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A New Index Proposed for Determination of Outcome of Recession Coverage Procedures
Author(s) -
Pandit Nymphea,
Gaba Amit K.,
Malik Rajvir,
Pandit I. K.
Publication year - 2012
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1902/cap.2011.110012
Subject(s) - medicine , gingival recession , dentistry , orthodontics , soft tissue , recession , surgery , keynesian economics , economics
Focused Clinical Question: How can the clinical outcome of recession coverage procedures be determined in cases of malaligned and rotated teeth? Summary: The primary impetus that led to the development of the various indices of gingival recession coverage procedures was to correlate the prognosis to the anatomic features. Two important anatomic features, i.e. rotation and proclination of teeth, affect the topography of the labial bony plate as well as the biotype of the soft tissue overlying the root surface and consequently the treatment outcome. The purpose of this article is to propose an index for predetermination of the outcome of gingival recession coverage procedures, depending on the extent of rotation or proclination of the teeth to be treated. The study population consisted of 12 patients (22 sites) with Miller Class I and Class II recession of mandibular/maxillary teeth. These recession defects were treated with subepithelial connective tissue graft procedures. Clinical parameters assessed were percentage of recession coverage achieved at 6 months post‐surgically. A malalignment index (MI) was devised and interpreted for its prognostic value with respect to the treatment executed for the recession coverage procedure. The Pearson correlation between percentages of recession coverage achieved and the MI scores assessed was 0.015, which is statistically significant. Conclusion: This clinical study concludes that the proposed MI will be of high prognostic value, in predetermination of the success of the root recession coverage procedures in proclined and rotated teeth.