The partly epithelialized free gingival graft (pe-fgg) at lower incisors. A pilot study with implications for alignment of the mucogingival junction

Journal of Clinical Periodontology
Pierpaolo CortelliniGiovanpaolo Pini Prato

Abstract

A partly epithelialized free gingival graft (PE-FGG) is described for the treatment of isolated and multiple gingival recessions in lower incisors to improve root coverage potential and mucogingival junction (MGJ) alignment. Twelve single gingival recessions in 12 patients and 16 multiple recessions in 7 patients at lower incisors were included. A FGG partly deprived of epithelium was harvested from the palate. The epithelialized coronal part of the graft extended from the CEJ to the "ideal" position of the MGJ of the recession site/s. The apical part of the PE-FGG deprived of the epithelium was inserted between the alveolar mucosal flap and the recipient bed periostium. An aesthetic evaluation was performed. Treatment resulted in 94 ± 11% and 96 ± 11% root coverage and 75% and 87.5% of the treated teeth completely covered in the single recession and in the multiple recession groups respectively. The 1-year KT was associated with the baseline extent of the epithelialized part of the graft in both groups. As a consequence, the MGJ resulted in properly aligned teeth in 14 of 19 patients. Three independent clinicians assigned an aesthetic score ranging from 6.36 ± 2.5 to 7.91 ± 1.7 in the single REC group and from 6.62 ± 2.2 to 7....Continue Reading

References

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Sep 14, 2007·Journal of Clinical Periodontology·Beat RöthlisbergerNiklaus P Lang
Oct 24, 2007·Journal of Clinical Periodontology·P Sunethra RajapaksePeter A Heasman
Apr 25, 2008·Journal of Clinical Periodontology·Anders HugosonOla Norderyd
May 29, 2008·Journal of Clinical Periodontology·Roberto RotundoGiovanpaolo Pini Prato
Sep 9, 2008·Journal of Clinical Periodontology·Francesco CairoMichele Nieri
Feb 21, 2009·Journal of Periodontology·Stéphane KernerPhilippe Bouchard
May 1, 2010·Journal of Periodontology·Cléverson O SilvaDimitris N Tatakis
Jul 16, 2010·Journal of Periodontology·Francesco CairoGiovan Paolo Pini-Prato

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Citations

Oct 10, 2013·Journal of Esthetic and Restorative Dentistry : Official Publication of the American Academy of Esthetic Dentistry ... [et Al.]·Isabella BignozziLuca Landi
Feb 6, 2014·Australian Dental Journal·P Gümüş, E Buduneli
Mar 30, 2016·Progress in Polymer Science·Fa-Ming Chen, Xiaohua Liu
Aug 29, 2019·Journal of Periodontology·Giovanni ZucchelliWilliam V Giannobile
Aug 2, 2020·Journal of Periodontology·Leandro Chambrone, Gustavo Avila-Ortiz
May 5, 2017·The Journal of Craniofacial Surgery·Bruno Seemann VieiraElcia Maria Varize Silveira
Sep 10, 2019·Clinical Advances in Periodontics·Bassam M KinaiaAnthony L Neely
Apr 27, 2021·JDR Clinical and Translational Research·M AgustoG P Schincaglia

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