Treatment of multiple gingival recession defects using periosteal pedicle graft: a case series.
BACKGROUND
The periosteum is a highly vascular connective tissue with immense regenerative potential. These qualities make it a suitable autogenous graft. A technique is described for using an autogenous periosteal pedicle graft (PPG) for the treatment of multiple gingival recession defects.


METHODS
Twenty teeth in six subjects with Miller Class I and II recessions ≥ 2 mm were treated using PPGs. In addition to the depth of the gingival recession defect, the probing depth and widths of keratinized and attached gingiva were recorded. The mean +/- SD was calculated for each of the clinical parameters. The paired t test was used to test the significance of the change.


RESULTS
At the end of 1 year, 90.95% of root coverage was attained with a significant increase in the widths of keratinized and attached gingiva (P = 0.0001); no change was observed in probing depths (P = 0.36).


CONCLUSIONS
The PPG technique can be successfully used for the treatment of multiple gingival recession defects.
Mahajan
Ajay
A
Department of Periodontics, Himachal Pradesh Government Dental College, Shimla, Himachal Pradesh, India. julius05@rediffmail.com
D000328:Adult; D003238:Connective Tissue / Q000637:transplantation; D005260:Female; D005889:Gingival Recession / Q000601:surgery*; D005893:Gingivoplasty / Q000379:methods*; D006801:Humans; D008297:Male; D010512:Periodontal Index; D010513:Periodontal Ligament / Q000601:surgery*; D010521:Periosteum / Q000601:surgery*; D012038:Regeneration; D013524:Surgical Flaps; D016896:Treatment Outcome