Oral Health and Dental Management

Alternative surgical treatments for root coverage

26^th Euro Congress and Expo on Dental & Oral Health

December 10-11, 2018 | Rome, Italy

Foskolos Pindaros-Georgios and Xanthippi Dereka

National and Kapodistrian University of Athens, Greece

Posters & Accepted Abstracts: Oral Health Dent Manag

Abstract:

Marginal tissue recession is the displacement of the soft tissue margin apical to the cementoenamel junction (CEJ) with exposure of root surface. The indications for treating gingival recession are the prevention of further mechanical injury of the region, the maintenance of conditions for gingival hygiene and last but not least the aesthetics. Many of the surgical treatment protocols include the use of sub-epithelial connective tissue graft (CTG) or free gingival graft from a palatal donor region, which complicates the postoperative condition of the patient. The aim of this presentation was to review the methods of surgical rehabilitation of buccal recessions of Miller class I and II without the use of a palatal graft. Acellular dermal matrix (ADM) and xenogeneic collagen matrix (XCM) in combination with coronally advanced flap (CAF) or tunneling have been proposed as substitutes for procedures with palatal donor tissues. ADM is a scaffold chemically processed to remove all dermal and epidermal cells and maintain the bioactive matrix, which includes collagen, elastin, blood-vessel channels and proteins. XCM is a collagen matrix produced by processed animal tissues. Moreover, the coronally advanced flap with the simultaneous use of enamel matrix derivative (EMD) consists of another procedure for root coverage that needs no autologous soft tissue graft. EMD is derived from embryonic enamel of porcine origin, presents high degree of homology between porcine and human enamel proteins and promotes periodontal regeneration. Recent systematic reviews reveal that although CT lead to better clinical outcomes, the alternative use of ADM-CAF, XCM-CAF and EMD-CAF might be as effective as CTG-CAF, in terms of root coverage. Recent Publications 1. Arthur B Novaes Jr, Daniela C Grisi, Gustavo O Molina, Sergio L S Souza, Mario Taba Jr, and Marcio F M Grisi (2001) Comparative 6-month clinical study of a subepithelial connective tissue graft an acellular dermal matrix graft for the treatment of gingival recession. J. Periodontol 72(11):1477-1484. 2. Francesco Cairo,Luigi Barbato,Paolo Tonelli, Guido Batalocco,Gabriella Pagavino, Michele Nieri (2007). Xenogeneic collagen matrix versus connective tissue graft for buccal soft tissue augmentation at implant site: a randomized, controlled clinical trial. J Clin Periodontol. 44(7):769-776. 3. Marco A Cueva, Farhad E Boltchi, William W Hallmon, Martha E Nunn, Francisco Rivera-Hidalgo and Terry Rees (2004) A comparative study of coronally advanced flaps with and without the addition of enamel matrix derivative in the treatment of marginal tissue recession. J. Periodontol. 75(7):949-956. 4. Alejandra Chaparro, Miguel De la Fuente Daniela Albers, Denisse Hernandez, Ana María Villalobos, Dominique Gaedechens, Mateo De la Fuente and Miguel De la Fuent (2015) Root coverage of multiple miller class I and II recession defects using acellular dermal matrix and tunneling technique in maxilla and mandible: a 1-year report. The International Journal of Periodontics & Restorative Dentistry 35(5):639-645. 5. Michael K McGuirea and E Todd Scheyer (2010) Xenogeneic collagen matrix with coronally advanced flap compared to connective tissue with coronally advanced flap for the treatment of dehiscence-type recession defects. J. Periodontol, 81(8):1108-1117.

Biography :

Foskolos Pindaros-Georgios has completed his Graduation in the School of Dentistry at National and Kapodistrian University of Athens in Athens, Greece in 2017. Since then he has been working as a General Dentist in Special Forces Military Dental Clinic as well as in private practice in Athens, with great emphasis on surgical and non-surgical treatment of periodontal and peri-implant diseases.

E-mail: petefoskolos@gmail.com