetics, root sensitivity, management of root caries www.wjps.ir /Vol.8/No.1/January 2019 and cervical abrasion.[2] Dorfam stated that if marginal tissue can be maintained free of inflammation, treatment of recession should not be considered,[3] but according to Miller, it is quite predictable and produces patient’s satisfaction.[4] Various factors have to be taken care in selecting the procedure of choice for root coverage like extent of recession, width of attached gingiva, aesthetic concern, patient comfort, and the position of tooth in the arch.[5,6]. Visual analog score at 1, 6 and 9 months postoperatively was provided

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Conclusion