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Treatment of Multiple Gingival Recession Defects Using Periosteal Pedicle Graft: A Case Series
Author(s) -
Mahajan Ajay
Publication year - 2010
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.2010.100134
Subject(s) - gingival recession , periosteum , dentistry , medicine , connective tissue , orthodontics , surgery , pathology
Background: The periosteum is a highly vascular connective tissue with immense regenerative potential. These qualities make it a suitable autogenous graft. A technique is described for using an autogenous periosteal pedicle graft (PPG) for the treatment of multiple gingival recession defects. Methods: Twenty teeth in six subjects with Miller Class I and II recessions ≥2 mm were treated using PPGs. In addition to the depth of the gingival recession defect, the probing depth and widths of keratinized and attached gingiva were recorded. The mean ± SD was calculated for each of the clinical parameters. The paired t test was used to test the significance of the change. Results: At the end of 1 year, 90.95% of root coverage was attained with a significant increase in the widths of keratinized and attached gingiva ( P = 0.0001); no change was observed in probing depths ( P = 0.36). Conclusion: The PPG technique can be successfully used for the treatment of multiple gingival recession defects.