Evaluation of Root Coverage Procedures Using Root Coverage Esthetic Score
(RES) System-A Case Series
Sangamithra Sidharthan*
Associate Professor, Department of Periodontology Dr. D. Y. Patil Dental College and Hospital, D.Y Patil Vidyapeeth, Pimpri, Pune
*Corresponding Author: Sangamithra Sidharthan, Associate Professor, Department of Periodontology Dr. D. Y. Patil Dental College and Hospital, D.Y Patil Vidyapeeth, Pimpri, Pune.
Received: July 26, 2022; Published: January 03, 2023
Abstract
The success of root coverage procedures is based on the overall aesthetic outcome along with complete root coverage. The goal of this study was to evaluate the most esthetic root coverage procedure of three procedures performed. Patients with localized recession are treated with three different root coverage procedures namely the Free Gingival graft (FGG), Connective tissue graft + Coronally repositioned flap (CTG+CAF) and platelet rich fibrin (PRF) + Coronally positioned flap. The root coverage procedures were assessed for the RES system after 6 months. The RES scores of these procedures were compared to determine if one procedure offered a greater esthetic result over the other. All three procedures were effective in obtaining root coverage and improved clinical parameters. However Connective tissue graft with coronally repositioned flap, along with complete root coverage produces a better esthetic outcome than other root coverage procedures compared in this study.
Keywords:Gingival Recession; Surgery; Gingival Recession; Therapy; Esthetics; Dental
References
- Meng HW and Chien HH. “Therapeutic outcomes for gingival recession defects in the esthetic zone: A systematic review”. Periodon Prosthodon1 (2016).
- Pini-Prato G., et al. “Esthetic evaluation of root coverage outcomes: a case series study”. International Journal of Periodontics and Restorative Dentistry6 (2011): 603.
- Cairo F., et al. “Root coverage esthetic score after treatment of gingival recession: an interrater agreement multicenter study”. Journal of Periodontology12 (2010): 1752-1758.
- Miller PD. “Root coverage using a free soft tissue autograft following citric acid application. Part 1: Technique”. The International Journal of Periodontics and Restorative Dentistry1 (1982): 65-70.
- Langer B and Langer L. “Subepithelial connective tissue graft technique for root coverage”. Journal of Periodontology12 (1985): 715-720.
- Zucchelli G and De Sanctis M. “Treatment of multiple recession‐type defects in patients with esthetic demands”. Journal of Periodontology9 (2000): 1506-1514.
- Dohan DM., et al. “Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part I: technological concepts and evolution”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology3 (2006): e37-e44.
- Chambrone L., et al. “Root‐coverage procedures for the treatment of localized recession‐type defects: A Cochrane systematic review”. Journal of Periodontology4 (2010): 452-478.
- Chambrone L and Tatakis DN. “Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop”. Journal of Periodontology86 (2015): S8-S51.
- Cairo F., et al. “Root coverage esthetic score after treatment of gingival recession: an interrater agreement multicenter study”. Journal of Periodontology 12 (2010): 1752-1758.
- Matter J. “Creeping attachment of free gingival grafts: a five‐year follow‐up study”. Journal of Periodontology12 (1980): 681-685.
- Bell LA., et al. “The presence of" creeping attachment" in human gingiva”. Journal of Periodontology10 (1978): 513-517.
- Harris RJ. “Creeping attachment associated with the connective tissue with partial‐thickness double pedicle graft”. Journal of Periodontology9 (1997): 890-899.
- Shah R., et al. “Recent modifications of free gingival graft: A case series”. Contemporary Clinical Dentistry3 (2015): 425.
- Bouchard P., et al. “Decision‐making in aesthetics: Root coverage revisited”. Periodontology 1 (2001): 97-120.
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