ROOT COVERAGE USING THE SUBEPITHELIAL CONNECTIVE TISSUE GRAFT OR THE ACELLULAR DERMAL MATRIX FOR THE TREATMENT OF GINGIVAL RECESSION: A CLINICAL STUDY

Shula Zuleika Sumana,Sri Lelyati C Masulili,Robert Lessang

doi:10.22159/ijap.2017.v9s2.06

Shula Zuleika Sumana, Sri Lelyati C Masulili + Show 1 more

Open Access

https://doi.org/10.22159/ijap.2017.v9s2.06

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Abstract

Objective: This study aims to evaluate periodontal clinical conditions after treatment for gingival recession (GR) using subepithelial connective tissue graft (SCTG) and acellular dermal matrix (ADM).Methods: Ten patients with Miller’s Class I and II recessions that had been treated with SCTG or ADM at the Periodontics Outpatient Department at Universitas Indonesia were selected for this study. The pre-operative data for GR, clinical attachment levels (CAL), and attached gingiva (AG) were retrieved from the patients’ medical records. The patients were recalled and the post-operative data were recorded.Results: The application of SCTG and ADM yields significant changes to GR, CAL, and AG levels. A comparison of two groups at the post-operative assessment stage showed no statistically significant differences, in terms of GR, CAL, and AG.Conclusion: SCTG and ADM yield similar outcomes in the treatment of GR. As such, ADM may be suggested as an alternative to SCTG for root coverage.

Highlights

Gingival recession (GR) can be defined as the apical migration of the gingival margin away from the cementoenamel junction (CEJ) [1]
GR is a highly prevalent condition that causes inconvenience to patients, in terms of both tooth sensitivity and esthetics [2]. These days, treatment of GR is focused on the esthetic aspect, and various surgical procedures have been developed to achieve complete root coverage as well as the perfect integration of the graft and recipient areas [3]
The subepithelial connective tissue graft (SCTG) is considered the gold standard procedure for the management of GR [4]. This technique offers higher levels of root coverage than other techniques due to the dual blood supply is given to the graft; better esthetics and good postoperative healing at the donor site are other benefits [5,6]

Summary

Introduction

Gingival recession (GR) can be defined as the apical migration of the gingival margin away from the cementoenamel junction (CEJ) [1]. GR is a highly prevalent condition that causes inconvenience to patients, in terms of both tooth sensitivity and esthetics [2] These days, treatment of GR is focused on the esthetic aspect, and various surgical procedures have been developed to achieve complete root coverage as well as the perfect integration of the graft and recipient areas [3]. The subepithelial connective tissue graft (SCTG) is considered the gold standard procedure for the management of GR [4]. This technique offers higher levels of root coverage than other techniques due to the dual blood supply is given to the graft; better esthetics and good postoperative healing at the donor site are other benefits [5,6]. The amount of donor tissue that can be obtained is very limited [5]

Methods

Results

Conclusion