title: Newly forming bone graft: a novel surgical approach to the treatment of denuded roots.
abstract: Many techniques have been proposed for root coverage. However, none of them presents predictable results in deep and wide recessions.
  
  
  OBJECTIVE
  The aim of this case series report is to describe an alternative technique for root coverage at sites showing deep recessions and attachment loss >4 mm at buccal sites.
  
  
  METHODS
  Four patients presenting deep recession defects at buccal sites (>4 mm) were treated by the newly forming bone graft technique, which consists in the creation of an alveolar socket at edentulous ridge and transferring of granulation tissue present in this socket to the recession defect after 21 days. Clinical periodontal parameters, including recession depth (RD), probing depth (PD), clinical attachment level (CAL), bleeding on probing (BOP), plaque index (PI) and keratinized gingiva width (KGW) were evaluated by a single examiner immediately before surgery and at 1, 3, 6 and 9 months postoperatively.
  
  
  RESULTS
  All cases showed reduction in RD and PD, along with CAL gain, although no increase in KGW could be observed. These findings suggest that the technique could favor periodontal regeneration along with root coverage, especially in areas showing deep recessions and attachment loss.
authors.affiliation: Department of Prosthodontics, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil. acpsantana@usp.br
authors.forename: Adriana Campos Passanezi
authors.initials: AC
authors.lastname: Sant'ana
authors.forename: Bruna F Rahal
authors.initials: BF
authors.lastname: Ferraz
authors.forename: Maria Lúcia Rubo
authors.initials: ML
authors.lastname: de Rezende
authors.forename: Sebastião Luiz Aguiar
authors.initials: SL
authors.lastname: Greghi
authors.forename: Carla Andreotti
authors.initials: CA
authors.lastname: Damante
authors.forename: Euloir
authors.initials: E
authors.lastname: Passanezi
mesh_terms: D000328:Adult; D001861:Bone Regeneration; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D005889:Gingival Recession / Q000601:surgery*; D016557:Guided Tissue Regeneration, Periodontal / Q000379:methods*; D006801:Humans; D013997:Time Factors; D014076:Tooth Diseases / Q000601:surgery; D014092:Tooth Root / Q000637:transplantation*; D016896:Treatment Outcome