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Gingival recession has been defined as the term used to characterize the apical shift of the marginal gingiva from its normal position on the crown of the tooth to levels on the ischolar_main surface beyond the cemento-enamel junction (CEJ). Numerous techniques have been developed for treatment of these defects including rotational and advanced gingival flaps, soft-tissue grafting procedures with autogenous and allograft materials. This paper illustrates a case report of 42-years-old male patient with a chief complaint of thermal ischolar_main sensitivity in relation with front teeth of lower jaw and describes a technique to coronally advance the flap in combination with recombinant human platelet-derived growth factor-BB (rhPDGF-BB) (GEM 21S) to treat multiple gingival recession defects. Patient was followed postoperatively, and healing was evaluated at 1, 3 and 6 months, with recession depth as the primary outcome measure. This case report revealed a favourable tissue response to GEM 21S from both clinical and aesthetic points of view showing excellent plastic surgery results for gingiva.

Keywords

Coronally Advanced Flap, GEM 21S, Gingival Recession, Platelet Derived Growth Factor, rhPDGF-BB.

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References

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Evaluation of the Clinical Efficacy of Collagen Membrane in Combination with Bone Grafts in the Treatment of Miller's Class I/II Marginal Tissue Recession: a Case Report

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Authors

Yash Paul Dev ¹, Nitin Khuller ¹, Preetinder Singh ¹, Prabhjot Kaur ¹, Yashbir Singh Raghav ¹, Anahita Singh ¹

Affiliations
1 Department of Periodontology, Swami Devi Dyal Hospital and Dental College, Haryana, IN

Source

Dental Journal of Advance Studies, Vol 3, No 3 (2015), Pagination: 179-184

Abstract

The aim of this clinical trial was to evaluate the clinical effectiveness of a collagen barrier along with an alloplastic bone graft in the treatment of gingival recession defects. Two patients having Miller's Class I or Class II recession defects participated in the study. One was treated with a collagen membrane covered by a coronally positioned flap. Second patient also had bone graft placed beneath the membrane. Clinical parameters were recorded. Patients were followed postoperatively and healing was evaluated at 1, 3 and 6 months, with recession depth as the primary criteria for assessment. This case report revealed a favorable tissue response to bone graft and collagen membrane from both clinical and esthetic point of view in the treatment of gingival recession. Root coverage tended to be better with the addition of bone graft.

Keywords

Bonegraft, Collagen Membrane, Coronally Advanced Flap, Gingival Recession, Guided Tissue Regeneration.

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