Gingival grafting in periodontal practice: results of 103 consecutive surgeries in 82 patients.
A consecutive series of 103 surgeries in 82 patients was studied from the normal clinical population of a periodontal specialty practice. Four different techniques were employed: free gingival grafts, free connective tissue grafts, pedicle flaps, and combined techniques. Gingival augmentation using free gingival grafts was the most predictable, with 100% of cases showing a gain of > or = 3 mm. The average root coverage was 2.47 mm overall but was most predictable with a combined technique, with 93% gaining > or = 2 mm. Miller Class 4 cases were most predictably treated with pedicle flaps and a combined technique. Smokers and patients with more complex sites showed less improvement. Mandibular central incisors and maxillary canines were the most commonly grafted teeth.
Horning
Gregory M
GM
Dental Department, Naval Branch Health Clinic, 720 23rd Avenue, Port Hueneme, CA 93043-4316, USA. gregory.horning@med.navy.mil
Vernino
Arthur
A
Towle
Herbert J
HJ
Baccaglini
Lorena
L
D000328:Adult; D000368:Aged; D001641:Bicuspid / Q000473:pathology; D002614:Chelating Agents / Q000627:therapeutic use; D003238:Connective Tissue / Q000637:transplantation; D003481:Cuspid / Q000473:pathology; D003774:Dental Plaque Index; D012534:Dental Scaling; D004492:Edetic Acid / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D005881:Gingiva / Q000473:pathology / Q000637:transplantation*; D005889:Gingival Recession / Q000145:classification / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007180:Incisor / Q000473:pathology; D008297:Male; D008875:Middle Aged; D008963:Molar / Q000473:pathology; D010512:Periodontal Index; D016745:Root Planing; D012907:Smoking / Q000009:adverse effects; D013524:Surgical Flaps; D014092:Tooth Root / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome
D002614:Chelating Agents; D004492:Edetic Acid