Laterally positioned flap with periosteal graft for the treatment of gingival recession, novel technique - A pilot study
Journal Title: International Archives of Integrated Medicine - Year 2016, Vol 3, Issue 6
Abstract
Introduction: Periosteum is a highly vascular connective tissue sheath covering the external surface of all bones except sites of articulation and muscle attachment. Regenerative potential of periosteum is due to inner layer which contains mesenchymal progenitor cells. Laterally pedicle flap technique is frequently used for recession coverage in isolated, denuded roots that have adequate donor tissue laterally and vestibular depth. Pedicle flaps have been modified in past, this pilot study utilized the technique which included auto transplant of periosteum in combination with laterally positioned flap. Materials and methods: 20 teeth with gingival recession, Millers’s class 1 and 2 with ≥ 3 mm defect were included and laterally positioned flap with periosteal graft was performed. Results: After 12 months of follow up, a stable result was obtained and the pilot study revealed significant reduction in recession defect. There was a mean percentage of 95.6% for root coverage, 80% predictability for recession coverage. Conclusion: Laterally positioned flap with periosteal graft technique can successfully be clinically utilized for the treatment of gingival recession defects, with less trauma and good esthetic results.
Authors and Affiliations
Abhima Kumar, Suhail Majid Jan, Roobal Behl, Rafiya Nazir, Rashidat-Ul- Khairat, Tahira Ashraf Ganaie
Keywords
Related Articles
- EP ID EP429017
- DOI -
- Views 79
- Downloads 0
Clinical study of reconstruction of devastating defects around the elbow region at a tertiary care hospital
Back ground: Devastating defects are those defects where the major structures like bones, joints, nerves, and blood vessels are exposed. These defects may be due to road traffic accidents, train traffic accidents, post b...
Fractured retained Double-J stents presenting as urethral foreign body
Polyurethane Double-J ureteral stents are widely used in the field of urology. Postoperatively, patient education about the ureteral stent and making sure it is removed at the prescribed time is an utmost necessity. Forg...
Study of management strategies in ACTH secreting pituitary microadenoma of Cushing’s disease
Background: Pituitary Microadenomas can be defined as small lesions less than 1 cm in the pituitary and detected as incidentalomas. Partial development or late development around puberty leads to maldevelopment of second...
Effect of partographic monitoring on outcomes for women in spontaneous labour at term
Background: Partogram is a graphic record of progress of labour and fetal condition during labour. The main parameter for recording progress of labour is the rate of cervical dilatation. Aim and objectives: To determine...
Comparison of conventional dose and low dose infusion of dexmedetomidine on hemodynamic stress response, dose of induction agent and postoperative analgesia in patients undergoing laparoscopic cholecystectomy
Background and Aim: Anesthetic techniques are based on hemodynamic stability during anesthesia and surgery. Dexmedetomidine is centrally acting α2 agonist with sedative, sympatholytic and analgesic. Aim of this study was...