PMID: 15227775Jul 2, 2004Paper

Periodontal microsurgery: report of 16 cases consecutively treated by the free rotated papilla autograft technique combined with the coronally advanced flap

The International Journal of Periodontics & Restorative Dentistry
Luca FrancettiRoberto L Weinstein

Abstract

The coronally advanced flap combined with a free connective tissue graft is a predictable method for achieving root coverage in buccal gingival recession. Nevertheless, this procedure conventionally requires involvement of a second surgical site; the latter is avoided by the proposed technique. Sixteen isolated gingival recessions (2.5 to 4.0 mm deep) were surgically treated with a coronally advanced flap associated with a connective tissue graft harvested from one adjacent papilla whose dimensions matched those of the exposed root area. Procedures were performed with the aid of a surgical microscope. Recession depth, probing depth, periodontal attachment level, and keratinized tissue width were recorded at baseline and 12 months after surgery. Mean recession moved from 3.38 +/- 0.72 mm at baseline to 0.13 +/- 0.29 mm at 12 months, a gain of 97.03%. In 13 of the 16 cases 12 months after surgery, the gingival margin was located at the CEJ or coronal to it, while in two cases the residual recession was less than 1.0 mm and in another case it was 1.0 mm. Mean periodontal attachment level was 4.72 +/- 1.00 mm at baseline and 1.03 +/- 0.59 mm at follow-up. Mean keratinized tissue increased from 1.25 +/- 0.75 mm to 3.47 +/- 0.87 mm. ...Continue Reading

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