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1

Keerthana Baskar, Nashra Kareem, and Sreedevi Dharman. "Evaluation of Connective Tissue Grafts Versus Free Gingival Grafts." International Journal of Research in Pharmaceutical Sciences 11, SPL4 (December 24, 2020): 474–78. http://dx.doi.org/10.26452/ijrps.v11ispl4.3885.

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Root coverage is one of the important aims of periodontal therapy. The aim of the study was to evaluate the connective-tissue grafts (CTG) and free gingival grafts (FGG) in root coverage procedures. A retrospective study of sample size 32 was conducted. These patients underwent a root coverage procedure done using grafts. The details on which graft was obtained from patient records were reviewed and analysed between June 2019 to March 2020. Excel tabulation was done, analysed and transferred to SPSS for statistical analysis. The p value was set at 0.05. In the study, it was found that CTG was used in 56.25% of the patients and FGG was used in 43.75% of the patients undergoing root coverage procedure. It was found that Free gingival grafts (25%) were placed more commonly in females when compared to connective tissue grafts (18.75%). However, in males, connective tissue grafts (37.5%) were placed more commonly than free gingival grafts. (18.75%) The prevalence of connective tissue graft was more when compared to free gingival graft at 36-55 years of age. Connective tissue graft was done more commonly in the age group of 15-35 years. Prevalence of connective tissue grafts was more in males than in females. Within the limits of the study, it was found that connective tissue graft (CTG) procedures performed more than free gingival graft (FGG) procedures following the gold standard for root coverage in gingival recession treatment.
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Nelson, Stephen W. "The Subpedicle Connective Tissue Graft." Journal of Periodontology 58, no. 2 (February 1987): 95–102. http://dx.doi.org/10.1902/jop.1987.58.2.95.

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3

Breault, Lawrence G., Sung Y. Lee, and Nicole E. Mitchell. "Fixed Prosthetics with a Connective Tissue and Alloplastic Bone Graft Ridge Augmentation: A Case Report." Journal of Contemporary Dental Practice 5, no. 4 (2004): 111–22. http://dx.doi.org/10.5005/jcdp-5-4-111.

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Abstract Augmentation of the partially edentulous ridge can significantly improve the final prosthodontic rehabilitation. For enhancing soft tissue contours in the anterior region, the subepithelial connective tissue graft is the treatment of choice. The combination of connective tissue grafts with alloplastic bone graft material can optimize the ridge augmentation and reduce post extraction defects. The aim of this clinical report is to describe the use of subepithelial connective tissue in conjunction with an alloplastic bone graft for augmentation of a maxillary anterior ridge prior to prosthetic rehabilitation. Citation Breault LG, Lee SY, Mitchell NE. Fixed Prosthetics with a Connective Tissue and Alloplastic Bone Graft Ridge Augmentation: A Case Report. J Contemp Dent Pract 2004 November;(5)4:111-122.
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Park, Jae-Young, Wan-Su Kim, Woo-Hyuk Yun, Yun-Sang Kim, Hyung-Keun You, Hyung-Shik Shin, and Sung-Hee Pi. "Connective tissue graft for root coverage." Journal of the Korean Academy of Periodontology 38, no. 2 (2008): 231. http://dx.doi.org/10.5051/jkape.2008.38.2.231.

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5

Jafri, Zeba, and Nafis Ahmad. "Treating Multiple Gingival Recessions by Pouch and Tunnel Connective Tissue Graft Technique." Indian Journal of Dental Education 9, no. 3 (2016): 189–91. http://dx.doi.org/10.21088/ijde.0974.6099.9316.9.

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6

Herford, Alan S., Todd C. Cooper, Carlo Maiorana, and Marco Cicciù. "Vascularized Connective Tissue Flap for Bone Graft Coverage." Journal of Oral Implantology 37, no. 2 (April 1, 2011): 279–85. http://dx.doi.org/10.1563/aaid-joi-d-09-00146.1.

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Abstract Alveolar defects are characterized by missing soft and hard tissues. It is often necessary to combine secondary procedures to address the soft-tissue component. The authors describe a technique that uses a split-thickness flap design that is placed over the crest of the remaining ridge and extends in a palatal direction. This allows advancement of the flap with its exposed connective tissue over the bone graft and provides restoration of both bone and keratinized tissue. Seventeen patients with defects involving the anterior maxilla who required grafting procedures were including in this study. All patients had an autogenous bone graft (n = 17) combined with osseointegrated implants (n = 41). A split-thickness flap design was used at the time of bone graft placement (primary) in 9 patients and at the time of implant uncovering (secondary) in 8 patients. There were no cases of flap necrosis or dehiscence with exposure of the bone graft. All patients demonstrated an increase in keratinized tissue involving the peri-implant area. An apical repositioned split-thickness flap provides an increased zone of keratinized tissue with improved esthetics and implant maintenance. This technique can be performed simultaneously with the grafting procedure, thus avoiding extensive undermining of the adjacent soft tissue.
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Matsumura, Akiko, Hiroyuki Konobu, Hiroshi Nakaya, and Kyuichi Kamoi. "Effects of Subepithelial Connective Tissue Graft for Root Coverage. Subepithelial Connective Tissue Treatment." Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology) 40, no. 2 (1998): 151–61. http://dx.doi.org/10.2329/perio.40.151.

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8

Segal, Joshua, Monika Patel, Henry Woo, and Rachel Pruitt. "Pseudoaneurysm of the Greater Palatine Vessel Following Subepithelial Connective Tissue Graft." Journal of Oral Implantology 45, no. 6 (December 27, 2019): 483–85. http://dx.doi.org/10.1563/aaid-joi-d-19-00178.

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Subepithelial gingival connective tissue grafts are a common surgical procedure performed in periodontal and implant surgery. This versatile procedure has many indications including tooth root coverage, thickening of gingiva, and improvement of the quality of the crestal gingiva. Several techniques have been described for graft harvest from the palate. Reported complications from these techniques include pain, inflammation, bleeding, flap necrosis, and infection in the donor site. We report a previously unpublished complication following subepithelial gingival connective tissue graft from the palate: pseudoaneurysm of the greater palatine vessel.
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9

Kim, Jeong-Hyun, Yeek Herr, Young-Hyuk Kwon, Joon-Bong Park, and Jong-Hyuk Chung. "Root coverage using subepithelial connective tissue graft." Journal of the Korean Academy of Periodontology 38, no. 1 (2008): 91. http://dx.doi.org/10.5051/jkape.2008.38.1.91.

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10

Badylak, S. F., J. P. Toombs, K. D. Shelbourne, M. C. Hiles, G. C. Lantz, D. Van Sickle, and S. W. Aiken. "Small Intestinal Submucosa as an Intra-Articular Ligamentous Graft Material: A Pilot Study in Dogs." Veterinary and Comparative Orthopaedics and Traumatology 07, no. 03 (1994): 124–28. http://dx.doi.org/10.1055/s-0038-1633133.

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SummaryThis pilot study was performed to determine the potential for using small intestinal submucosa (SIS) xenografts for intra-articular ligament reconstruction. Porcine SIS was used to replace the excised cranial cruciate ligament (CCL) in five normal dogs. Grafts were evaluated histologically at 10, 12, 16, and 26 weeks after implantation. Two grafts were evaluated biomechanically at 26 weeks. All of the SIS neoligaments appeared macroscopically as white fibrous bands. The histological appearance progressed, with time, from disorganized immature connective tissue to large bundles of organized connective tissue, covered by a synovial membrane, that resembled the native CCL. There was no histological evidence of immune-mediated nor any foreign body reaction to the xenogeneic SIS graft material. The neoligaments 26 weeks after implantation had a maximum force to failure that was 16.2 and 21.4 times greater than the original SIS graft material and were 7.6 and 11.1 percent as strong as the contralateral control CCLs. We conclude that porcine SIS, used as an intra-articular graft material to replace the normal CCL in dogs, supported host tissue ingrowth, remodelled to form a ligamentous structure, and is worthy of further investigation.Small intestinal submucosa was used to replace the excised cranial cruciate ligament (CCL) in five normal dogs. The histo-logical appearance of the grafts progressively changed, with time, from disorganized immature connective tissue to large bundles of organized connective tissue that resembled the native CCL. Graft strength increased between implantation and 26 weeks after the operation, however remained weaker than controls.
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11

Mutthineni, Ramesh Babu, Ram Babu Dudala, and Arpita Ramisetty. "Esthetic Root Coverage with Double Papillary Subepithelial Connective Tissue Graft: A Case Report." Case Reports in Dentistry 2014 (2014): 1–5. http://dx.doi.org/10.1155/2014/509319.

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Patients today have become excessively concerned about esthetics. These esthetic concerns of patients have become an integral part of periodontal practice. Gingival recession is an esthetic problem that can be successfully treated by means of several mucogingival surgical approaches, any of which can be used, provided that the biologic conditions for accomplishing root coverage are satisfied with no loss of soft and hard tissue height interdentally. There are currently different techniques for root coverage which include pedicle grafts, free gingival grafts, connective tissue grafts, and guided tissue regeneration (GTR). This paper reports a case in which a new double papillary connective tissue graft technique has been used in the treatment of gingival recession.
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12

Breault, Lawrence G., Lemuel L. Covington, Barry G. Bishop, and Constance L. Sedon. "The Subepithelial Connective Tissue Graft: Part 1. Patient Selection and Surgical Techniques." Journal of Contemporary Dental Practice 6, no. 1 (2005): 146–62. http://dx.doi.org/10.5005/jcdp-6-1-146.

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Abstract Periodontal mucogingival techniques continually evolve. This provides the patient more treatment alternatives for common problems such as gingival recession. General practitioners should be familiar with these techniques in order to identify patients who might benefit from them. Currently, subepithelial connective tissue grafts (SCTG) remain the most reliable techniques used to cover denuded root surfaces. This paper reviews patient selection and the numerous surgical approaches for subepithelial connective tissue grafting. Citation Sedon CL, Breault LG, Covington LL, Bishop BG. The Subepithelial Connective Tissue Graft: Part I. Patient Selection and Surgical Techniques. J Contemp Dent Pract 2005 February;(6)1:146-162.
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13

Dhruvakumar, Deepa, and Priyanka Srivastava. "Palatal gingival recession treated with connective tissue graft." International Journal of Oral Health Sciences 3, no. 2 (2013): 98. http://dx.doi.org/10.4103/2231-6027.135980.

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14

Majzoub, Zeina, Luca Landi, Maria Gabriella Grusovin, and Giampiero Cordioli. "Histology of Connective Tissue Graft. A Case Report." Journal of Periodontology 72, no. 11 (November 2001): 1607–15. http://dx.doi.org/10.1902/jop.2001.72.11.1607.

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15

Romanos, Alain H., Nicolaas C. Geurs, and Ramzi V. Abou-Arraj. "Pedicle Connective Tissue Graft With Novel Palatal Tunneling." Clinical Advances in Periodontics 3, no. 4 (November 2013): 191–98. http://dx.doi.org/10.1902/cap.2013.120125.

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16

Kukiratirat, Tanatcha, Eduardo Gonzalez deLa Torre, Reem Alghamdi, Takanori Suzuki, Kadi Raed, and Sang Choon Cho. "A new technique in harvesting connective tissue graft." Clinical Oral Implants Research 30, S19 (September 2019): 238. http://dx.doi.org/10.1111/clr.194_13509.

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17

Yuwono, Hendro Sudjono, and Pieter J. Klopper. "CONNECTIVE-TISSUE TUNNEL GRAFT FOR LYMPHATIC VESSEL ANASTOMOSIS." Plastic and Reconstructive Surgery 86, no. 6 (December 1990): 1235. http://dx.doi.org/10.1097/00006534-199012000-00043.

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18

Vieira Falabella, M. E., F. Oliveira Gonçalves, D. Gomes da Silva, L. Guimarães Soares, and L. P. Diniz Barreto. "Root coverage with connective tissue graft. Case reports." Dental Cadmos 84, no. 2 (February 2016): 109–13. http://dx.doi.org/10.1016/s0011-8524(16)30024-1.

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19

Ramakrishnan, T., Kriti Aggarwal, and Manmeet Kaur. "Root coverage using epithelial embossed connective tissue graft." Indian Journal of Dental Research 22, no. 5 (2011): 726. http://dx.doi.org/10.4103/0970-9290.93466.

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20

Langer, Burton, and Laureen Langer. "Subepithelial Connective Tissue Graft Technique for Root Coverage." Journal of Periodontology 56, no. 12 (December 1985): 715–20. http://dx.doi.org/10.1902/jop.1985.56.12.715.

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21

Sharanappa, Mahantesha, Kranti Konuganti, Apoorva Kumar, and Rima LNU. "Papilla Reconstruction: Reclaiming the Lost!" Journal of Health Sciences & Research 7, no. 1 (2016): 19–22. http://dx.doi.org/10.5005/jp-journals-10042-1028.

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ABSTRACT Increasing esthetic demands of the modern era has converted modern dentistry to pink and white esthetic dentistry. One of the most difficult goals in the regeneration of the soft tissues is the reconstruction of interdental papilla. A number of techniques have been tried, but the results still lack predictability. Nonsurgical techniques include repeated curettage of the interdental papilla, orthodontic and restorative correction, and hyaluronic acid application, while surgical techniques include pedicle and free gingival graft, connective tissue grafts, and subepithelial connective tissue graft. This article presents a report of two cases where a combination of platelet-rich fibrin (PRF) and pedicle graft was utilized to retain maximum vascularity and minimize scar tissue formation. The atraumatic management of the tissues with a pouch-like design avoids tension and pressure and is critical for the success of the procedure. Adequate fill of the interdental papilla was observed in both the cases and the results were stable up to 6 months. How to cite this article Sharanappa M, Konuganti K, Kumar A, Rima. Papilla Reconstruction: Reclaiming the Lost! J Health Sci Res 2016;7(1):19-22.
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22

Breault, Lawrence G., Lemuel L. Covington, Barry G. Bishop, and Constance L. Sedon. "The Subepithelial Connective Tissue Graft: Part II. Histologic Healing and Clinical Root Coverage." Journal of Contemporary Dental Practice 6, no. 2 (2005): 139–50. http://dx.doi.org/10.5005/jcdp-6-2-139.

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Abstract Periodontal plastic surgical techniques have evolved to meet the demands of today's dental patient. Free gingival grafts (FGGs), pedicle flaps, subepithelial connective tissue grafts (SCTGs), acellular dermal matrix (ADM) grafts, and guided tissue regeneration (GTR) have all been used to cover denuded root surfaces. FGGs have demonstrated inconsistent results. Pedicle flaps have provided consistent results, but adequate tissue must be present initially. ADM grafts have also demonstrated success, but long-term stability may be a problem. Presently, SCTGs and GTR should be considered the treatment of choice for root coverage. They are the most predictable with average root coverage as high as 98.9% and 92.3%, respectively. Citation Sedon CL, Breault LG, Covington LL, Bishop BG. The Subepithelial Connective Tissue Graft: Part II. Histologic Healing and Clinical Root Coverage. J Contemp Dent Pract 2005 May;(6)2:139-150.
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Mohammadi, Siamak, Jean-Pierre Normand, Pierre Voisine, and François Dagenais. "Thoracic Aortic Stent Grafting in Patients with Connective Tissue Disorders: A Word of Caution." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 2, no. 4 (July 2007): 184–87. http://dx.doi.org/10.1097/imi.0b013e31815887e0.

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Objective Use of thoracic Stent-graft in patients with connective tissue disorders (CTD) remains limited. We herein report 3 patients with CTD who underwent stent grafting. Methods and Results Case 1; A male Marfan patient was operated for thoraco-abdominal aneurysm. On computed tomography (CT), large false aneurysm at the proximal anastomosis was documented which was excluded with a 30 mm Talent stent-graft with 10–15% oversize. Case 2; A female with Ehlers-Danlos syndrome had undergone resection of descending aortic thoracic aneurysm presented with an enlarging aneurysm distal to the graft. Three Talent stent-grafts (15% oversize) were deployed with balloon dilatation to exclude the aneurysm. The immediate postoperative period was complicated by an extensive intramural hematoma of the descending aorta with hemothorax, managed conservatively. Case 3; A female Marfan patient had undergone Bentall procedure and mitral repair followed with resection of the proximal descending aorta. Three months later a false aneurysm at the distal anastomosis was treated with a 24 mm Valiant stent-graft (30% oversize). Aortic dissection distal to stent was documented on the early postoperative CT. The dissected aneurysm enlarged significantly with a type I distal endoleak during follow-up. Concomitantly, the patient presented a class III dyspnea owing to a severe mitral regurgitation. The patient underwent a successful MVR and stent-graft explantation with replacement of the descending aorta. Conclusion Significant complications supervened when stent-grafts were deployed in native aorta. We thus recommend that deploying a stent-graft in a CTD diseased aorta should be considered a relative contraindication. In cases with prohibitive or high risk surgery, use of a stent-graft with minimal radial force and minimal oversizing without balloon dilatation should be considered.
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Ramos, Sara, Tiago Marques, Santos Nuno, Tiago Borges, Andrè Correia, Manuel Sousa, and Gustavo Fernandes. "Palatal soft‐tissue changes after connective tissue graft harvesting – Tridimensional evaluation." Clinical Oral Implants Research 30, S19 (September 2019): 444. http://dx.doi.org/10.1111/clr.494_13509.

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Imano, Marcelo, Paula Porto Spada, Juliana Marchioro Souza Macalossi, and Tatiana Miranda Deliberador. "Treatment of Localized Gingival Recession by Means Tunnel Technique after the Orthodontic Treatment. A Follow-Up of 1 Year." Case Reports in Dentistry 2020 (September 8, 2020): 1–6. http://dx.doi.org/10.1155/2020/8816510.

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Facial and dental esthetics are the objectives of dental treatment, and, for this, it is necessary that specialties such as periodontics and orthodontics work together. The objective of this article is to report a clinical case with the solution of localized gingival recession after orthodontic treatment, using tunneled subepithelial connective tissue grafts with follow-up for 1 year. The patient underwent orthodontic treatment for 1 year. Prior to the start of treatment, a gingival recession of 5 mm was already present on tooth 31. One month after the completion of treatment, the patient was subjected to a tunneled subepithelial connective tissue graft, with the purpose of covering the exposed root. We observed the effectiveness of the procedure and patient satisfaction with the results obtained. The subepithelial connective tissue graft was successful in this case, and the collaboration of specialists is important to provide the best treatment for the patient.
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Srivastava, Ruchi, Zeba R. Siddiqui, Rajesh Jhingran, and Vivek K. Bains. "Double Papilla Graft with Amnion Membrane for Root Coverage of Isolated Recession." World Journal of Dentistry 7, no. 4 (2016): 213–16. http://dx.doi.org/10.5005/jp-journals-10015-1399.

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ABSTRACT Gingival recession is one of the most common soft tissue problems, especially when it hinders the esthetics of a patient. Gingival recession can further lead to root caries, sensitivity, and difficulty in plaque control. Moreover, exposed roots are prone to abrasion and erosion. Periodontal plastic surgery is one of the emerging fields, which helps to meet such soft tissue problems. Currently, a variety of techniques are being used for root coverage, like pedicle grafts, coronally advanced flap, free mucosal graft, epithelial connective tissue graft, guided tissue regeneration, and acellular dermal matrix. This article highlights a case that was successfully managed by double papilla graft technique in combination with amnion membrane for root coverage of Miller class II recession defect in the mandibular canine region. In this technique, the soft tissues adjacent to the recession area were positioned over the recession defect. The main advantage of this technique is that the flap remains attached at its base so that it retains its own blood supply during transfer to a new position. It also preserves the interdental papilla, thus preserving the gingival height. As an alternative to the epithelial connective tissue graft, amnion membrane has the advantage of no invasive palatal wound, regenerative potential, and improved esthetic results. This procedure is highly sensitive and had predictable results, with a clinically significant amount of root coverage. How to cite this article Srivastava R, Siddiqui ZR, Jhingran R, Bains VK. Double Papilla Graft with Amnion Membrane for Root Coverage of Isolated Recession. World J Dent 2016;7(4):213-216.
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Wessel, Jeffrey R., and Dimitris N. Tatakis. "Patient Outcomes Following Subepithelial Connective Tissue Graft and Free Gingival Graft Procedures." Journal of Periodontology 79, no. 3 (March 2008): 425–30. http://dx.doi.org/10.1902/jop.2008.070325.

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28

Abraham, Celeste M., Jeffrey A. Rossmann, Ibtisam Al-Hashimi, Eric S. Solomon, David G. Kerns, Elizabeth Meyers Tomlin, M. Miles Beach, and Harvey P. Kessler. "Ridge Preservation using Dermis Allograft Tissue Matrix Membrane vs Connective Tissue Graft." Journal of Contemporary Dentistry 4, no. 1 (2014): 10–16. http://dx.doi.org/10.5005/jp-journals-10031-1061.

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ABSTRACT Purpose The purpose of this study was to compare extraction socket healing and alveolar ridge preservation using autogenous bone covered with connective tissue graft (CT) or acellular dermal matrix (ADM). Materials and Methods Sixteen nonsmoking, healthy patients with 18 nonmolar teeth requiring extraction participated in the study. Following extraction, the sockets were debrided, measured, and grafted with autogenous bone, then covered with either CT or ADM. Measurements of alveolar ridge width and height were made at baseline and after 16 to 20 weeks post extraction. Soft and hard tissue biopsies of the extraction sites were evaluated histomorphometrically. Results The mean buccolingual ridge width loss was 0.19 mm for both CT and ADM groups. The mean vertical bone gain was 1.08 mm bone for the CT group and 0.82 mm for the ADM group. Histologic evaluation revealed a mean bone fill of 40.67 and 50.76% for CT and ADM group respectively. Student t-tests did not reveal significant difference between the two groups. Conclusion The overall results of the study suggest that the use of bone graft covered with either CT or ADM is useful for ridge preservation. How to cite this article Tomlin EM, Kerns DG, Rossmann JA, Beach MM, Al-Hashimi I, Abraham CM, Solomon ES, Kessler HP. Ridge Preservation using Dermis Allograft Tissue Matrix Membrane vs Connective Tissue Graft. J Contemp Dent 2014;4(1):10-16.
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Farkhshatova, R. R., L. P. Gerasimova, and I. T. Yunusov. "Comparative analysis of the effectiveness of surgical techniques for the treatment of Miller Class I gingival recessions." Parodontologiya 26, no. 2 (June 30, 2021): 150–57. http://dx.doi.org/10.33925/1683-3759-2021-26-2-150-157.

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Relevance. It is currently relevant to study and compare the effectiveness of the autologous connective tissue grafts and the combination of collagen-based and autologous platelet-rich plasma in the surgical treatment of Miller Class I gingival recessions.Materials and methods. We examined and treated 48 (20 male (41.67%) and 28 female (58.33%)) patients aged from 25 to 40 years with Miller Class I gingival recessions. All gingival recessions were treated surgically using a modified twolayer tunnel technique. The patients were divided into two groups according to the graft type. Group I (24 patients (50%) had a connective tissue graft from the hard palate. Group II (24 patients (50%) used the combination of the autologous platelet-rich plasma and 3D collagen matrix Fibromatrix for the regeneration of oral soft tissues. We removed the sutures on the 14th day. The patients were followed up on the 7th and 14th days and in 1.3 months.Results. 48 Miller Class I gingival recessions were treated between 2018 and 2020. The depth of gingival recessions averaged 3.5 ± 1.13 mm before treatment. The level of the attached keratinized gingiva regarding the cementoenamel junction significantly (p < 0.001) improved in both groups after the surgery. The width and thickness of the keratinized gingiva best increased in group II. The mean effectiveness of gingival recession treatment was 84% in study group I and 96% – in study group II. Pain syndrome, fibrinous plaque and soft tissue edema were insignificant in group II.Conclusion. The combination of the autologous platelet-rich plasma and Fibromatrix, collagen 3D matrix, for the regeneration of the oral soft tissues is a more effective technique for the treatment of Miller Class I gingival recessions. This technique has several advantages. It is minimally invasive, less painful, soft tissue postoperative swelling is less and the received volume of the attached keratinized gums is larger than with a connective tissue graft.
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MB, Harsha, Veena HR, Sheela Kumar Gujjari, and Deepak Prasad. "Use of Subepithelial Connective Tissue Graft for Root Coverage." World Journal of Dentistry 2 (April 2011): 159–62. http://dx.doi.org/10.5005/jp-journals-10015-1075.

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31

이민재, 유상준, Kim,Byung-Ock, 이상준, and 이창규. "Subepithelial Connective Tissue Graft for Root Coverage : Case Reports." Oral Biology Research 35, no. 2 (September 2011): 145–51. http://dx.doi.org/10.21851/obr.35.2.201109.145.

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32

Gujjari, Sheela Kumar, MB Harsha, and Deepak Prasad. "Use of Subepithelial Connective Tissue Graft for Root Coverage." World Journal of Dentistry 2, no. 2 (2011): 159–62. http://dx.doi.org/10.5005/wjoud-2-2-159.

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ABSTRACT Until recently, periodontal therapy was predominantly focused on establishing biologically and functionally stable periodontium. The presence of mucogingival problems and gingival recession around anterior teeth exemplifies a situation in which a treatment modality that addresses not only biological and functional but also esthetic demands are required from the periodontist. The advent of procedure such as subepithelial connective tissue graft in the mid-1980s and its various modifications thereafter, have led to improved and more predictable outcomes of root coverage. Thus, the present day clinicians have become more capable of addressing the esthetic demands of their patients. This case report shows the usage of subepithelial connective tissue graft for root coverage of upper right first premolar, which shows successful root coverage with a stable result. The technique used here created a healthy, functional and esthetic gingival unit that appeared resistant to further breakdown at a 6-month follow-up.
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Agrawal, Diksha R., and Priyanka Jaiswal. "Different Techniques of Harvesting Connective Tissue Graft: An Update." International Journal of Current Research and Review 12, no. 15 (2020): 16–25. http://dx.doi.org/10.31782/ijcrr.2020.12152.

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34

Block, Michael S. "De-epithelialized Connective Tissue Pedicle Graft: The Palatal Roll." Atlas of the Oral and Maxillofacial Surgery Clinics 7, no. 2 (September 1999): 109–16. http://dx.doi.org/10.1016/s1061-3315(18)30054-4.

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35

Kasirajan, Karthikeshwar, Brian Matteson, John M. Marek, and Mark Langsfeld. "Covered Stents for True Subclavian Aneurysms in Patients with Degenerative Connective Tissue Disorders." Journal of Endovascular Therapy 10, no. 3 (June 2003): 647–52. http://dx.doi.org/10.1177/152660280301000335.

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Purpose: To report the endovascular repair of rare true aneurysms of the subclavian artery in patients with degenerative connective tissue disorders. Case Reports: Two patients, one with Marfan syndrome and the other with idiopathic cystic medial necrosis, presented with 3 subclavian artery aneurysms. A Wallgraft and 2 Viabahn covered stents were used to successfully exclude these aneurysms. After 3 months, the Wallgraft thrombosed, but the contralateral Viabahn remained patent at the most recent examination 13 months after treatment. The other patient with the unilateral aneurysm had a patent Viabahn stent-graft at 10 months. Conclusions: Patients with degenerative connective tissue disorders may benefit from less invasive treatment with stent-grafts. The more flexible Viabahn stent-graft may be better able to adapt to arterial tortuosity. However, the long-term results of this new technique have not yet been established.
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Um, Jung Hwan, Dong In Jo, and Soon Heum Kim. "New proposal for skin grafts on tendon-exposed wounds." Archives of Plastic Surgery 49, no. 1 (January 15, 2022): 86–90. http://dx.doi.org/10.5999/aps.2021.00297.

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Performing a skin graft is not feasible for tendon-exposed defect reconstruction because tendons are fibrous connective tissues with relatively poor blood supply. This study proposes a method to effectively perform skin graft surgery in tendon-exposed wounds. A 48-year-old male patient with diabetes mellitus had a very large left dorsal foot defect (8×8 cm). The wound bed had healthy granular tissue, with tendon exposure. The tendons were turned over so that the posterior side would behave as the anterior side. The edge of the paratenon was then fixed together to the surrounding granulation tissue or dense remnant fascia using absorbable sutures, and the close granulation tissue was approximated and buried. A split-thickness skin graft was performed after 1 week. The graft site was stably taken on postoperative day 3. A small disruption was then observed at the graft site within 1 week postoperatively, but conservative treatment was continued for 1 month, after which the defect site was completely restored. This technique can increase the success rate of skin grafts for defects with tendon exposure.
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Sunil, Sathyanarayana, and MB Harsha. "Root Coverage using Double Papilla with Connective Tissue Graft: A 13-month Report of a Successful Case." Journal of Health Sciences & Research 8, no. 2 (2017): 77–79. http://dx.doi.org/10.5005/jp-journals-10042-1054.

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ABSTRACT Introduction Several techniques have been used to achieve root coverage and augment attached gingiva, including laterally positioned flaps, coronally positioned flaps, free gingival grafts, guided tissue regeneration, and connective tissue grafting. The decision of using a pedicle procedure or free tissue grafts is based on availability of the adjacent donor site and the width and depth of the defect site. Case report In this report, a young female patient reported with a deep and wide recession defect (Miller's class I) in the upper right central incisor with minimal keratinized gingival width. As the adjacent papillae were wide and showed good donor tissue and augmentation of width and thickness of keratinized gingiva were intended, double-papilla flap and connective tissue graft was performed. The 13-month postoperative showed Cairo's root coverage esthetic score of 6, satisfying the patient's esthetic needs. Conclusion The root coverage achieved was structurally and functionally stable at 13-month follow-up satisfying the patient's esthetic needs. Clinical significance This procedure seems to be a promising treatment option for deep-wide gingival recessions for root coverage and increasing the thickness and width of keratinized gingiva. How to cite this article Sunil S, Babu HM. Root Coverage using Double Papilla with Connective Tissue Graft: A 13-month Report of a Successful Case. J Health Sci Res 2017;8(2):77-79.
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Lissek, Martin, Martin Boeker, and Arndt Happe. "How Thick Is the Oral Mucosa around Implants after Augmentation with Different Materials: A Systematic Review of the Effectiveness of Substitute Matrices in Comparison to Connective Tissue Grafts." International Journal of Molecular Sciences 21, no. 14 (July 17, 2020): 5043. http://dx.doi.org/10.3390/ijms21145043.

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This systematic review aimed to assess the effectiveness of xenogeneic collagen matrices (XCMs) and acellular dermal matrices (ADMs) in comparison to connective tissue grafts (CTGs) for the augmentation of oral mucosa around dental implants. MEDLINE and the Web of Science were searched for clinical studies that compared substitute materials for the augmentation of oral mucosa to the subepithelial connective tissue graft around dental implants during or after implantation. The review was conducted according to the recommendations of the PRISMA statement. From an initial search result set of 1050 references, seven articles were included in the review. The study designs were heterogeneous, so no meta-analysis could be performed. Both the CTG and either type of substitute material resulted in increased mucosal thickness. Four studies showed no significant difference, while three demonstrated a significant difference, favoring the CTGs over alternative materials. Soft tissue augmentation around dental implants is a safe procedure and leads to thicker mucosal tissue. The subepithelial connective tissue graft can still be regarded as the gold standard, but substitute materials may be an acceptable alternative in some situations, such as for pain-sensitive patients, among inexperienced surgeons, and for sites with an already thick biotype.
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Aghazada, Rustam, and Afat Aghazada. "Connective tissue graft for soft tissue augmentation around the implants: case report." Clinical Oral Implants Research 29 (October 2018): 235. http://dx.doi.org/10.1111/clr.120_13358.

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A. Manchenko, Anna, Irina P. Mikhailova, and Boris P. Sandomirsky. "Studies of connective tissue graft biointegration in preparing of tissue replacing biomaterials." Problems of Cryobiology and Cryomedicine 25, no. 2 (June 25, 2015): 179. http://dx.doi.org/10.15407/cryo25.02.179.

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41

Edranov, S. S., and R. A. Kerzikov. "FREE GINGIVAL GRAFT MORPHOGENESIS." Russian Journal of Dentistry 21, no. 2 (April 15, 2017): 111–16. http://dx.doi.org/10.18821/1728-28022017;21(2):111-116.

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This review analyzes the current state of the problem of creating the area of keratinized and attached gingiva in dental implantology. Apically positioned flap with a free gingival graft (FGG) placement is considered the gold standard in the oral soft tissue plastic surgery. It is noted that the periosteal or connective tissue recipient bed is an important prerequisite to graft revascularization and survival. FGGs placed on the periosteum often display clinical mobility while grafts fixed on denuded alveolar bone predictably create a firmly attached band of keratinized gingiva. The development of specific techniques and methods for fixing the FGG on bone bed have special priority. Exploring rigid fixation of the graft, as well as cellular and molecular mechanisms that determine the dynamics of the regenerative processes at the graft-bed interface has great clinical potential.
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42

Walter, Clemens, Leonard Büttel, and Roland Weiger. "Localized Alveolar Ridge Augmentation Using a Two-step Approach with Different Soft Tissue Grafts: A Clinical Report." Journal of Contemporary Dental Practice 9, no. 4 (2008): 99–106. http://dx.doi.org/10.5005/jcdp-9-4-99.

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Abstract Aim The purpose of this report is to present the use of different soft tissue grafting procedures for surgical ridge augmentation. Background Multiple augmentative procedures may be indicated for the esthetic reconstruction of edentulous alveolar ridge deformities due to unpredictable shrinkage of augmented tissues. Report A 38-year-old woman with a moderate Class III alveolar ridge defect received periodontal plastic surgery treatment using a combined onlay-interpositional graft procedure and a subepithelial connective tissue graft. Summary This case illustrates the aesthetic reconstruction of a moderate alveolar ridge defect using a twostep approach. Clinical Significance Using different soft tissue grafting procedures might be helpful in planning and treating moderate alveolar ridge defects. The time for remodelling of the augmented tissues needs to be respected before the final prosthesis is placed. Citation Walter C, Büttel L, Weiger R. Localized Alveolar Ridge Augmentation Using a Two-step Approach with Different Soft Tissue Grafts: A Clinical Report. J Contemp Dent Pract 2008 May; (9)4:099-106.
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Min, Kyoung-Man, Soo-Boo Han, Chul-Woo Lee, Dong-Kyun Kim, and Sang-Hoon Leem. "Socket Preservation Utilizing Modified Free Connective Tissue Graft for Primary Closure : Wing Graft." Journal of the Korean Academy of Periodontology 28, no. 3 (1998): 409. http://dx.doi.org/10.5051/jkape.1998.28.3.409.

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44

Khuller, Nitin. "Coverage of gingival recession using tunnel connective tissue graft technique." Journal of Indian Society of Periodontology 13, no. 2 (2009): 101. http://dx.doi.org/10.4103/0972-124x.55838.

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Benjamin, Dr Amit. "Ridge Augmentation Using a Connective Tissue Graft- A Case Report." IOSR Journal of Dental and Medical Sciences 4, no. 2 (2013): 34–36. http://dx.doi.org/10.9790/0853-0423436.

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Jain, Dr Yashika. "Coverage of gingival recession using pouch connective tissue graft technique." IOSR Journal of Dental and Medical Sciences 4, no. 1 (2013): 55–58. http://dx.doi.org/10.9790/0853-0415558.

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Butler, Bobby L. "The Subepithelial Connective Tissue Graft with a Vestibular Releasing Incision." Journal of Periodontology 74, no. 6 (June 2003): 893–98. http://dx.doi.org/10.1902/jop.2003.74.6.893.

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Kumar, Ashish, Vishal Sood, SujataSurendra Masamatti, MG Triveni, DS Mehta, Manish Khatri, and Vipin Agarwal. "Modified single incision technique to harvest subepithelial connective tissue graft." Journal of Indian Society of Periodontology 17, no. 5 (2013): 676. http://dx.doi.org/10.4103/0972-124x.119294.

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Bruno, John F. "A Subepithelial Connective Tissue Graft Procedure for Optimum Root Coverage." Atlas of the Oral and Maxillofacial Surgery Clinics 7, no. 2 (September 1999): 11–28. http://dx.doi.org/10.1016/s1061-3315(18)30048-9.

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Perenack, Jon, Robert J. Wood, Michael S. Block, and Diana Gardiner. "Determination of subepithelial connective tissue graft thickness in the dog." Journal of Oral and Maxillofacial Surgery 60, no. 4 (April 2002): 415–21. http://dx.doi.org/10.1053/joms.2002.31229.

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