MANAGEMENT OF MILLER’S CLASS III GINGIVAL RECESSION USING FREE CONNECTIVE TISSUE GRAFTS - THE USE OF TWO DIFFERENT TECHNIQUES
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 2
Abstract
Background: In recent years, dentistry not only demands functional restoration of teeth but also esthetic rehabilitation. A very common issue faced is the presence of gingival recession, which not only is unesthetic but also practically problematic as it is associated with difficulty in oral hygiene maintenance, root caries and hypersensitivity. Restoring lost gingiva can be challenging and is highly dependent on other factors such as the quality of the surrounding hard and soft tissues. While recession coverage in class I and II defects can be treated with greater predictability, the management of Miller’s class III defects is more demanding. Here two case reports are presented where root coverage was attempted in Miller’s class III gingival recession defects using two different techniques which employed free connective tissue grafts. Results: Two years post-surgery both cases had an appreciable increase in keratinized gingiva and root coverage. Creeping attachment occurred labially and unique interdental creeping attachment was seen which resulted in a remarkable increase in papillary height. Conclusion: These cases demonstrate that favorable outcomes can be anticipated even in Miller’s class III recession defects. Creeping attachment can be expected to occur.
Authors and Affiliations
Jyoti R. Rao, Ruth Lourenco
Keywords
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