Qualitative assessment of connective tissue graft with epithelial component. A microsurgical periodontal plastic surgical technique for soft tissue esthetics.
Connective tissue grafts have been used successfully in the treatment of gingival recession. In the mid 80s and late 90s, the periodontal literature presented various techniques such as free gingival grafts, pedicle flaps, subepithelial connective tissue grafts, acellular dermal matrix grafts, and guided tissue regeneration to cover denuded root surfaces. Currently, connective tissue grafting is a reliable treatment for esthetic root coverage. This paper presents a qualitative assessment of a surgical technique that uses a connective tissue graft, including a portion of epithelium in the shape of the defect. This procedure enhances the healing of the covered root surface, increases the thickness of the soft tissue and improves esthetics. The criteria used for evaluation were: color, volume, texture, and blending. This evaluation demonstrated encouraging results from an esthetic viewpoint.
Rossi
Roberto
R
University of Rome Sapienza School of Dentistry, Section of Periodontics, Rome, Italy. drrossi@mac.com
Pilloni
Andrea
A
Morales
Regina Santos
RS
D000328:Adult; D003238:Connective Tissue / Q000637:transplantation; D004727:Endothelium / Q000637:transplantation; D005260:Female; D005881:Gingiva / Q000637:transplantation*; D005889:Gingival Recession / Q000601:surgery*; D005893:Gingivoplasty / Q000379:methods; D006801:Humans; D008866:Microsurgery; D013524:Surgical Flaps; D014727:Vestibuloplasty / Q000379:methods*