The Reverse Palatal Pedicle Graft for Maxillary Molar Palatal Recessions: Two Case Reports.

Autografts connective tissue gingival recession microsurgery palate periodontics tissue transplantation

Journal

Clinical advances in periodontics
ISSN: 2163-0097
Titre abrégé: Clin Adv Periodontics
Pays: United States
ID NLM: 101597440

Informations de publication

Date de publication:
09 2020
Historique:
received: 29 07 2019
accepted: 18 10 2019
pubmed: 20 2 2020
medline: 27 4 2021
entrez: 20 2 2020
Statut: ppublish

Résumé

Historically, the treatment of palatal recession was thought to be extremely challenging if not impossible due to the anatomy of the palate. A novel technique is presented for treating gingival recession on maxillary molars utilizing a rotated subepithelial connective tissue pedicle graft. The technique is designed to maximize perfusion to the graft as compared to a free graft CASE PRESENTATIONS: The authors present two cases in which the technique was utilized to achieve attachment gain and root coverage. The cases were followed for at least 2 months. More than 5 mm of attachment was gained and 55% to 60% root coverage achieved over recession defects on maxillary first molars. The following case reports demonstrate that the Reverse Palatal Pedicle Graft (RPPG) technique was successful in improving root coverage over maxillary palatal recession defects.

Identifiants

pubmed: 32073211
doi: 10.1002/cap.10096
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

145-149

Informations de copyright

© 2020 American Academy of Periodontology.

Références

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Tatakis DN, Chambrone L, Allen EP, et al. Periodontal soft tissue root coverage procedures: a consensus report from the AAP Regeneration Workshop. J Periodontol. 2015;86(2 suppl):S52-S55.
Harris RJ. Root coverage of a palatal recession defect: a case report. J Periodontol. 2001;72(8):1103-1107.
Matthews DP. The pediculated connective tissue graft: a novel approach for the "blown-out" site in the esthetic zone. Compend Contin Educ Dent. 2008;29(6):350-352, 354, 356-7.
Mathews DP. The pediculated connective tissue graft: a technique for improving unaesthetic implant restorations. Pract Proced Aesthet Dent. 2002;14(9):719-724; quiz 726.
Khoury F, Happe A. The palatal subepithelial connective tissue flap method for soft tissue management to cover maxillary defects: a clinical report. Int J Oral Maxillofac Implants. 2000;15(3):415-418.
Goldstein M, Boyan BD, Schwartz Z. The palatal advanced flap: a pedicle flap for primary coverage of immediately placed implants. Clin Oral Implants Res. 2002;13(6):644-650.
El Chaar ES. Soft tissue closure of grafted extraction sockets in the posterior maxilla: the rotated pedicle palatal connective tissue flap technique. Implant Dent. 2010;19(5):370-377.
Reiser GM, Bruno JF, Mahan PE, Larkin LH. The subepithelial connective tissue graft palatal donor site: anatomic considerations for surgeons. Int J Periodontics Restorative Dent. 1996;16(2):130-137.
Song JE, Um YJ, Kim CS, et al. Thickness of posterior palatal masticatory mucosa: the use of computerized tomography. J Periodontol. 2008;79(3):406-412.

Auteurs

Bradley F Weinstein (BF)

Department of Periodontology, University of Washington School of Dentistry, Seattle, WA.

Charles M Pham (CM)

Department of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, MA.

Thomas T Nguyen (TT)

Department of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, MA.

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