Comparación del injerto gingival libre y el injerto submucoso de tejido conectivo para el cubrimiento de recesiones marginales gingivales
DOI:
https://doi.org/10.17533/udea.rfo.343856Keywords:
Tissue recession, Gingival graft, Connective tissue, Tetracycline (HCL)Abstract
This clinical study was designed to determine which technique would result in more predictability for covering marginal tissue recession, the connective tissue graft (CTG), or thick free gingival graft (FGG) Eighteen surgeries were made on five patients with bilateral recessions, nine of them with FGG treatment and the other nine with CTG treatment, those patients had a mean of age of 34.5 year and a good oral health. Root coverage, clinical level of attachment, periodontal esthetic, tetracycline (HCL) use and post surgical discomfort were evaluated. Additionally a periodontal esthetic index was design. Both procedures didn't showed significant statistical differences on basis of percentage of root coverage, with a P=0.0719. FGG treatment covered 52.3% and CTG a 67.9% of the marginal tissue recession. In both treatments showed an attachment level gain, with a significant difference and a P=0.00. A significant difference was seen when periodontal esthetic were compared, with a P=0.0117 showing a good and excellent behavior for CTG (88.9%) and good for FGG (22.2%). This study has proved that the palate is a painful site and FGG is a more painful surgery. In fact CTG treatment show a better clinical behavior than FGG and that tetracycline does not represent additional benefits.
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References
2. Gorman Walther J. Prevalence and Etiology of gingival recession. J Periodontol. 1967; 38 : 316 - 322.
3. Gartrell James, Matheus David P. Recession Gingival. the condition, process and treatment. Dent Clin North Am . 1976; (1): 199 - 213.
4. Michaelides Paul L and Wilson Suzan G. An autogenous gingival graft technique. Int J of Periodontics Restorative Dent. 1994; 14 (2):113-125.
5. Matter Jacques. Free gingival grafts for the treatment of gingival recession. J Clin Periodontol. 1982; 9: 103-114.
6. Hall Walther B. Present status of soft tissue grafting. J Periodontol. 1977, sep. ; 48 ( 99): 587 - 597
7. Raetzke Peter B. Covering localized areas of root exposure employing the "envelope" technique. J Periodontol. 1985; 56 (7):397-401.
8. Nelson Stephen W. The subpedicle connective tissue graft. J Periodontol. 1987; 58:95-102.
9. Ricci Giano et al. A clinical/statistical comparison between the subpedicle connective tissue graft method and the guided tissue regeneration technique in root coverage. Int J of Periodontics Restorative Dent. 1996.;16(6):539-545.
10. Allen Andrew L. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. I. Rationale and technique. Int J of Periodontics Restorative Dent. 1994; 14, (3): 217 - 227.
11. Allen Andrew L. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. II. Rationale and technique. Int J of Periodontics Restorative Dent. 1994 ; 14 , (4): 303 - 315.
12. Bruno John F. connective tissue graft technique assuring wide root coverage. Int J of Periodontics Restorative Dent. 1994; V 14 , # 2 : 127 _ 137.
13. Harris Randal J. and Harris Artur W. The coronally positioned pedicle graft with inlaid margins: A predictable method of obtaining root coverage defects. Int J of Periodontics Restorative Dent. 1994.; 14 ( 3 ) : 229 - 241 .
14. Langer Burton and Langer Laureen. Subepithelial connective tissue graft technique for root coverage. J Periodontol . 1985.;56:715-720
15. Arango H. Gloria Nancy. Tratamiento Periodontal para cubrir retracciones Gingivales localizadas o generalizadas: Injerto Subpediculado de Tejido Conectivo. Acta Clínica Odontológica, Revista Académica de Antioquia. SAE, Medellín, Julio 1998; 11(21): 5-12.
16. Cabrera Peter O . Connective tissue grafting: an option in reconstructive periodontal surgery. JADA. 1994; 125: 729 - 737.
17. Paolantonio M, et al. Subpedicle connective tissue graft versus free gingival graft in the coverage of exposed root surfaces. J Clin Periodontol. 1997; 24:51-56.
18. Alvear Fanny Stella, Becerra S. Fabio. Predecibilidad en el cubrimiento de raíces denudadas por recesiones gingivales marginales amplias y profundas con injertos gingivales libres y ácido cítrico. Rev Fac Odont Univ Ant, 1992; 4, (1): 5 - 16.
19. Harris Randall J. The conective tissue with partial thickness double pedicle graft: The results of 100 consecutively - treated defects. J Periodontol. 1994; 65 (5): 448 - 461.
20. Trombelli L, et al. Effect of tetracycline HCL on periodontal-affected human root surfaces. J Periodontol. 1995; 66:685-691.
21. Bouchard Philippe, et al. Clinical evaluation of tetracycline HCL conditioning in the treatment of gingival recessions. A comparative study. Harris Randall J. The conective tissue with partial thickness double pedicle graft: The results of 100 consecutively - treated defects. J Periodontol. 1994; 65 (5): 448 - 461.
22.Terranova Victor P et al. A biochemical approach to periodontal regeneration: tetracycline treatment of dentin promotes fibroblast adhesion and growth. J Periodontol Research. 1986.;21:330-337.
23. Jahnke, Peter V. et al. Thick free gingival and connective tissue autografts for root coverage. J Periodontol. 1993, April, ; 64 (4 ) : 315 - 322.
24. Silness John and Lóe Harald. Periodontal disease in pregnancy II. Acta odont scand. 1964. ; 22 : 120- 135.
25. Ramfjord Sigurd P. The Periodontal disease index (PDI). J Periodontol 1967.; 38:602-610.
26. Silness John and Lóe Harald . Periodontal disease in pregnancy I. Acta odont scand. 1963.; 21 : 533 - 551.
27. Harris Randall J. Creeping attachtment associated with the connective tissue with partial-thickness double pedicle graft. J Periodontol. 1997.;68(9):890-899.
28.Pini-Prato Giovanpaolo, et al. Coronally advanced flap procedure for root coverage. Treatment of root surface: root planing versus polishing. J Periodontol. 1999; 70:1064:1076.
29. Nakabayashi Nobuo, Pashley David H. Hybridization of dental hard tissues. Quintessence. 1998. Chapter I,II,II
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