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Root Coverage and Pocket Reduction as Combined Surgical Procedures
Author(s) -
Hirsch A.,
Attal U.,
Chai E.,
Goultschin J.,
Boyan B.D.,
Schwartz Z.
Publication year - 2001
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.2001.72.11.1572
Subject(s) - gingival recession , connective tissue , reduction (mathematics) , medicine , dentistry , maxilla , orthodontics , mathematics , pathology , geometry
Background: One of the main objectives of periodontal reconstructive surgery is the coverage of exposed roots due to gingival recession. A large variety of mucogingival grafting procedures are available that give highly predictable and esthetically acceptable results when treating intact root surfaces. However, these procedures call for a second surgery site in the palate. The present study examines a series of cases in which connective tissue, obtained from the tuberosity during pocket reduction procedures in the posterior region of the maxilla, was used for root coverage. Methods: Forty‐four teeth from 25 patients with gingival recession of 3.30 ± 0.14 mm (mean ± SEM) were treated with subepithelial connective tissue grafts using connective tissue obtained from the tuberosity area during pocket reduction procedures in the posterior region of the maxilla. Results: The mean root coverage recession after treatment was 0.16 ± 0.06 mm, with effectiveness of coverage at 95.0% ± 1.84 and a predictability of 84.1%. Periodontal probing depth reduction at the donor site was 4.08 ± 0.24 mm. Conclusions: These results indicate that the subepithelial connective tissue graft obtained from the tuberosity area during pocket reduction procedures in the posterior region of the maxilla provides a very predictable and esthetic root coverage without the need for a second surgical site. J Periodontol 2001;72: 1572‐1579.