Academic literature on the topic 'Gingival recession root coverage millers Class I ADM'

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Journal articles on the topic "Gingival recession root coverage millers Class I ADM"

1

ARONI, Mauricio Andrés Tinajero, Guilherme José Pimentel Lopes de OLIVEIRA, George CHANGOLUISA, and Fausto Mauricio Tinajero CAMACHO. "Coverage of Miller class I and II gingival recessions treated with subepithelial connective tissue graft, acellular dermal matrix, and enamel matrix proteins. Pilot study." Revista de Odontologia da UNESP 45, no. 2 (2016): 78–84. http://dx.doi.org/10.1590/1807-2577.19515.

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Abstract Objective The aim of this study was to compare clinical findings obtained in the treatment of gingival recessions using subepithelial connective tissue graft (SECT), acellular dermal matrix (ADM), and enamel matrix proteins (EMP). Material and method Twelve patients with Miller class I and II recession in the canines or upper premolars were randomly divided into groups to receive treatments using SECT, ADM, or EMP. Clinical measurements were performed before and three months after surgical procedures. The data evaluated were as follows: percentage of root coverage, height and width of gingival recession, probe depth, clinical attachment level, and height and thickness of keratinized gingiva. The Kruskal-Wallis test complemented by Dunn’s test was used to perform the between-group, analysis and the Wilcoxon test was used to perform the within-groups analysis. The tests were applied at the 95% confidence level. Result The SECT and ADM groups had a higher percentage of root coverage and greater reduction in the height and width of gingival recessions compared to the EMP group (p<0.05). Conclusion The SECT and ADM are more effective in treating gingival recessions than EMP.
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Zhan, Yalin, Miaozhen Wang, Xiaojing Cao, and Feng Liu. "Effectiveness of acellular dermal matrix graft with a coronally advanced flap for the treatment of Miller Class I/II single gingival recession with thin gingival phenotype: study protocol for a split-mouth randomised controlled trial." BMJ Open 12, no. 1 (2022): e047703. http://dx.doi.org/10.1136/bmjopen-2020-047703.

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IntroductionGingival recession is one of the most common mucogingival deformities requiring surgical correction. The American Academy of Periodontology Regeneration Workshop recommended connective tissue graft (CTG) combined with coronally advanced flap (CAF) for the treatment of Miller Class I and II single-tooth gingival recession. The disadvantages of harvesting autogenous tissue include postoperative bleeding, pain and discomfort at the donor site, restricted tissue supply, increased morbidity and prolonged operative times. Acellular dermal matrix (ADM) contains undamaged collagen and elastin matrices that can be used as a substitute for CTG during root coverage procedures. However, the use of ADM is still controversial. The objective of this split-mouth; randomised, controlled, clinical study is to evaluate the long-term effects of ADM graft (ADMG) combined with CAF on root coverage, aesthetics and patient satisfaction for the treatment of single gingival recession with thin gingival phenotype.Methods and analysisForty participants with bilateral Miller Class I/II gingival recession will be randomised to receive an ADMG on one side and CTG on the contralateral side, combined with CAF. Gingival recession depth, gingival recession width and keratinised tissue width will be measured at baseline, 2 weeks and 1, 3, 6, 12 and 24 months. Mean root coverage, complete root coverage, root coverage aesthetic score, colour change (∆E) and patient satisfaction will be assessed during follow-up visits.Ethics and disseminationThe present study has received approval from the Ethics Committee of Peking University School and Hospital of Stomatology (PKUSSIRB-202054029). Data of this study will be registered with the International Clinical Trials Registry Platform. Additionally, we will disseminate the results through scientific journal.Trial registration numberChiCTR2000033230.
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Michelle, Suhartono, Prahasanti Chiquita, and Wiyono Novia. "The Treatment Of Miller's Class I Gingival Recession Implementing The Modified Coronally Advanced Tunnel Technique (MCAT) And Acellular Dermal Matrix (ADM)." INTERNATIONAL JOURNAL OF HEALTH & MEDICAL RESEARCH 03, no. 03 (2024): 95–100. https://doi.org/10.5281/zenodo.10751109.

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Background: Gingival recession can lead to root hypersensitivity, root caries, and impaired aesthetic concerns. Modified coronally advanced tunnel (MCAT) technique, which possesses various benefits that can be used to support the success in the treatment of gingival recession. Acellular dermal matrix (ADM) is used in the procedure, frequently documented indicating encouraging results in the treatment of gingival recession. The following case report is to indicate an evaluation on the treatment utilizing MCAT with ADM. Case presentation: A male of 27 year-old arrived with main complaints of aesthetic concerns and dental hypersensitivity on the upper right teeth posterior caused by Miller’s class I gingival recession. The aforementioned technique is chosen in treatment considering the rate of success to treat the defects as the impact of gingival recession.Case management: The MCAT with ADM commenced with the fabrication of composite stops at the contact points. Later local anaesthesia (lidocaine HCl 2% with epinephrine 1:100,000) was given. Intrasulcular incision was then made and the mucoperiosteal flap was raised with tunneling knives. The tunnel was then extended over the mucogingival junction. ADM was pulled into the tunnel by means of mattress sutures. Finally the tunnel was positioned coronally to the CEJ by means of suspended sutures placed around the contact points.Conclusion: The use of MCAT technique with ADM (Mucoderm) is able to show satisfying outcome with the improvement of root coverage in the case of Miller’s class I gingival recession.
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Pratiwi, Rosa, and Ernie Maduratna Setiawatie. "MULTIPLE GINGIVAL RECESSION COVERAGE TREATED WITH VISTA TECHNIQUE USING ACELLULAR DERMAL MATRIX (ADM) COMBINED WITH PLATELET RICH FIBRIN (PRF): A CASE REPORT." ODONTO : Dental Journal 6 (July 11, 2019): 56. http://dx.doi.org/10.30659/odj.6.0.56-61.

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Background: Gingival recession is an exposure of the root surface due to migration of the marginal periodontal tissues apical to the cemento enamel junction. There are so many root coverage procedures, among these techniques, VISTA technique combined with ADM and PRF offers minimally invasive approach.Case Management: A-40-year-old male visited Periodontics Clinic of DentalHospital Airlangga University with the chief complaint of poor aesthetic resulting from exposed root surfaces in upper right front region of the jaw. Root coverage by VISTA technique using ADM combined with PRF was planned to this case.Discussion: The minimal invasive VISTA technique approach, combined with ADMand PRF has a number of advantages for successful treatment of multiple recession defects. VISTA technique was used because it can maintain better blood supply and maintain critical papillary integrity. ADM works like an autogenous graft by providing a bioactive matrix consisting of collagen, elastin, blood vessel channels, and bioactive protein that support natural revascularization, cell repopulation, and tissue remodeling. Growth factors present in PRF plays a crucial role in hard and soft tissue repair.Conclusion: VISTA technique together with ADM and PRF membrane can besuccessfully used as a treatment method for multiple gingival recessions of Miller’s class I defects
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Sumana, Shula Zuleika, Sri Lelyati C. Masulili, and Robert Lessang. "ROOT COVERAGE USING THE SUBEPITHELIAL CONNECTIVE TISSUE GRAFT OR THE ACELLULAR DERMAL MATRIX FOR THE TREATMENT OF GINGIVAL RECESSION: A CLINICAL STUDY." International Journal of Applied Pharmaceutics 9 (January 1, 2018): 20. http://dx.doi.org/10.22159/ijap.2017.v9s2.06.

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Objective: This study aims to evaluate periodontal clinical conditions after treatment for gingival recession (GR) using subepithelial connective tissue graft (SCTG) and acellular dermal matrix (ADM).Methods: Ten patients with Miller’s Class I and II recessions that had been treated with SCTG or ADM at the Periodontics Outpatient Department at Universitas Indonesia were selected for this study. The pre-operative data for GR, clinical attachment levels (CAL), and attached gingiva (AG) were retrieved from the patients’ medical records. The patients were recalled and the post-operative data were recorded.Results: The application of SCTG and ADM yields significant changes to GR, CAL, and AG levels. A comparison of two groups at the post-operative assessment stage showed no statistically significant differences, in terms of GR, CAL, and AG.Conclusion: SCTG and ADM yield similar outcomes in the treatment of GR. As such, ADM may be suggested as an alternative to SCTG for root coverage.
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Pratiwi, Rosa, Irma Dewi Ratnawati, and Agung Krismariono. "Root coverage using modified tunneling technique with acellular dermal matrix for treatment of gingival recession associated with orthodontic treatment: A case report." Odonto : Dental Journal 10 (October 24, 2023): 47. http://dx.doi.org/10.30659/odj.10.0.47-53.

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Background: Gingival recession has a number of causes, including orthodontic therapy. The degree and extent of gingival recession and orthodontic therapy are strongly correlated. Care must be taken in choosing the best soft tissue grafting technique. Development of a number of new and improved surgical techniques, including the modified tunneling technique. Case Management: A-24-year-old female patient came to Periodontic Clinic Dental Hospital of Airlangga University with a chief complain of gingival recession in mandibular central incisors since 6 months ago. The patient complained about dental sensitivity. The dental history revealed that she had undergone fixed orthodontic therapy for 7 years. She revealed the fixed orthodontic appliance was put off since 8 months ago. The patient concern about her appearance and aesthetic problem. Gingival recession on buccal surface tooth 31 and 41 extending 1,5-2 mm apical of the incisors was found in clinical assessment. This case classified as Miller class III. The doctor planned root coverage procedure using modified tunnel technique. Acellular dermal matrix (Surederm®) was chosen as a gingival graft. Discussion: Creating a "tunnel" through the buccal mucosa to treat gingival recession enables coronal repositioning of the soft tissue with predictable root coverage and a pleasing appearance. Tissue graft implantation is made possible by a horizontal incision. Conclusion: In brief, root coverage using modified tunnel technique is effective and predictable treatment modality. Comparing with other root coverage method it give quite satisfying result. The use of Acellular Dermal Matrix (ADM) considered as an alternative to Connective Tissue Graft (CTG).
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Sita Silvia Harsari, Hendi Tri Medianto, and Agung Krismariono. "Cyanoacrylate Adhesive Agent for Coronally Advanced Flap Stability." World Journal of Advanced Research and Reviews 24, no. 2 (2024): 898–902. http://dx.doi.org/10.30574/wjarr.2024.24.2.3408.

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Introduction: Gingival recession, characterized by displacement gingival margin below the cemento enamel junction. Many surgical procedures have been attempted to obtain gingival recession. Acellular dermal matrix (ADM) grafts can be used as a substitute for connective tissue graft during root coverage procedures. A carefully planned surgery needs proper immobilization of the flap can be achieved by proper wound closure technique with appropriate material such as sutures or tissue adhesives. Cyanoacrylate tissue adhesives have been proposed as a suitable alternative for surgical wound closure. The aim of this study was to evaluate the potential of cyanoacrylate tissue adhesive for coronally advanced flap surgical stability. Case Report: A 57-year-old female came to the Periodontics Specialist Clinic in Dental Hospital Universitas Airlangga with complaint dental sensitivity resulting from exposed root surfaces in upper right molar and premolar. The recession on buccal teeth 15 and 16 (FDI notation was 3 mm (Miller class 1). Case management: Coronally advanced flap (CAF) by tunneling procedure combined with acellular dermal matrix was applied of gingival recession. Acellular dermal matrix (SureDerm® was sutured with blue nylon 5.0 (Polyamide). Furthermore, the cyanocrylate adhesive (PeriAcryl® 90HV) was applied. Clinical examinations were performed at 7. 14. 30 days and 3 months after surgery. After a 2-week healing period, the sutures were removed. At the 3 months, the patient presented with stabilization of marginal tissue. Conclusion: Cyanoacrylate tissue adhesive has potential for coronally advanced flap surgical stability.
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Sita, Silvia Harsari, Tri Medianto Hendi, and Krismariono Agung. "Cyanoacrylate Adhesive Agent for Coronally Advanced Flap Stability." World Journal of Advanced Research and Reviews 24, no. 2 (2024): 898–902. https://doi.org/10.5281/zenodo.15089518.

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<strong>Introduction<em>:</em></strong>&nbsp;Gingival recession, characterized by displacement gingival margin below the cemento enamel junction. Many surgical procedures have been attempted to obtain gingival recession. Acellular dermal matrix (ADM) grafts can be used as a substitute for connective tissue graft during root coverage procedures. A carefully planned surgery needs proper immobilization of the flap can be achieved by proper wound closure technique with appropriate material such as sutures or tissue adhesives. Cyanoacrylate tissue adhesives have been proposed as a suitable alternative for surgical wound closure. The aim of this study was to evaluate the potential of cyanoacrylate tissue adhesive for coronally advanced flap surgical stability. <strong>Case Report:</strong>&nbsp;A 57-year-old female came to the Periodontics Specialist Clinic in Dental Hospital Universitas Airlangga with complaint dental sensitivity resulting from exposed root surfaces in upper right molar and premolar. The recession on buccal teeth 15 and 16 (FDI notation was 3 mm (Miller class 1). <strong>Case management:&nbsp;</strong>Coronally advanced flap (CAF) by tunneling procedure combined with acellular dermal matrix was applied of gingival recession. Acellular dermal matrix (SureDerm&reg; was sutured with blue nylon 5.0 (Polyamide). Furthermore, the cyanocrylate adhesive (PeriAcryl&reg; 90HV) was applied. Clinical examinations were performed at 7. 14. 30 days and 3 months after surgery. After a 2-week healing period, the sutures were removed. At the 3 months, the patient presented with stabilization of marginal tissue. <strong>Conclusion:&nbsp;</strong>Cyanoacrylate tissue adhesive has potential for coronally advanced flap surgical stability.
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Rajesh, M. Sindhu, Tanuja, Ramesh A, Neha, and Nikhitha. "Treatment of iatrogenically induced gingival recession in orthodontic patient with combination technique of vestibuloplasty and free gingival graft – Case report." IP International Journal of Periodontology and Implantology 8, no. 1 (2023): 47–51. http://dx.doi.org/10.18231/j.ijpi.2023.009.

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It is well-known that oral hygiene plays a role in the initiation and progression periodontal disease, for maintaining proper oral hygiene sufficient width of attached gingiva along with adequate depth of vestibule is necessary. This case report describes Clark’s technique for increasing the vestibular depth. In addition, Free gingival autograft (FGG) is done for treating Miller’s class II recession. A 17-year-old female patient referred from the Department of orthodontics, with the chief complaint of receding gums in the lower front region. On clinical examination there is shallow vestibule, Millers class II gingival recession and is also seen. So planed for the combined technique of vestibuloplasty along with free gingival graft to achieve dual benefits of increasing the vestibular depth and root coverage.
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Sharma, Manik, Anuj Wangoo, Manmeet Gulati, Bhawna Slathia, Bhanu Kotwal, and Vineet Kotwal. "Clinical Evaluation of the Efficacy of Bioresorbable Membrane (Polyglactin 910) in the Treatment of Millers’ Class II Gingival Recession." Dental Journal of Advance Studies 04, no. 03 (2016): 177–82. http://dx.doi.org/10.1055/s-0038-1672066.

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Abstract Objective: The aim of the study was to determine the clinical outcome when polyglactin 910 membrane was used to treat 30 patients with isolated buccal millers class II gingival recessions. Materials and Method: Thirty subjects were selected with a chief complaint of hypersensitivity or denuded roots; all were willing to participate in the clinical study. Inclusion criteria were the presence of 4 mm or more of buccal millers class II gingival recession, a lack of contraindications for periodontal surgery. Results: The mean reduction in clinical recession from baseline to 6 months postoperatively was 2.47 ± 0.86 mm, i.e, 54%, which was statistically significant. There was a definite reduction in Pocket Depth, from a mean at baseline of 1.53 ± 0.63mm to a mean of 1.07 ± 0.26mm at 6 months. Conclusion: The use of GTR is a suitable alternative to the use of patient's own palatal masticatory mucosa. Polyglactin 910 as a GTR resorbable membrane gives the clinician another tool that provides acceptable root coverage.
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