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Giovan Paolo Pini Prato - One of the best experts on this subject based on the ideXlab platform.
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periodontal plastic surgery for reshaping the Mucogingival Junction following grafting procedures case reports
International Journal of Periodontics & Restorative Dentistry, 2021Co-Authors: Giovan Paolo Pini Prato, Evelyn Andrea Mancini, Riccardo Di Gianfilippo, Debora FranceschiAbstract:The present clinical and histologic case reports describe the periodontal plastic approaches used for the correction of gingival deformities following free gingival grafting (FGG) procedures. Five patients with poor esthetic and functional outcomes following soft tissue grafting voluntarily requested corrective treatment due to differences in color, texture, thickness, and Mucogingival Junction (MGJ) alignment between grafted and adjacent tissue, or because of food retention apical to the grafted site. Plastic surgical approaches included eliminating the thick borders the graft, aligning the MGJ, and reducing the excessive apicocoronal dimension of the graft. Histologic images confirmed the morphologic differences between the graft and adjacent alveolar mucosa. After intervention, all treated sites achieved a satisfactory esthetic appearance and function, with a soft tissue anatomy indistinguishable from those of adjacent sites. All patients agreed that their goals for the treatment were completely fulfilled.
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the partly epithelialized free gingival graft pe fgg at lower incisors a pilot study with implications for alignment of the Mucogingival Junction
Journal of Clinical Periodontology, 2012Co-Authors: Pierpaolo Cortellini, Maurizio S Tonetti, Giovan Paolo Pini PratoAbstract:AIMS: A partly epithelialized free gingival graft (PE-FGG) is described for the treatment of isolated and multiple gingival recessions in lower incisors to improve root coverage potential and Mucogingival Junction (MGJ) alignment. METHODS: Twelve single gingival recessions in 12 patients and 16 multiple recessions in 7 patients at lower incisors were included. A FGG partly deprived of epithelium was harvested from the palate. The epithelialized coronal part of the graft extended from the CEJ to the "ideal" position of the MGJ of the recession site/s. The apical part of the PE-FGG deprived of the epithelium was inserted between the alveolar mucosal flap and the recipient bed periostium. An aesthetic evaluation was performed. RESULTS: Treatment resulted in 94 ± 11% and 96 ± 11% root coverage and 75% and 87.5% of the treated teeth completely covered in the single recession and in the multiple recession groups respectively. The 1-year KT was associated with the baseline extent of the epithelialized part of the graft in both groups. As a consequence, the MGJ resulted in properly aligned teeth in 14 of 19 patients. Three independent clinicians assigned an aesthetic score ranging from 6.36 ± 2.5 to 7.91 ± 1.7 in the single REC group and from 6.62 ± 2.2 to 7.87 ± 1.8 in the multiple REC group. CONCLUSIONS: The application of the M-FGG resulted in high percentage of recessions completely covered with excellent alignment of the MGJ and appreciable aesthetic outcomes.
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root coverage esthetic score a system to evaluate the esthetic outcome of the treatment of gingival recession through evaluation of clinical cases
Journal of Periodontology, 2009Co-Authors: Francesco Cairo, Roberto Rotundo, Preston D Miller, Giovan Paolo Pini PratoAbstract:Background: Generally, esthetic outcomes following root-coverage procedures are not assessed. This article proposes a score for evaluating the esthetic outcome following root-coverage surgery.Methods: Thirty-one patients with Miller Class I and II recession defects treated with root-coverage procedures were evaluated. Esthetic outcomes were assessed using the root coverage esthetic score (RES) 6 months after surgery. This score evaluates five variables: level of the gingival margin, marginal tissue contour, soft tissue texture, Mucogingival Junction alignment, and gingival color. Because complete root coverage was the primary treatment goal, and the other variables were considered secondary, the value assigned for root coverage was 60% of the total score, whereas 40% was assigned to the other four variables. With regard to assessment of the final position of the gingival margin, 3 points were given for partial root coverage, and 6 points were given for complete root coverage; 0 points were assigned when t...
Alain Borghetti - One of the best experts on this subject based on the ideXlab platform.
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comparative clinical study of a bioabsorbable membrane and subepithelial connective tissue graft in the treatment of human gingival recession
Journal of Periodontology, 1999Co-Authors: Alain Borghetti, Jeanmarc Glise, Virginie Monnetcorti, Jacques DejouAbstract:Background: Connective tissue grafts and guided tissue regeneration (GTR) are the most current procedures in the treatment of gingival recession, but very few clinical comparative studies have been conducted. Methods: The purpose of this study was to compare 2 types of treatment of gingival recession in the same patients. Fourteen pairs of Miller Class I defects were selected in 14 patients. In each pair, one recession was randomly assigned for treatment by GTR using a bioabsorbable membrane, and the other treated by subepithelial connective tissue graft (CTG). Height of recession (HR), clinical attachment level (CAL), probing sulcus depth (PSD), height of keratinized tissue (HKT), and distance from the cemento-enamel Junction to the Mucogingival Junction (CEJ-MGJ) were recorded before surgery and 6 months postoperatively. Results: The initial width and height of recession were, respectively, 3.73 mm (SD 0.56) and 3.85 mm (SD 1.15) for the CTG group, and 4.04 mm (SD 0.92) and 4.28 mm (SD 1.20) for the GTR...
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controlled clinical evaluation of the subpedicle connective tissue graft for the coverage of gingival recession
Journal of Periodontology, 1994Co-Authors: Alain Borghetti, Francis LouiseAbstract:The purpose of this study was to clinically evaluate the 1-year coverage of gingival recessions by a subpedicle connective tissue graft according to the original technique compared to untreated recessions by measuring probing sulcus depth (PSD), height of keratinized tissue (HKT), and Mucogingival Junction location changes. Paired gingival recessions were selected in 15 patients. In each patient, one recession was randomly assigned for treatment (test group) and the other recession was left untreated (control group) for 1 year. Surgery consisted of a connective tissue graft covered by a double papilla full thickness flap. Height of recession (HR), PSD, HKT, and cemento-enamel Junction to Mucogingival Junction distance (CEJ-MGJ) were recorded with a calibrated probe before surgery and 1 year postoperatively. The control group showed no statistically significant differences in any of the parameters. In the test group, HR mean decreased significantly (P <0.0006) from 3.66 mm to 1.09 mm, representing a mean r...
Jacques Dejou - One of the best experts on this subject based on the ideXlab platform.
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comparative clinical study of a bioabsorbable membrane and subepithelial connective tissue graft in the treatment of human gingival recession
Journal of Periodontology, 1999Co-Authors: Alain Borghetti, Jeanmarc Glise, Virginie Monnetcorti, Jacques DejouAbstract:Background: Connective tissue grafts and guided tissue regeneration (GTR) are the most current procedures in the treatment of gingival recession, but very few clinical comparative studies have been conducted. Methods: The purpose of this study was to compare 2 types of treatment of gingival recession in the same patients. Fourteen pairs of Miller Class I defects were selected in 14 patients. In each pair, one recession was randomly assigned for treatment by GTR using a bioabsorbable membrane, and the other treated by subepithelial connective tissue graft (CTG). Height of recession (HR), clinical attachment level (CAL), probing sulcus depth (PSD), height of keratinized tissue (HKT), and distance from the cemento-enamel Junction to the Mucogingival Junction (CEJ-MGJ) were recorded before surgery and 6 months postoperatively. Results: The initial width and height of recession were, respectively, 3.73 mm (SD 0.56) and 3.85 mm (SD 1.15) for the CTG group, and 4.04 mm (SD 0.92) and 4.28 mm (SD 1.20) for the GTR...
Jukka Ainamo - One of the best experts on this subject based on the ideXlab platform.
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location of the Mucogingival Junction 18 years after apically repositioned flap surgery
Journal of Clinical Periodontology, 1992Co-Authors: Anja Anjcamo, Axel Bergenholtz, Anders Hugoson, Jukka AinamoAbstract:The apically repositioned flap procedure, by definition, implies that the Mucogingival Junction (MGJ) is shifted into an apical location. That this actually would be the case has never been shown in long-term studies. The 13 subjects in the present study had during the years 1964-1965 received treatment of moderately advanced periodontal disease (probing pocket depths less than or equal to 5 mm) in the lower jaw. An apically repositioned flap (ARF) procedure was applied in the left or right half of the mandible and a gingivectomy (GE) was performed in the contralateral side. Starting in December 1981, the patients were recalled for clinical and radiographic determination of long-term results. The width of the band of keratinized gingiva was measured clinically and the distance from the MGJ to the lower border of the mandible (LBM) was measured from orthopantomograms. Slightly less keratinized gingiva was observed on the sides where GE had been used. There was no statistically significant difference in the orthopantomographic distance from the MGJ to the LBM between ARF and GE operations. The results indicate that the apically repositioned flap procedure does not result in a permanent apical shift of the MGJ.
Francesco Cairo - One of the best experts on this subject based on the ideXlab platform.
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root coverage esthetic score a system to evaluate the esthetic outcome of the treatment of gingival recession through evaluation of clinical cases
Journal of Periodontology, 2009Co-Authors: Francesco Cairo, Roberto Rotundo, Preston D Miller, Giovan Paolo Pini PratoAbstract:Background: Generally, esthetic outcomes following root-coverage procedures are not assessed. This article proposes a score for evaluating the esthetic outcome following root-coverage surgery.Methods: Thirty-one patients with Miller Class I and II recession defects treated with root-coverage procedures were evaluated. Esthetic outcomes were assessed using the root coverage esthetic score (RES) 6 months after surgery. This score evaluates five variables: level of the gingival margin, marginal tissue contour, soft tissue texture, Mucogingival Junction alignment, and gingival color. Because complete root coverage was the primary treatment goal, and the other variables were considered secondary, the value assigned for root coverage was 60% of the total score, whereas 40% was assigned to the other four variables. With regard to assessment of the final position of the gingival margin, 3 points were given for partial root coverage, and 6 points were given for complete root coverage; 0 points were assigned when t...