Clinical evaluation of the efficacy of a GTR membrane (HEALIGUIDE) and demineralised bone matrix (OSSEOGRAFT) as a space maintainer in the treatment of Miller's Class I gingival recession

S Nanditha, M S Priya, S Sabitha, K V Arun, T Avaneendra, S Nanditha, M S Priya, S Sabitha, K V Arun, T Avaneendra

Abstract

Background: Periodontal plastic surgical procedures aimed at coverage of exposed root surface have evolved into routine treatment modalities. The present study was designed to evaluate the effectiveness and predictability of using a collagen barrier along with a demineralized bone matrix in the treatment of recession defects in a single surgical procedure.

Materials and methods: Seventeen patients with Miller's class I recession were treated with a combination of a collagen barrier used along with a bone graft and coronally advanced flap technique. Clinical parameters were recorded at baseline, 3 months, 6 months, and 9 months.

Results: The study showed a highly significant reduction in the recession depth (70.29 ± 21.96%) at the end of the study. This study showed that the use of this technique for recession coverage is highly predictable and highly esthetic root coverage can be obtained.

Keywords: Dematerialized bone matrix; gingival recession; guided tissue regeneration membrane.

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Preoperative view showing the vertical dimension of the recession
Figure 2
Figure 2
Preoperative view showing the recession width
Figure 3
Figure 3
Operative view following raising of a full thickness flap and root surface debridement. This was followed by bone marrow penetration with the help of round bur
Figure 4
Figure 4
Operative view showing placement of demineralized bone matrix
Figure 5
Figure 5
Operative view showing placement of collagen barrier over the bone graft
Figure 6
Figure 6
Flap coronally advanced and sutured
Figure 7
Figure 7
Postoperative view at 3 months
Figure 8
Figure 8
Postoperative view at 6 months
Figure 9
Figure 9
Postoperative view at 9 months

References

    1. Miller PD. Regenerative and reconstructive periodontal plastic surgery: Mucogingival surgery. Dent Clin North Am. 1988;32:287–306.
    1. Grupe HE, Warren RF. Repair of gingival defects by a sliding flap operation. J Periodontol. 1956;27:92–5.
    1. Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol. 1985;56:715–20.
    1. Wennstrom JL. Mucogingival therapy. Ann Periodontol. 1996;1:671–701.
    1. Majzoub Z, Landi L, Grusovin MG, Cordioli G. Histology of connective tissue graft. A case report. J Periodontol. 2001;72:1601–15.
    1. Tinti C, Vincenzi GP. The treatment of gingival recession with “guided tissue regeneration” procedure by means of Gore-Tex membrane. Quintessence Int. 1990;6:465–8.
    1. Harris RJ. A comparative study of rot coverage obtained with guided tissue regeneration utilizing a bioabsorable membrane versus the connective tissue with partial-thickness double pedicle graft. J Periodontol. 1997;68:779–90.
    1. Zucchelli G, Clauser C, De Sanctis M, Calandriello M. Mucogingival versus guided tissue regeneration procedures in the treatment of deep recession type defects. J Periodontol. 1998;69:138–45.
    1. Minabe M. A critical review of the biological rationale for guided tissue regeneration. J Periodontol. 1991;62:883–90.
    1. Kimble KM, Eber RM, Soehren S, Shyr Y, Wang HL. Treatment of gingival recession using a collagen membrane with or without the use of demineralized freze-dried bone allograft for space maintenance. J Periodontol. 2004;75:210–20.
    1. Paolantonio M. Combined periodontal regenerative technique in human intrabony defects by collagen membrane and anorganic bovin bone. A controlled clinical study. J Periodontol. 2002;73:158–66.
    1. Bowers GM, Chadroff B, Carnevale R, Mellonig J, Corio R, Emerson J, et al. Histologic evaluation of new attachment apparatus formation in humans. Part III. J Periodontol. 1989;60:683–93.
    1. Boltchi FE, Allen EP, Hallmon WW. The use of a bioabsorable barrier for regenerative management of marginal tissue recession. I Report of 100 consecutively treated teeth. J Periodontol. 2000;71:1641–53.
    1. Pini Prato G, Tinti C, Vincenzi G, Magnani C, Cortellini P, Clauser C. Guided tissue regeneration versus mucogingival surgery in the treatment of of human buccal gingival recession. J Periodontol. 1992;63:919–28.
    1. Gottlow J, Nyman S, Karring T. Guided tissue regeneration following treatment of a recession type defects in the monkey. J Periodontol. 1990;61:680–5.
    1. Haney JM, Nilvéus RE, McMillan PJ, Wikesjö UM. Periodontal repair in dogs: Expanded polytetrafluoroethylene barrier membranes support wound stabilization and enhance bone regeneration. J Periodontol. 1993;64:883–90.
    1. Duval BT, Maynard JG, Gunsolley JC, Waldrop TC. Treatment of human mucogingival defects utilizing a bioadsorbable with and without a demineralized freeze-dried bone allograft. J Periodontol. 2000;71:1687–92.
    1. Trombelli L. Periodontal regeneration in gingival recession defects. Periodontol. 2000;1998(19):138–50.
    1. Goldman H, Schluger S, Fox L, Cohen DW. 3rd ed. St. Louis: C.V. Mosby Co; 1964. Periodontal Therapy; p. 560.

Source: PubMed

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