Subepithelial connective tissue graft in combination with a coronally advanced flap for the treatment of Miller Class II and III gingival recessions in mandibular incisors: a case series.
Limited evidence is available regarding the effect of the subepithelial connective tissue graft (SCTG) on root coverage in the mandibular anterior region. A technique is described using an SCTG with a coronally advanced flap (CAF) for the treatment of Miller Class II and III gingival recessions in mandibular central incisors. Fourteen Miller Class II and III recessions were treated in 10 patients using an SCTG with a CAF. After a mean follow-up of 11.7 months, 90.22% ± 12.36% root coverage was achieved. There were no statistically significant differences in root coverage for Miller Class II and III recession defects. Complete root coverage was achieved at five (71.42%) Miller Class II sites compared with three (42.85%) Class III defects. These results suggest that the combination of an SCTG and CAF is an effective technique to obtain root coverage in mandibular incisors with Class II and III recession defects, with excellent patient satisfaction regarding the esthetic appearance of the treated teeth.
Department of Periodontology, School of Dentistry, International University of Catalonia, Barcelona, Spain. jose@nartperiodoncia.com
José
J
Nart
Cristina
C
Valles
Santiago
S
Mareque
Antonio
A
Santos
Javier
J
Sanz-Moliner
Andrés
A
Pascual
D000328:Adult; D003238:Connective Tissue / Q000637:transplantation; D004955:Esthetics, Dental; D005260:Female; D005500:Follow-Up Studies; D005881:Gingiva / Q000473:pathology / Q000637:transplantation*; D005889:Gingival Recession / Q000145:classification / Q000601:surgery*; D006801:Humans; D007180:Incisor / Q000601:surgery*; D008297:Male; D008334:Mandible; D008875:Middle Aged; D017060:Patient Satisfaction; D017622:Periodontal Attachment Loss / Q000145:classification; D010514:Periodontal Pocket / Q000145:classification; D013524:Surgical Flaps / Q000637:transplantation*; D014092:Tooth Root / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult