coronally placed flaps
TRANSCRIPT
TARRSON FAMILY ENDOWED CHAIR IN PERIODONTICS
UCLA SCHOOL OF DENTISTRY
Presents Dr. E. Barrie KenneyProfessor & ChairmanSection of Periodontics
E. Barrie Kenney, B.D.Sc., D.D.S., M.S., F.R.A.C.D.S.Tarrson Family Endowed Chair in PeriodonticsProfessor and Chairman, Division of Associated Clinical Specialties UCLA School of Dentistry
Coronally Placed Flaps
A. Gingival GraftB. Membranes
A. Gingival Graft
Treatment of Gingival Recession
Esthetic Problem
Adequate Keratinized Gingiva
Adequate Keratinized Gingiva
Gingival Graft for Root Coverage or Gingival Graft and Coronally Repositioned Flap
Recession More than 2 mm.
Coronally Repositioned Semi-Lunar Flap
Lateral Sliding Flap
Adequate Adjacent Donor Site
Adequate Palatal Donor Site
Yes
No
YesYes
Yes
Yes
Yes
No
No
No
No
No
3 Month Evaluation for Progression
Gingival Graft
Connective Tissue Graft
Coronally Repositioned Flap with Membrane or Emdogain
Treatment of Gingival Recession
Esthetic Problem
Adequate Keratinized Gingiva
Adequate Keratinized Gingiva
Gingival Graft for Root Coverage or Gingival Graft and Coronally Repositioned Flap
Recession More than 2 mm.
Coronally Repositioned Semi-Lunar Flap
Lateral Sliding Flap
Adequate Adjacent Donor Site
Adequate Palatal Donor Site
Yes
No
YesYes
Yes
Yes
Yes
No
No
No
No
No
3 Month Evaluation for Progression
Gingival Graft
Connective Tissue Graft
Coronally Repositioned Flap with Membrane or Emdogain
Membranes BIO-GIDE
RESORBABLE COLLAGEN
EMDOGAIN ENHANCES HEALING
POSSIBLE STIMULATION OFBONE AND CEMENTUM
Emdogain versus Connective Tissue Graft
Enamel Matrix Derivative with Coronally Advanced Flaps
vs.Connective Tissue Graft Techniquein Gingival Recession Treatment
Aleksic Z, Lekovic V, Vasilic N,AAP Boston 2004
• 17 paired recessions
• Evaluated at 6 and 12 months
Gain in Width of
Root Coverage (%) Keratinized Tissue
Emdogain + C.P.F. 89.7 1.83mm
Connective Tissue Graft 91.3 3.45mmN.S.
Results at 12 Months
Bio-Gide versus Connective Tissue Graft
Guided Tissue Regeneration versus
Connective Tissue Graftin Gingival Recession Treatment.
Aleksic Z, Lekovic V, Vasilic N,AAP San Francisco 2003
• 12 paired recessions
• Evaluated at 6 months
Gain in Width of
Root Coverage (%) Keratinized Tissue
Bio-Gide + C.P.F. 81.5 0.69mm
Connective Tissue Graft 84.3 3.23mmN.S.
Results at 6 Months
B. Membranes
UCLA SCHOOL OF DENTISTRY