title: Implant-Related Gingival Recession: Pilot Case Series Presents Novel Technique and Scoring Template.
abstract: This article introduces a novel protocol for the predictable treatment of Class II division 2 implantrelated gingival recession and presents an innovative acrylic template for scoring the peri-implant soft-tissue gain, used before and after treatment. Ten patients with Class II division 2 single-implant-related gingival recession received combined double-papillary flap approximation and rotated subepithelial connective tissue grafting from the palate, along with any preferred optimal grafting technique that suits the type of preexisting defect. Clinical gingival recession was recorded using a scoring template at 4, 6, and 9 months postoperatively. At the end of the 9-month follow-up period, 80% of the cases showed improved soft-tissue coverage; two patients showed significant wound complications that were related to poor home-care measures. The scoring method used can be considered a diagnostic and prognostic tool for better understanding of implant-related gingival recession.
authors.affiliation: Visiting Lecturer, New York University, New York, New York; Private Practice, Alexandria, Egypt.
authors.forename: Abd El Salam
authors.initials: Ael S
authors.lastname: El Askary
authors.affiliation: Associate Professor, Periodontology and Oral Medicine, Faculty of Dental Medicine, Cairo University, Cairo, Egypt.
authors.forename: Noha A
authors.initials: NA
authors.lastname: Ghallab
authors.affiliation: Private Practice, Singapore.
authors.forename: Shuh-Chern
authors.initials: SC
authors.lastname: Tan
authors.affiliation: Clinical Associate Professor of Periodontics, University of Maryland Dental School, Baltimore, Maryland; Private Practice, Yardley, Pennsylvania.
authors.forename: Paul S
authors.initials: PS
authors.lastname: Rosen
authors.affiliation: Lecturer, Department of Oral Medicine, Oral Diagnosis, and Periodontology, Faculty of Damanhur University, Damanhur, Egypt.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Shawkat
mesh_terms: D000328:Adult; D015921:Dental Implants / Q000009:adverse effects*; D005260:Female; D005889:Gingival Recession / Q000145:classification / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010160:Palate, Soft / Q000637:transplantation; D010865:Pilot Projects; D011183:Postoperative Complications; D011476:Prosthodontics / Q000379:methods*; D013524:Surgical Flaps
chemical_list: D015921:Dental Implants